Addressing disparities in academic medicine: what of the minority tax?
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BACKGROUND: The proportion of black, Latino, and Native American faculty in U.S. academic medical centers has remained almost unchanged over the last 20 years. Some authors credit the "minority tax"-the burden of extra responsibilities placed on minority faculty in the name of diversity. This tax is in reality very complex, and a major source of inequity in academic medicine. DISCUSSION: The "minority tax" is better described as an Underrepresented Minority in Medicine (URMM) faculty responsibility disparity. This disparity is evident in many areas: diversity efforts, racism, isolation, mentorship, clinical responsibilities, and promotion. The authors examine the components of the URMM responsibility disparity and use information from the medical literature and from human resources to suggest practical steps that can be taken by academic leaders and policymakers to move toward establishing faculty equity and thus increase the numbers of black, Latino, and Native American faculty in academic medicine.
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URM faculty members are often tasked with many roles beyond mentoring of URM students and trainees, colloquially called the "minority tax."
“They are often tasked with many roles beyond mentoring of URM students and trainees, colloquially called the “minority tax.”25,26”
From Dreams Realized: A Long-Term Program Evaluation of Three Summer Diversity Pipeline Programs (2021) · cites this paper as [26]
Neurodivergent individuals differ significantly in energy fluctuations related to fatigue and physical symptoms, often compounded by external stressors.
“-Fluctuations in energy levels related to fatigue and physical symptoms -and oen compounded by external stressors, is another area in which the needs of neurodivergent individuals differ significantly, as they might experience periods (hours, days, or weeks) in which they grapple with physical, emotional, or mental fatigue [16], [36], [66].”
From Neurodiversity and the Accessible University: Exploring Organizational Barriers, Access Labor and Opportunities for Change (2024) · cites this paper as [66]
The Background and Discussion passages address the minority tax and disparities affecting underrepresented minority faculty in academic medicine. Searches for neurodivergence, fatigue, energy fluctuations, physical symptoms, and external stressors found no passage addressing the cited claim. (LLM, conf=0.78)
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- [1]Guevara J Adanga E Avakame E Carthon M Minority Faculty Development Programs and Underrepresented Minority Faculty Representation at US Medical Schools JAMA 2013 310 21 8 10.1001/jama.2013.282116 24302093 · DOI
- [2]Mahoney MR Wilson E Odom KL Flowers L Adler SR Minority faculty voices on diversity in academic medicine: perspectives from one school Acad Med 2008 83 8 781 786 10.1097/ACM.0b013e31817ec002 18667896 PMC2868964 · DOI · Paper page
- [3]Sánchez JP Peters L Lee-Rey E Strelnick H Garrison G Zhang K Spencer D Ortega G Yehia B Berlin A Castillo-Page L Racial and ethnic minority medical students' perceptions of and interest in careers in academic medicine Acad Med 2013 88 9 1299 307 10.1097/ACM.0b013e31829f87a7 23887018 · DOI
- [4]Pololi L Cooper LA Carr P Race, disadvantage and faculty experiences in academic medicine J Gen Intern Med 2010 25 12 1363 1369 10.1007/s11606-010-1478-7 20697960 PMC2988158 · DOI
- [5]Pololi LH Evans AT Gibbs BK Krupat E Brennan RT Civian JT The experience of minority faculty who are underrepresented in medicine, at 26 representative U.S. medical schools Acad Med 2013 88 9 1308 1314 10.1097/ACM.0b013e31829eefff 23887015 · DOI
- [6]Carr PL Palepu A Szalacha L Caswell C Inui T 'Flying below the radar': a qualitative study of minority experience and management of discrimination in academic medicine Med Educ 2007 41 6 601 609 10.1111/j.1365-2923.2007.02771.x 17518841 · DOI
- [7]Peterson NB Friedman RH Ash AS Franco S Carr PL Faculty self-reported experience with racial and ethnic discrimination in academic medicine J Gen Intern Med 2004 19 3 259 265 10.1111/j.1525-1497.2004.20409.x 15009781 PMC1492150 · DOI
- [8]Price EG Gozu A Kern D Powe NR Wand GS Golden S Cooper LA The role of cultural diversity climate in recruitment, promotion and retention of faculty in academic medicine J Gen Intern Med 2005 20 565 71 10.1111/j.1525-1497.2005.0127.x 16050848 PMC1490155 · DOI
