Tackling the Minority Tax: A Roadmap to Redistributing Engagement in Diversity, Equity, and Inclusion Initiatives

OTOLARYNGOLOGY-HEAD AND NECK SURGERY(2022)

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摘要
Academic medical centers striving to implement diversity, equity, and inclusion (DEI) and antiracism initiatives often ask faculty to volunteer substantial time to committee work, recruitment, mentoring, community, and administrative responsibilities. These requests are not in lieu of current workload and seldom count toward scholarship; the service may go unrecognized, unrewarded, and uncompensated. URiM faculty (underrepresented in medicine) providing such service thus pay a minority tax when precious time is syphoned away from career-advancing activities and personal growth. The resulting strain on available resources has social, psychological, and monetary ramifications that can undermine the long-term objectives of DEI initiatives. We examine the facets of the minority tax, consider the current state of diversity, and present a roadmap to redistribute, reform, and reduce URiM taxation through shared engagement in DEI initiatives. Key interventions include ascribing value to DEI efforts, implementing evidence-based policies to reduce bias, and promoting mentorship, sponsorship, and allyship.
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关键词
minority tax, cultural taxation, health inequity, health care disparities, academic medicine, diversity, equity, inclusion, medical education, otolaryngology, head and neck surgery, social determinants of health, underrepresented minority, URM, underrepresented in medicine, URiM racism, microaggressions, antiracism, pipeline, Latinx, Latino, African American, Native American, health care access, promotion, National Institutes of Health, NIH, American Association of Medical Colleges, AAMC, compensation, allyship, psychological safety, implicit bias, bystander intervention
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