In the minority: Black, physicians in residency and their experiences
- 1 September 2006
- journal article
- research article
- Vol. 98 (9), 1441-1448
Abstract
To describe black residents' perceptions of the impact of race on medical training. Open-ended interviews were conducted of black physicians in postgraduate year 22 who had graduated from U.S. medical schools and were enrolled in residency programs at one medical school. Using Grounded Theory tenets of qualitative research, data was culled for common themes through repeated readings; later, participants commented on themes from earlier interviews. Of 19 participants 10 were male, distributed evenly among medical and surgical fields. Four major themes emerged from the narratives: discrimination, differing expectations, social isolation and consequences. Participants' sense of being a highly visible minority permeated each theme. Overt discrimination was rare. Participants perceived blacks to be punished more harshly for the same transgression and expected to perform at lower levels than white counterparts. Participants' suspicion of racism as a motivation for individual and institutional behaviors was tempered by self-doubt. Social isolation from participants' white colleagues contrasted with connections experienced with black physicians, support staff and patients, and participants strongly desired black mentors. Consequences of these experiences varied greatly. Black physicians face complex social and emotional challenges during postgraduate training. Creating supportive networks and raising awareness of these issues may improve training experiences for black physicians.Keywords
This publication has 21 references indexed in Scilit:
- Workplace discrimination: experiences of practicing physicians.2005
- Improving the Climate in Research and Scientific Training Environments for Members of Underrepresented MinoritiesThe Neuroscientist, 2004
- African American and White Physicians: A Comparison of Satisfaction with Medical Education, Professional Careers, and Research ActivitiesTeaching and Learning in Medicine, 2003
- US Graduate Medical Education, 2001-2002JAMA, 2002
- Residentsʼ and medical studentsʼ reports of sexual harassment and discriminationAcademic Medicine, 1996
- The adaptation of black graduate students: A social network approachAmerican Journal of Community Psychology, 1990
- Assessing correlations between black and white studentsʼ perceptions of the medical school learning environment, their academic performances, and their well-beingAcademic Medicine, 1989
- Perceived stress and social supports of black and white medical studentsAcademic Medicine, 1980
- On the professional socialization of black residents in psychiatryAcademic Medicine, 1979
- Black students in medical schoolsAcademic Medicine, 1976