An article from a multi-institution research team led by Center Assistant Professor Dr. Karen Kelly-Blake and Assistant Director Libby Bogdan-Lovis has been published in the September 2018 issue of Medical Education.
In “Rationales for expanding minority physician representation in the workforce: a scoping review,” the authors discuss “rationales for and approaches to expanding under‐represented minority (URM) physician representation in the medical workforce” found in their scoping review of fifteen years of literature.
The full text is available online via Wiley Online Library (MSU Library or other institutional access may be required to view this article).
Dr. Kelly-Blake and Libby Bogdan-Lovis further discussed their article in an interview for the Medical Education podcast series.
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Episode 6 of No Easy Answers in Bioethics is now available! This episode features guests Libby Bogdan-Lovis, Assistant Director of the Center for Ethics and Humanities in the Life Sciences, and Dr. Karen Kelly-Blake, Assistant Professor in the Center for Ethics and the Department of Medicine at the Michigan State University College of Human Medicine. As leaders of a multi-institutional research team, they were interested in examining strategies and associated rationales for expanding underrepresented minority presence in U.S. undergraduate medical education. In this episode, they provide insight on what their scoping review has revealed, focusing on the notion that underrepresented minorities in medicine are often expected to pursue a service track—an expectation not placed on their white majority peers.
Ways to Listen
This episode was produced and edited by Liz McDaniel in the Center for Ethics. Music: “While We Walk (2004)” by Antony Raijekov via Free Music Archive, licensed under a Attribution-NonCommercial-ShareAlike License. Full transcript available.
About: No Easy Answers in Bioethics is a podcast series from the Center for Ethics and Humanities in the Life Sciences in the Michigan State University College of Human Medicine. Each month Center for Ethics faculty and their collaborators discuss their ongoing work and research across many areas of bioethics—clinical ethics, evidence-based medicine, health policy, medical education, neuroethics, shared decision-making, and more. Episodes are hosted by H-Net: Humanities and Social Sciences Online.
On February 15-16, Center Assistant Professor Dr. Karen Kelly-Blake attended the National Association of African American Studies (NAAAS) and Affiliates 25th Joint National Conference held in Dallas, Texas. This conference marked the 25th gathering of scholars from across the U.S. and more than twenty countries. Dr. Kelly-Blake’s presentation was titled, ““Danger Talk”: The Covert Costs of Racial/Ethnic Concordance in the Medical Workforce.” The presentation reported preliminary results of a 2000-2015 scoping literature review that examined medical workforce policy strategies for increasing under-represented minorities in medicine. The research is a multi-institutional collaboration with Libby Bogdan-Lovis, MA (MSU), Nanibaa’ Garrison, PhD (University of Washington), Faith Fletcher, PhD, MA (University of Illinois at Chicago), Brittany Ajegba, MPH (MSU), Nichole Smith (Vanderbilt University), and Morgann Brafford, BS (MSU).
Dr. Kelly-Blake discussed the rationales and strategies that are employed to increase under-represented minority (URM) physician workforce capacity. She began by asking the audience to provide reasons for why it would be important to increase URMs in the medical workforce. The top three replies were: communication, cultural sensitivity, and the need to reflect general population demographics. Dr. Kelly-Blake agreed with the audience that these are often the primary justifications provided in the literature. Under-represented minorities (URMs) disproportionately shoulder the burden of care to the underserved, and most often in under-resourced communities. The problem, or the “danger talk” is that selectively placing service expectations not similarly placed on White physician colleagues along with unexamined assumptions of racial/ethnic concordance between patient and physician may place an unfair and unequal burden on URMs. Dr. Kelly-Blake further suggested that such service commitment rhetoric might unwittingly dissuade URM physicians from pursuing research and professional leadership opportunities. In short, welcoming URM physicians into the “house” of medicine, but then limiting their service to the kitchen. Dr. Kelly-Blake concluded that increasing URM physician presence in the medical workforce is indeed admirable and welcomed, but policy initiatives that influence URM’s futures in the medical workforce may have hidden, unanticipated and restrictive consequences.
To learn more about this research, watch the Bioethics Brownbag & Webinar Series talk from Dr. Kelly-Blake, “Covert Costs of Racial and Ethnic Concordance in the Medical Workforce,” recorded on January 18, 2017.
Covert Costs of Racial and Ethnic Concordance in the Medical Workforce
Over the past century US medical workforce demographics have shifted. Moving away from a white male dominated profession, there is a welcomed push towards increasing gender, ethnic, racial and linguistic representation. Commonly, that push is linked to notions of desirable doctor/patient identity matching – described here as “concordance.” That demographic shift is accompanied by policy initiatives and rhetoric shaping the professional futures of Native American, African American, and Latino underrepresented minority (URM) physicians. Do these policy initiatives carry social costs that inadvertently influence URM’s futures in the medical workforce? This analysis considers the nature of medical workforce policy strategies. Findings suggest that selectively placing service expectations not similarly placed on their non-minority physician colleagues along with unexamined assumptions of racial/ethnic concordance between patient and physician may place an undue burden on URMs.
Join us for Ms. Bogdan-Lovis and Dr. Kelly-Blake’s lecture on Wednesday, January 18, 2017 from noon till 1 pm in person or online.
Dr. Kelly-Blake is an Assistant Professor in the Center for Ethics and the Department of Medicine. Ms. Bogdan-Lovis is the Assistant Director for the Center for Ethics. Bogdan-Lovis and Kelly-Blake are co-leading a multi-institutional research project on Doctor-patient Race/Ethnic Concordance in the Medical Workforce. They are interested in unpacking the complexities surrounding underrepresented minority service to the underserved and how that service may distract those physicians from pursuing other medical professional opportunities.
In person: This lecture will take place in C102 East Fee Hall on MSU’s East Lansing campus. Feel free to bring your lunch! Beverages and light snacks will be provided.
Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!
Can’t make it? All webinars are recorded! Visit our archive of recorded lectures. To receive reminders before each webinar, please subscribe to our mailing list.