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Published in: Journal of General Internal Medicine 11/2009

01-11-2009 | Original Article

Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians

Authors: Marcella Nunez-Smith, MD, MHS, Nanlesta Pilgrim, MPH, Matthew Wynia, MD, Mayur M. Desai, PhD, MPH, Beth A. Jones, PhD, MPH, Cedric Bright, MD, Harlan M. Krumholz, MD, SM, Elizabeth H. Bradley, PhD

Published in: Journal of General Internal Medicine | Issue 11/2009

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ABSTRACT

BACKGROUND

Promoting racial/ethnic diversity within the physician workforce is a national priority. However, the extent of racial/ethnic discrimination reported by physicians from diverse backgrounds in today’s health-care workplace is unknown.

OBJECTIVE

To determine the prevalence of physician experiences of perceived racial/ethnic discrimination at work and to explore physician views about race and discussions regarding race/ethnicity in the workplace.

DESIGN

Cross-sectional, national survey conducted in 2006–2007.

PARTICIPANTS

Practicing physicians (total n = 529) from diverse racial/ethnic backgrounds in the United States.

MEASUREMENTS AND MAIN RESULTS

We examined physicians’ experience of racial/ethnic discrimination over their career course, their experience of discrimination in their current work setting, and their views about race/ethnicity and discrimination at work. The proportion of physicians who reported that they had experienced racial/ethnic discrimination “sometimes, often, or very often” during their medical career was substantial among non-majority physicians (71% of black physicians, 45% of Asian physicians, 63% of “other” race physicians, and 27% of Hispanic/Latino(a) physicians, compared with 7% of white physicians, all p < 0.05). Similarly, the proportion of non-majority physicians who reported that they experienced discrimination in their current work setting was substantial (59% of black, 39% of Asian, 35% of “other” race, 24% of Hispanic/Latino(a) physicians, and 21% of white physicians). Physician views about the role of race/ethnicity at work varied significantly by respondent race/ethnicity.

CONCLUSIONS

Many non-majority physicians report experiencing racial/ethnic discrimination in the workplace. Opportunities exist for health-care organizations and diverse physicians to work together to improve the climate of perceived discrimination where they work.
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Metadata
Title
Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
Authors
Marcella Nunez-Smith, MD, MHS
Nanlesta Pilgrim, MPH
Matthew Wynia, MD
Mayur M. Desai, PhD, MPH
Beth A. Jones, PhD, MPH
Cedric Bright, MD
Harlan M. Krumholz, MD, SM
Elizabeth H. Bradley, PhD
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 11/2009
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-009-1103-9

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