Diversity, Equity, and Inclusion in Gastroenterology and Hepatology: A Survey of Where We Stand

Harman K. Rahal · James H. Tabibian · Rachel B. Issaka · Sandra M. Quezada · Darrell M. Gray · Sophie Balzora +3 more

20 citations0/0 files storedThe American Journal of Gastroenterology

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Diversity and Career in Medicine Career Development and Diversity Cultural Competency in Health Care

Abstract

INTRODUCTION: In the setting of increasing attention to representation in medicine, we aimed to assess current perspectives of racial and ethnic workforce diversity and health care disparities among gastroenterology (GI) and hepatology professionals in the United States. METHODS: We developed and administered a 33-item electronic cross-sectional survey to members of 5 national GI and hepatology societies. Survey items were organized into thematic modules and solicited perspectives on racial and ethnic workforce diversity, health care disparities in GI and hepatology, and potential interventions to enhance workforce diversity and improve health equity. RESULTS: Of the 1,219 survey participants, 62.3% were male, 48.7% were non-Hispanic White, and 19.9% were from backgrounds underrepresented in medicine. The most frequently reported barriers to increasing racial and ethnic diversity in GI and hepatology were insufficient representation of underrepresented racial and ethnic minority groups in the education and training pipeline (n = 431 [35.4%]), in professional leadership (n = 340 [27.9%]), and among practicing GI and hepatology professionals (n = 324 [26.6%]). Suggested interventions were to increase career mentorship opportunities (n = 545 [44.7%]), medical student opportunities (n = 520 [42.7%]), and program and professional society leadership roles for underrepresented racial and ethnic minority groups (n = 473 [38.8%]). DISCUSSION: Our survey explored imperative and timely perspectives on racial and ethnic representation and health equity among professionals in GI and hepatology. The findings should inform future interventions to address workforce diversity and establish priorities toward improving health equity, ultimately serving as a springboard for professional societies, academic institutions, and other organizations that aim to increase diversity, equity, and inclusion in our field.

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2013Minority Physicians’ Role in the Care of Underserved Patients 1995Physician Race and Care of Minority and Medically Indigent Patients 2012The Association Among Specialty, Race, Ethnicity, and Practice Location Among California Physicians in Diverse Specialties 2009Underrepresentation of Underrepresented Minorities in Academic Medicine: The Need to Enhance the Pipeline and the Pipe 2018Diversity Within US Gastroenterology Physician Practices: The Pipeline, Cultural Competencies, and Gastroenterology Societies Approaches 2020From Intention to Action: Operationalizing AGA Diversity Policy to Combat Racism and Health Disparities in Gastroenterology 2020Improving Diversity and Inclusion in GI 2021The Need for Allyship in Achieving Gender Equity in Gastroenterology

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