Equity on the frontlines of trauma surgery: An #EAST4ALL roundtable
| Autor: | Elizabeth Kiselak, Rondi B. Gelbard, Deborah M. Stein, Brandon R. Bruns, Esther S. Tseng, Rishi Rattan, Julie A. Freischlag, D’Andrea K. Joseph, Andrew C. Bernard, Bellal Joseph, Mark H. Hoofnagle, Brian Williams, Tanya L. Zakrison, Andrea M. Long, Cathleen Khandelwal, Lily Tung, Stephanie Bonne, Nicole Goulet |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Sexism MEDLINE Critical Care and Intensive Care Medicine 03 medical and health sciences Racism 0302 clinical medicine Surveys and Questionnaires Humans Medicine Acute care surgery Societies Medical Medical education Task force business.industry 030208 emergency & critical care medicine Social Discrimination Middle Aged Surgical training United States Traumatology Harassment Female Surgery Homophobia Implicit bias business Trauma surgery Gender pay gap |
| Zdroj: | Journal of Trauma and Acute Care Surgery. 90:129-136 |
| ISSN: | 2163-0763 2163-0755 |
| Popis: | Background Inequity exists in surgical training and the workplace. The Eastern Association for the Surgery of Trauma (EAST) Equity, Quality, and Inclusion in Trauma Surgery Ad Hoc Task Force (EAST4ALL) sought to raise awareness and provide resources to combat these inequities. Methods A study was conducted of EAST members to ascertain areas of inequity and lack of inclusion. Specific problems and barriers were identified that hindered inclusion. Toolkits were developed as resources for individuals and institutions to address and overcome these barriers. Results Four key areas were identified: (1) harassment and discrimination, (2) gender pay gap or parity, (3) implicit bias and microaggressions, and (4) call-out culture. A diverse panel of seven surgeons with experience in overcoming these barriers either on a personal level or as a chief or chair of surgery was formed. Four scenarios based on these key areas were proposed to the panelists, who then modeled responses as allies. Conclusion Despite perceived progress in addressing discrimination and inequity, residents and faculty continue to encounter barriers at the workplace at levels today similar to those decades ago. Action is needed to address inequities and lack of inclusion in acute care surgery. The EAST is working on fostering a culture that minimizes bias and recognizes and addresses systemic inequities, and has provided toolkits to support these goals. Together, we can create a better future for all of us. |
| Databáze: | OpenAIRE |
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