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Dimitropoulos G, Bright KS, Li QKW, Wollny K, Twilt M, Walsh CM, Pires L, Tomfohr-Madsen L, Samuel S, Pritchard L. Equity, diversity and inclusion of pediatric clinician-scientists in Canada: a thematic analysis. CMAJ Open 2022; 10:E911-E921. [PMID: 36257684 PMCID: PMC9616604 DOI: 10.9778/cmajo.20220134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Underrepresented voices and perspectives are missing from academic and clinical health sciences. We aimed to define the unique opportunities and challenges of pediatric clinician-scientists related to equity, diversity and inclusion; and to identify key components of training needed to support people from equity-seeking groups as emerging and early-career pediatric clinician-scientists to generate diverse health research leaders in knowledge generation, implementation and translation. METHODS Using a qualitative descriptive approach, we examined the experiences of clinician stakeholders. Semistructured interviews were conducted with pediatric clinician-scientist stakeholders. Thematic analysis was performed. RESULTS We interviewed a total of 39 individuals. Our analysis resulted in 4 interrelated themes: the pervasiveness and invisibility of sexism; the invisibility and visibility of racism; proposed individual-level solutions to the sexism and racism; and proposed institutional and system-level changes to address the porous and leaky pipeline. These themes acknowledged that, ultimately, system change is required for addressing equity, diversity and inclusion in clinical and academic training environments. INTERPRETATION These findings highlight the importance of addressing systemic biases that limit the inclusion of women and racialized individuals in pediatric clinician-scientist careers. Further research is needed to explore the problem of exclusion, which will, in turn, inform education of pediatric clinician-scientists and inform better ways to promote equity, diversity and inclusivity; these steps are needed to foster systemic change in the cultures that perpetuate exclusivity in both academic and clinical communities.
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Affiliation(s)
- Gina Dimitropoulos
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
| | - Katherine S Bright
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Queenie K W Li
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Krista Wollny
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Marinka Twilt
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Catharine M Walsh
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Linda Pires
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Lianne Tomfohr-Madsen
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Susan Samuel
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
| | - Lesley Pritchard
- Faculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta
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