- [9]Price EG Powe NR Kern DE Golden SH Wand GS Cooper LA Improving the diversity climate in academic medicine: faculty perceptions as a catalyst for institutional change Acad Med 2009 84 1 95 105 10.1097/ACM.0b013e3181900f29 19116484 PMC2824594 · DOI
- [10]Cora-Bramble D Zhang K Castillo-Page L Minority faculty members' resilience and academic productivity: are they related? Acad Med 2010 85 9 1492 1498 10.1097/ACM.0b013e3181df12a9 20453809 · DOI
- [11]Elliott BA Dorscher J Wirta A Hill DL Staying connected: Native American women faculty members on experiencing success Acad Med 2010 85 4 675 679 10.1097/ACM.0b013e3181d28101 20354388 · DOI
- [12]Pololi LH Jones SJ Women faculty: an analysis of their experiences in academic medicine and their coping strategies Gend Med 2010 7 5 438 450 10.1016/j.genm.2010.09.006 21056870 · DOI
- [13]Daley SP Broyles SL Rivera LM Brennan JJ Lu ER Reznik V A conceptual model for faculty development in academic medicine: the underrepresented minority faculty experience J Natl Med Assoc 2011 103 9-10 816 821 10.1016/S0027-9684(15)30435-1 22364048 · DOI
- [14]Wingard DL Reznik VM Daley SP Career experiences and perceptions of underrepresented minority medical school faculty J Natl Med Assoc 2008 100 9 1084 1087 10.1016/S0027-9684(15)31449-8 18807440 · DOI
- [15]Lewellen-Williams C Johnson VA Deloney LA Thomas BR Goyol A Henry-Tillman R The POD: a new model for mentoring underrepresented minority faculty Acad Med 2006 81 3 275 279 10.1097/00001888-200603000-00020 16501276 · DOI
- [16]Palepu A Carr PL Friedman RH Ash AS Moskowitz MA Specialty choices, compensation, and career satisfaction of underrepresented minority faculty in academic medicine Acad Med 2000 75 2 157 160 10.1097/00001888-200002000-00014 10693848 · DOI
- [17]Campbell KM A letter to the editor: under-represented minority faculty in academic medical centers J Health Care Poor Underserved 2013 24 1 viii-ix 10.1353/hpu.2013.0011 23377744 · DOI
- [18]Richert A Campbell K Rodríguez J Borowsky IW Parikh R Colwell A ACU Workforce Column: expanding and supporting the health care workforce J Health Care Poor Underserved 2013 24 4 1423 1431 10.1353/hpu.2013.0162 24185140 · DOI
- [19]Fang D Moy E Colburn L Hurley J Racial and ethnic disparities in faculty promotion in academic medicine JAMA 2000 284 9 1085 1092 10.1001/jama.284.9.1085 10974686 · DOI
- [20]Palepu A Carr PL Friedman RH Amos H Ash AS Moskowitz MA Minority faculty and academic rank in medicine JAMA 1998 280 9 767 771 10.1001/jama.280.9.767 9729986 · DOI
- [21]Nunez-Smith M Ciarleglio MM Sandoval-Schaefer T Elumn J Castillo-Page L Peduzzi P Bradley EH Institutional variation in the promotion of racial/ethnic minority faculty at US medical schools Am J Public Health 2012 102 5 852 8 10.2105/AJPH.2011.300552 22420820 PMC3483910 · DOI
- [23]Pololi L In reply to Rodríguez and Campbell Acad Med 2013 88 11 1591 1592 10.1097/01.ACM.0000437283.53633.f9 24168937 · DOI
- [25]Pololi LH Krupat E Schnell ER Kern DE Preparing culture change agents for academic medicine in a multi-institutional consortium: the C - change learning action network J Contin Educ Health Prof 2013 33 4 244 257 10.1002/chp.21189 24347103 · DOI
- [26]Krupat E Pololi L Schnell ER Kern DE Changing the culture of academic medicine: the C-Change learning action network and its impact at participating medical schools Acad Med 2013 88 9 1252 1258 10.1097/ACM.0b013e31829e84e0 23887002 · DOI
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- Authors
- Rodríguez, J. E., Campbell, K. M., & Pololi, L. H.
- Affiliations
- Florida State University (US)
- Brandeis University (US)
- Corresponding author
- Rodríguez, José E
- Venue
- BMC Medical Education
- Published
- 2015-02-01
- Volume
- 15
- Issue
- 1
- Pages
- 6-6
- ISSN
- 1472-6920 (ISSN-L)
- PMC
- PMC4331175
- OpenAlex
- W2151953984
- Cited by
- 739
- References
- 0
- Citations by year
- 2026: 56 · 2025: 77 · 2024: 110 · 2023: 123 · 2022: 141 · 2021: 96 · 2020: 70 · 2019: 20 · 2018: 23 · 2017: 7 · 2016: 11 · 2015: 4
- FWCI
- 35.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Education (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Social Sciences › Safety Research › Career Development and Diversity
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- minority tax, underrepresented minority faculty, academic medicine, faculty diversity, faculty equity, racism in medicine, mentoring, faculty promotion, clinical responsibility
- MeSH terms
- Academic Medical Centers, Ethnicity, Faculty, Medical, Humans, Minority Groups, Personnel Management, Socioeconomic Factors, United States, Cultural Diversity
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