Introduction: Despite the increasing diversity of individuals entering medicine, physicians from racial and sexual minority groups continue to experience bias and discrimination in the workplace. The objective of this study was to determine the current experiences and perceptions of discrimination on the basis of race and sexual orientation among academic emergency medicine (EM) faculty.Methods: We conducted a cross-sectional survey of a convenience sample of EM faculty across six programs. Survey items included the Overt Gender Discrimination at Work (OGDW) Scale adapted for race and sexual orientation, and the frequency and source of experienced and observed discrimination. Group comparisons were made using t-tests or chi-square analyses, and relationships between race or sexual orientation, and we evaluated physicians’ experiences using correlation analyses.Results: A total of 141 out of 352 (40.1%) subjects completed at least a portion of the survey. Non-White physicians reported higher mean racial OGDW scores than their White counterparts (13.4 vs 8.6; 95% confidence interval (CI) for difference, -7.7 – -2.9). Non-White EM faculty were also more likely to report having experienced discriminatory treatment based on race than were White EM faculty (48.0% vs 12.6%; CI for difference, 16.6% – 54.2%), although both groups were equally likely to report having observed race-based discrimination of another physician. EM faculty who identified as sexual minorities reported higher mean sexual minority OGDW scores than their heterosexual counterparts (11.1 vs 7.1; 95% CI for difference, -7.3 – -0.6). There were no significant differences between sexual minority and heterosexual faculty in their reports of experiencing or observing discrimination based on sexual orientation.Conclusion: EM faculty from racial and sexual minority groups perceived more discrimination based on race or sexual orientation in their workplace than their majority counterparts. EM faculty regardless of race or sexual orientation were similar in their observations of discriminatory treatment of another physician based on race or sexual orientation.
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机译：介绍：尽管进入药物的个人多样性，种族和性少数群体的医生继续在工作场所进行偏见和歧视。本研究的目的是根据学术急诊医学（EM）教师的种族和性定位基础上确定当前的经历和对歧视的看法。方法：我们对六人进行了一项横断面调查程式。调查项目包括在工作（OGDW）规模的明显性别歧视，适应种族和性取向，以及经验丰富和观察歧视的频率和来源。使用T-Tests或Chi-Square分析进行组比较，以及种族或性定位之间的关系，我们使用相关分析评估了医生的经验。结果：352中的总共141名（40.1％）的主题完成调查部分。非白医生报告的平均种族oGDW分数高于白色同行（13.4 Vs 8.6; 95％置信区间（CI），差异为-7.7 - -2.9）。非白人EM教师也更有可能报告基于比赛的歧视性待遇，而不是白人EM学院（48.0％与12.6％;差异，差异为16.6％ - 54.2％），尽管两组同样可能报告观察到基于种族的另一个医生的歧视。被识别为性少数群体的EM学院报告了比其异性恋对应物更高的性少数绩效绩效绩效（11.1 vs 7.1;差异为95％CI，-7.3 - -0.6）。性少数民族和异性恋教师在经历或观察基于性取向的歧视的报告中没有显着差异。结论：来自种族和性少数群体的em教师根据他们的工作场所的种族或性定位感觉到更多的歧视，而不是他们的多数同行。 EM学院的无论种族或性取向如何在他们对基于种族或性取向的另一位医生的歧视性待遇的观察中相似。
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