Abstract：
Academic medicine, and medicine in general, are less diverse than the general patient population. Family Medicine, while still lagging behind the general population, has the most diversity in leadership and in the specialty in general, and continues to lead in this effort, with 16.7% of chairs identifying as underrepresented in medicine. Historical and current systematic marginalization of Black or African American, Latina/e/o/x, Hispanic or of Spanish Origin (LHS), American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and Southeast Asian individuals has created severe underrepresentation within health sciences professions. Over the last 30 years, the percentage of faculty from these groups has increased from 7 to 9% in allopathic academic medicine, with similar increases in Osteopathic Medicine, Dentistry, and Pharmacy, but all lag behind age-adjusted population means. Traditionally, diversity efforts have focused on increasing pathway programs to address this widening disparity. While pathway programs are a good start, they are only a portion of what is needed to create lasting change in the diversity of the medical profession as well as the career trajectory and success of underrepresented in medicine (URiM) health professionals toward self-actualization and positions of leadership. This article elucidates all parts of an ecosystem necessary to ensure that equity, diversity, and inclusion outcomes can improve.
摘要：
学术医学，和一般的医学，与普通患者人群相比差异较小。家庭医学,虽然仍然落后于一般人口，在领导和专业方面具有最大的多样性，并继续领导这一努力，16.7%的椅子被认为在医学中代表性不足。黑人或非裔美国人的历史和当前系统边缘化，Latina/e/o/x,西班牙裔或西班牙裔（LHS），美洲印第安人/阿拉斯加原住民，夏威夷原住民/太平洋岛民，东南亚个人在健康科学专业中造成了严重的代表性不足。在过去的30年里,这些群体的教师在对抗疗法学术医学方面的比例从7%增加到9%，在整骨疗法中也有类似的增加，牙科,药房,但都落后于年龄调整后的人口意味着。传统上,多样性的努力集中在增加路径计划，以解决这种不断扩大的差距。虽然Pathway计划是一个好的开始，它们只是创造医学专业多样性的持久变化所需的一部分，以及医学中代表性不足（URiM）卫生专业人员的职业轨迹和成功走向自我实现和领导地位。本文阐述了生态系统的所有部分，以确保公平，多样性,包容性结果可以改善。
