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      The Health Equity Leadership Institute (HELI): Developing workforce capacity for health disparities research

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          Abstract

          Introduction

          Efforts to address health disparities and achieve health equity are critically dependent on the development of a diverse research workforce. However, many researchers from underrepresented backgrounds face challenges in advancing their careers, securing independent funding, and finding the mentorship needed to expand their research.

          Methods

          Faculty from the University of Maryland at College Park and the University of Wisconsin-Madison developed and evaluated an intensive week-long research and career-development institute—the Health Equity Leadership Institute (HELI)—with the goal of increasing the number of underrepresented scholars who can sustain their ongoing commitment to health equity research.

          Results

          In 2010-2016, HELI brought 145 diverse scholars (78% from an underrepresented background; 81% female) together to engage with each other and learn from supportive faculty. Overall, scholar feedback was highly positive on all survey items, with average agreement ratings of 4.45-4.84 based on a 5-point Likert scale. Eighty-five percent of scholars remain in academic positions. In the first three cohorts, 73% of HELI participants have been promoted and 23% have secured independent federal funding.

          Conclusions

          HELI includes an evidence-based curriculum to develop a diverse workforce for health equity research. For those institutions interested in implementing such an institute to develop and support underrepresented early stage investigators, a resource toolbox is provided.

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          Most cited references19

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          The public health critical race methodology: praxis for antiracism research.

          The number of studies targeting racial health inequities and the capabilities for measuring racism effects have grown substantially in recent years. Still, the need remains for a public health framework that moves beyond merely documenting disparities toward eliminating them. Critical Race Theory (CRT) has been the dominant influence on racial scholarship since the 1980s; however, its jurisprudential origins have, until now, limited its application to public health research. To improve the ease and fidelity with which health equity research applies CRT, this paper introduces the Public Health Critical Race praxis (PHCR). PHCR aids the study of contemporary racial phenomena, illuminates disciplinary conventions that may inadvertently reinforce social hierarchies and offers tools for racial equity approaches to knowledge production. Copyright © 2010 Elsevier Ltd. All rights reserved.
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            The role of cultural diversity climate in recruitment, promotion, and retention of faculty in academic medicine.

            Ethnic diversity among physicians may be linked to improved access and quality of care for minorities. Academic medical institutions are challenged to increase representation of ethnic minorities among health professionals. To explore the perceptions of physician faculty regarding the following: (1) the institution's cultural diversity climate and (2) facilitators and barriers to success and professional satisfaction in academic medicine within this context. Qualitative study using focus groups and semi-structured interviews. Nontenured physicians in the tenure track at the Johns Hopkins University School of Medicine. Focus groups and interviews were audio-taped, transcribed verbatim, and reviewed for thematic content in a 3-stage independent review/adjudication process. Study participants included 29 faculty representing 9 clinical departments, 4 career tracks, and 4 ethnic groups. In defining cultural diversity, faculty noted visible (race/ethnicity, foreign-born status, gender) and invisible (religion, sexual orientation) dimensions. They believe visible dimensions provoke bias and cumulative advantages or disadvantages in the workplace. Minority and foreign-born faculty report ethnicity-based disparities in recruitment and subtle manifestations of bias in the promotion process. Minority and majority faculty agree that ethnic differences in prior educational opportunities lead to disparities in exposure to career options, and qualifications for and subsequent recruitment to training programs and faculty positions. Minority faculty also describe structural barriers (poor retention efforts, lack of mentorship) that hinder their success and professional satisfaction after recruitment. To effectively manage the diversity climate, our faculty recommended 4 strategies for improving the psychological climate and structural diversity of the institution. Soliciting input from faculty provides tangible ideas regarding interventions to improve an institution's diversity climate.
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              Minorities struggle to advance in academic medicine: A 12-y review of diversity at the highest levels of America's teaching institutions.

              Blacks, Hispanics, and women are underrepresented in academic medicine. This study sought to identify recent trends in the academic appointments of underrepresented groups at all levels of academic medicine.
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                Author and article information

                Journal
                J Clin Transl Sci
                J Clin Transl Sci
                CTS
                Journal of Clinical and Translational Science
                Cambridge University Press (Cambridge, UK )
                2059-8661
                19 June 2017
                June 2017
                : 1
                : 3
                : 153-159
                Affiliations
                [1 ] Department of Behavioral and Community Health, School of Public Health, Maryland Center for Health Equity, University of Maryland , College Park, MD, USA
                [2 ] School of Nursing, Collaborative Center for Health Equity, University of Wisconsin , Madison, WI, USA
                [3 ] Wisconsin Partnership Program, School of Medicine and Public Health, University of Wisconsin , Madison, WI, USA
                [4 ] Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin , Madison, WI, USA
                [5 ] Institute for Clinical and Translational Research, Collaborative Center for Health Equity, School of Medicine and Public Health, University of Wisconsin , Madison, WI, USA
                [6 ] Institute for Clinical and Translational Research, School of Medicine and Public Health, University of Wisconsin , Madison, WI, USA
                [7 ] Department of Family Science, Maryland Center for Health Equity, School of Public Health, University of Maryland , College Park, MD, USA
                [8 ] Health Services Administration, Maryland Center for Health Equity, School of Public Health, University of Maryland , College Park, MD, USA
                [9 ] Institute for Clinical and Translational Research, Collaborative Center for Health Equity, University of Wisconsin , Madison, WI, USA
                Author notes
                [* ]Address for correspondence: C. A. Sorkness, UW Health Sciences Learning Center, 750 Highland Ave., Suite 4240a, Madison, WI 53705, USA. (Email: sorkness@ 123456wisc.edu )
                Article
                S2059866117000061 00006
                10.1017/cts.2017.6
                5647658
                4cb434ad-eb7a-4bd9-a922-251bd9abf5a2
                © The Association for Clinical and Translational Science 2017

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 March 2017
                : 16 April 2017
                Page count
                Figures: 1, Tables: 3, Pages: 7
                Categories
                Education
                Special Communications

                health equity research,career development,health disparities,diverse research workforce

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