Addressing the Management of Incidents of Racial Bias and Discrimination in Graduate Medical Education-View Presentation

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Video Summary

The panel on "Addressing Racial Bias and Discrimination in Graduate Medical Education" led by Dr. Constance Dunlap focused on the widespread issue of racial bias and its profound impacts on trainees' well-being and the medical field's overall service quality. This discussion, inspired by a presentation on mentoring underrepresented trainees, highlighted the institutional recognition of bias as a critical problem, necessitating actions from bodies like the Accreditation Council for Graduate Medical Education (ACGME) and the Association of American Medical Colleges (AAMC).<br /><br />Key participants included Dr. Sade Frazier and Dr. Drew Gupta, who shared insights and personal experiences reflecting the harsh realities faced by trainees of color. Dr. Frazier, for instance, recounted receiving anonymous messages confirming discriminatory behavior during her residency, a revelation that deeply impacted her and demonstrated system-level failings.<br /><br />The session emphasized the need for systemic changes, including cultural humility, cross-cultural training, and implementing supportive structures like ombudsman frameworks. The DSM-5TR updates were also highlighted, offering a framework for addressing discrimination through its revised cultural formulation and Z-codes for discrimination-related stressors.<br /><br />Panelists urged medical institutions to develop transparent, supportive pathways for reporting discrimination and fostering inclusive environments. The discussion underscored creating organizational commitments to equity in training and health care, leveraging community collaboration, and systemic advocacy to dismantle persistent racial inequities in medical education.

Keywords

Racial Bias

Discrimination

Graduate Medical Education

Dr. Constance Dunlap

Trainees' Well-being

ACGME

AAMC

Dr. Sade Frazier

Dr. Drew Gupta

Cultural Humility

Cross-Cultural Training

DSM-5TR

Equity in Training