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Black voices in gastroenterology and hepatology

Abstract

The Association of Black Gastroenterologists and Hepatologists (ABGH) was established to improve health equity in Black communities and to provide academic and social support for Black gastroenterologists and hepatologists. In this Viewpoint, four members of ABGH (early career, mid-career and late career) discuss their route into gastroenterology and hepatology, how academia and medicine can promote inclusivity and equity, and their advice to Black students interested in a career in medicine or science.

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References

  1. Anyane-Yeboa, A., Balzora, S. & Gray, D. M. Improving diversity and inclusion in GI. Am. J. Gastroenterol. 115, 1147–1149 (2020).

    Article  Google Scholar 

  2. Carethers, J. M., Quezada, S. M., Carr, R. M. & Day, L. W. Diversity within US gastroenterology physician practices: the pipeline, cultural competencies, and gastroenterology societies approaches. Gastroenterology 156, 829–833 (2019).

    Article  Google Scholar 

  3. Strauss, V. What black students who were bused said aout their experiences. Washington Post https://www.washingtonpost.com/education/2019/07/08/what-black-students-who-were-bused-said-about-their-experiences/ (2019).

  4. Hannah-Jones, N. It was never about busing. New York Times https://www.nytimes.com/2019/07/12/opinion/sunday/it-was-never-about-busing.html?smid=em-share (2019).

  5. Shapiro, E. This year only 10 black students got into N.Y.C.'s top high school. New York Times https://www.nytimes.com/2020/03/19/nyregion/nyc-schools-numbers-black-students-diversity-specialized.html (2020).

  6. Kerpen, C. Want your daughter to go to the C-suite? Send her to a women's college. Forbes https://www.forbes.com/sites/carriekerpen/2021/10/19/want-your-daughter-to-go-to-the-c-suite-send-her-to-a-womens-college/?sh=6aab786e5984 (2021).

  7. Weill Cornell Medicine Medical College. Travelers Summer Research Fellowship Program. Weill Cornell Medicine https://medicaleducation.weill.cornell.edu/medical-education/premedical-programs/travelers-summer-research-fellowship-program (2022).

  8. Newman, C., Templeton, K. & Chin, E. L. Inequity and women physicians: time to change millennia of societal beliefs. Perm. J. 24, 20.024 (2020).

    Article  Google Scholar 

  9. Johnson, R. et al. Chief residency selection in internal medicine: who is left out?. J. Gen. Intern. Med 37, 1261–1264 (2022).

    Article  Google Scholar 

  10. Ogunwole, S. M., Dill, M., Jones, K. & Golden, S. H. Trends in internal medicine faculty by sex and race/ethnicity, 1980–2018. JAMA Netw. Open 3, e2015205 (2020).

    Article  Google Scholar 

  11. Farid, H. et al. Discrimination, microaggressions, and perceptions of institutional response in an academic obstetrics and gynecology department. Cureus 13, e15993 (2021).

    PubMed  PubMed Central  Google Scholar 

  12. Ackerman-Barger, K., Jacobs, N. N., Orozco, R. & London, M. Addressing microaggressions in academic health: a workshop for inclusive excellence. MedEdPORTAL 17, 11103 (2021).

    Article  Google Scholar 

  13. Mullangi, S. & Jagsi, R. Imposter syndrome: treat the cause, not the symptom. JAMA 322, 403–404 (2019).

    Article  Google Scholar 

  14. Tapper, E. B. & Sengupta, N. How to succeed in research during fellowship: what the trainee needs to do (and needs from the program). Gastroenterology 152, 922–925 (2017).

    Article  Google Scholar 

  15. Blanchard, A. K. Code switch. N. Engl. J. Med. https://doi.org/10.1056/NEJMpv2107029 (2021).

    Article  PubMed  Google Scholar 

  16. Lee-Allen, J. & Shar, B. J. How to incorporate health equity training into gastroenterology and hepatology fellowships. Gastroenterology 160, 1924–1928 (2021).

    Article  Google Scholar 

  17. Capers, Q. How clinicians and educators can mitigate implicit bias in patient care and candidate selection in medical education. ATS Sch. 1, 211–217 (2020).

    Article  Google Scholar 

  18. Kalet, A. et al. Mentoring underrepresented minority physician-scientists to success. Acad. Med. https://doi.org/10.1097/ACM.0000000000004402 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  19. Louissaint, J., May, F. P., Williams, S. & Tapper, E. B. Effective mentorship as a means to recruit, retain, and promote underrepresented minorities in academic gastroenterology and hepatology. Am. J. Gastroenterol. 116, 1110–1113 (2021).

    Article  Google Scholar 

  20. Balzora, S. When the minority tax is doubled: being black and female in academic medicine. Nat. Rev. Gastroenterol. Hepatol. 18, 1 (2021).

    Article  Google Scholar 

  21. AAMC. Diversity in medicine: facts and figures 2019: U.S. physician workforce data. AAMC https://www.aamc.org/data-reports/workforce/report/diversity-medicine-facts-and-figures-2019 (2020).

