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Building an ethnically and racially diverse neurology workforce

Abstract

As diversity among patient populations continues to grow, racial and ethnic diversity in the neurology workforce is increasingly essential to the delivery of culturally competent care and for enabling inclusive, generalizable clinical research. Unfortunately, diversity in the workforce is an area in which the field of neurology has historically lagged and faces formidable challenges, including an inadequate number of trainees entering the field, bias experienced by trainees and faculty from minoritized racial and ethnic backgrounds, and ‘diversity tax’, the disproportionate burden of service work placed on minoritized people in many professions. Although neurology departments, professional organizations and relevant industry partners have come to realize the importance of diversity to the field and have taken steps to promote careers in neurology for people from minoritized backgrounds, additional steps are needed. Such steps include the continued creation of diversity leadership roles in neurology departments and organizations, the creation of robust pipeline programmes, aggressive recruitment and retention efforts, the elevation of health equity research and engagement with minoritized communities. Overall, what is needed is a shift in culture in which diversity is adopted as a core value in the field.

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Fig. 1: Demographic distribution of the USA compared with that of neurology faculty in US medical schools.

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American Academy of Neurology Diversity Leadership Program: https://www.aan.com/education/diversity-leadership

American Academy of Neurology Training in Research for Academic Neurologists to Sustain Careers and Enhance the Numbers of Diverse Scholars (TRANSCENDS): https://www.aan.com/research/transcends-program

University of Pennsylvania Educational Pipeline Program: https://www.nettercenter.upenn.edu/what-we-do/university-assisted-community-schools/moelis-access-science/educational-pipeline-program

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Hamilton, R.H. Building an ethnically and racially diverse neurology workforce. Nat Rev Neurol 20, 222–231 (2024). https://doi.org/10.1038/s41582-024-00941-3

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