A subgroup of the National Advisory Neurological Disorders and Stroke Council Working Group for Health Disparities and Inequities in Neurological Disorders was engaged to advise NINDS leadership in the domain of diversity in health equity training. Activities included video teleconference meetings, multiple consultations with experienced leaders in the field, independent writing assignments, and an open public discussion as part of the NINDS HEADWAY workshop held on September 22-24, 2021.
The working group recommends support for 2 distinct types of training activities: one designed for scientists from historically under-represented backgrounds and the second designed for scientists of all backgrounds performing health inequities research. Support for grant writing workshops and establishment of multi-institutional mentorship networks are recommended as potentially especially high-yield activities. The working group recommends that all NINDS-supported investigators should have sufficient diversity, equity, and inclusion training to be prepared and qualified to mentor trainees from under-represented backgrounds and mentor trainees engaged in health disparities research; there should be no \"diversity tax\" placed on established investigators from under-represented backgrounds to shoulder all the mentorship responsibilities. Among other recommendations, training in health disparities research should include a focus on interventional studies to alleviate inequities as well as social science and qualitative methods.
There is a great deal of work to do in the field of diversity, equity, inclusion, and health inequities training, but we are optimistic that the activities outlined here, if fully implemented, will set us on the right track.
方法:国家咨询神经疾病和中风委员会神经系统疾病健康差异和不平等工作组的一个小组参与了NINDS在健康公平培训多样性领域的领导。活动包括电视电话会议,与该领域经验丰富的领导人进行多次磋商,独立写作作业,以及作为2021年9月22日至24日举行的NINDSHEADWAY研讨会的一部分的公开公开讨论。
结果:工作组建议支持两种不同类型的培训活动:一种是为来自历史上代表性不足的背景的科学家设计的,第二种是为从事健康不平等研究的所有背景的科学家设计的。建议支持赠款编写讲习班和建立多机构指导网络,作为潜在的特别高收益活动。工作组建议所有由NINDS支持的调查人员应具有足够的多样性,股本,和纳入培训应做好准备,并有资格指导来自代表性不足的背景的受训者和从事健康差异研究的受训者;不应该对来自代表性不足的背景的既定调查人员征收“多样性税”,以承担所有指导责任。除其他建议外,健康差异研究方面的培训应包括对干预研究的重点,以减轻不平等现象以及社会科学和定性方法。
结论:在多样性领域有很多工作要做,股本,inclusion,和健康不平等培训,但是我们乐观地认为这里概述的活动,如果全面实施,会让我们走上正确的道路.