An American Crisis The Growing Absence of Black Men in Medicine and Science: Proceedings of a Joint Workshop (2018) / Chapter Skim
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2 Keynote Presentations
2 Keynote Presentations
Pages 7-14
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From page 7... ...
Darrell G Kirch, M.D., provided a broader health care context for the issue, describing what he identified as four serious challenges in health care that, to address, require inclusion and, moreover, solving the problem of the shortage of Black men in medicine.
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From page 8... ...
resulted in "less opportunity for Blacks and greater poverty in America's Black population." He then described the influence of Abraham Flexner's 1910 report Medical Education in the United States and Canada,2 which recommended the closure of certain medical schools owing to the inadequate faculty, weak curriculum, and low standards. The report resulted in the closure of many medical schools by 1925, including five of the seven predominantly Black medical schools, leaving Howard University College of Medicine and Meharry Medical College as the only predominantly Black medical schools in the first half of the 20th century.
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From page 9... ...
could make to improve their lives, their community, and their country." Citing a New England Journal of Medicine study by Komaromy and colleagues, Sullivan added that a less diverse health care workforce contributes to the poorer access to health services that racial and ethnic minorities, individuals with low socioeconomic position, and those living in geographically remote areas experience.5 Furthermore, Sullivan noted that less diversity is also likely to result in a less culturally competent health care workforce. He continued to explain that decreased access to health care services and receipt of lower quality health care in turn contribute to the poorer health status of African Americans.
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From page 10... ...
Kirch went on to describe the evolution of the AAMC since that time to promote diversity and inclusion, which includes establishing an Office of Minority Affairs and, in 1991, launching the 3000 by 2000 project, a national campaign that aimed to enroll 3,000 underrepresented racial and ethnic minority students in medical school by the year 2000.7 Finally, he presented selected statistics about Black men in medicine, updated from the 2015 AAMC report Altering the Course: 6 To read the Health Affairs article, see https://www.healthaffairs.org/doi/abs/10.1377/ hlthaff.2016.0382 (accessed February 27, 2018)
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From page 11... ...
He noted that inclusion is key among the solutions to these challenges, including solving the problem of low participation of Black men in medicine. First, he said, health care reimbursement and delivery are changing rapidly, which requires care models that employ clinician teams.
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otherness across the institution for the good of the community, often at the expense of the individual."9 Kirch suggested that the minority tax, in addition to all other causal factors, may contribute to burnout among racial and ethnic minority learners, faculty, and staff. The third challenge Kirch identified was leadership -- in particular, the need for a more diverse pool of leaders and for a different 9 For more information on the minority tax, see https://bmcmededuc.biomedcentral.com/ articles/10.1186/s12909-015-0290-9 (accessed February 21, 2018)
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From page 13... ...
, diversity, and "preprofessional readiness." The latter encompasses skills and attributes the AAMC collectively refers to as "15 Core Competencies for Entering Medical Students," including cultural competence, critical thinking, resilience and adaptability, social skills, teamwork and communications skills, ethical responsibility, and a capacity for improvement. Kirch closed his presentation with a reminder that the goal of promoting a diverse health care workforce is to improve health equity.
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From page 14... ...
He said, What we need to do is develop a community of leaders, both in the pub lic sector and the private sector, to educate the public about this. What we need is public support.
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