  22. Williams, R., White, P. M. & Balzora, S. A TEAM approach to diversity, equity, and inclusion in gastroenterology and hepatology. Gastroenterology (2022).

  23. Crews, D. C., Collins, C. A. & Cooper, L. A. Distinguishing workforce diversity from health equity efforts in medicine. JAMA Health Forum 2, e214820 (2021).

    Article  Google Scholar 

  24. McCleary-Gaddy, A. Be explicit: defining the difference between the Office of Diversity & Inclusion and the Office of Diversity & Equity. Med. Teach. 41, 1443–1444 (2019).

    Article  Google Scholar 

  25. Gray, D. M., Anyane-Yeboa, A., Issaka, R. B. & Balzora, S. Health equity in focus: introducing the Association of Black Gastroenterologists and Hepatologists. Lancet Gastroenterol. Hepatol. 6, 348 (2021).

    Article  Google Scholar 

  26. Rao, V. & Flores, G. Why aren’t there more African-American physicians? A qualitative study and exploratory inquiry of African-American students’ perspectives on careers in medicine. J. Natl Med. Assoc. 99, 986–993 (2007).

    PubMed  PubMed Central  Google Scholar 

  27. Heiser, S. AAMC report reinforces mounting physician shortage. Association of American Medical Colleges https://www.aamc.org/news-insights/press-releases/aamc-report-reinforces-mounting-physician-shortage (2021).

  28. White, P. M., Iroku, U., Carr, R. M. & May, F. P., Association of Black Gastroenterologists and Hepatologists Board of Directors. Advancing health equity: the Association of Black Gastroenterologists and Hepatologists. Nat. Rev. Gastroenterol. Hepatol. 18, 449–450 (2021).

    Article  Google Scholar 

  29. Rabinowitz, L. G. et al. Mentoring disparities in gastroenterology: the path forward. Gastroenterology https://doi.org/10.1053/j.gastro.2021.11.007 (2021).

    Article  PubMed  Google Scholar 

  30. Ayyala, M. S. et al. Mentorship is not enough: exploring sponsorship and its role in career advancement in academic medicine. Academic Med. 94, 94–100 (2019).

    Article  Google Scholar 

Download references

Acknowledgements

J.A.C.-M. acknowledges the late Dr M. J. Kreek of the Rockefeller University for a lifetime of mentorship. A.G. and R.W. acknowledge the Board of Directors for the Association of Black Gastroenterologists and Hepatologists. Board of Directors: S. M. Balzora, R. Williams, U. Iroku, V. Antoine-Gustave, A. Anyane-Yeboa, R. M. Carr, D. M. Gray II, A. Guillaume, R. Issaka, F. May and P. M. White.

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Authors and Affiliations

Authors

Contributions

Joan A. Culpepper-Morgan is the Chief of the Division of Gastroenterology as well as Program Director of the GI Fellowship of Harlem Hospital in New York City, USA. She is a graduate of Weill Cornell Medical College. She completed Gastroenterology Fellowship training at St. Luke’s-Roosevelt Hospital and The Rockefeller University. Her research interests are in health disparities and gut opioids. Pronouns: she/her/hers. Twitter: @CulpepperJoan.

Alexandra Guillaume is an Assistant Professor of Medicine in the Division of Gastroenterology at the Renaissance School of Medicine, Stony Brook University Hospital in New York, USA. She is the Director of the GI Motility Center and externally is co-founder and Board of Director of the Association of Black Gastroenterologists and Hepatologists. Guillaume has a special interest in diversity initiatives particularly at the undergraduate level of training to improve the recruitment of under-represented minorities to medicine and presently serves on the Executive Subcommittee of Admission to the medical school. Pronouns: she/her/hers. Twitter: @guillaume_md.

Jeremy Louissaint is a current transplant hepatology fellow at Columbia University Medical Center, USA. His research interests are focused on leveraging telehealth to improve the ambulatory care of persons with cirrhosis. Pronouns: he/him/his. Twitter: @jlouissaint89.

Renee Williams is an Associate Professor at NYU Grossman School of Medicine. She is the Associate Chair for Diversity, Equity and Inclusion, Director of the Saul J Farber Program in Health Equity and the GME Education Pillar co-director for NYU Langone’s Institute for Excellence in Health Equity. Her interests include health disparities and medical education. She serves on the Board of Trustees for the American College of Gastroenterology. Pronouns: she/her/hers. Twitter: @DrR_Williams.

Corresponding authors

Correspondence to Joan A. Culpepper-Morgan, Alexandra Guillaume, Jeremy Louissaint or Renee Williams.

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Culpepper-Morgan, J.A., Guillaume, A., Louissaint, J. et al. Black voices in gastroenterology and hepatology. Nat Rev Gastroenterol Hepatol 19, 559–563 (2022). https://doi.org/10.1038/s41575-022-00642-6

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