n spite of published reports highlighting the need to increase the number of physicians who identify with groups underrepresented in medicine (UiM), Black and Hispanic individuals each made up only 5% and 5.8%, respectively, of US physicians in 2019. 1,2 Due to these small numbers, UiM trainees often lack access to a community of coresidents, fellows, faculty, and mentors from similar racial or ethnic backgrounds. The deficiency of social support from individuals of similar backgrounds has been reported to hinder the personal and professional success of UiM trainees. 3-5 Decades Without Adequate Progress Since 1964, the Student National Medical Association (SNMA) has provided a diverse and welcoming community for medical students. Similarly, since 1895, the National Medical Association (NMA) has provided the same benefits to UiM faculty members. 6 These communities are designed to improve the recruitment, success, and retention of UiM physicians. However, there is a gap in a structured community specifically designed for UiM physicians enrolled in graduate medical education (GME). How does a health care system intentionally foster a community for diverse GME trainees and cultivate a support system for UiM trainees? There is a paucity of evidence outlining best practice strategies for building community among UiM GME trainees. We share a guide we used to fill this gap through the creation of a house staff diversity council (HSDC) at
The national standard for staff development, "Investors in People", is now being widely taken up in higher education. Institutional assessment takes place by individuals or small teams drawn from a network of accredited assessors. Ahead of formal assessment, institutions typically arrange a "mock assessment" using the same network of consultants. Describes the case where the mock assessment was brought in-house using the experience of evaluation developed by an internal academic audit team. The team was able to produce an effective assessment which carried with it a range of benefits which could not have been achieved in such measure by an external process. The case shows the benefits of a flexible evaluative capacity in pressing for the case for a greater reliance in the future to be placed on self-regulation, and points to a way in which more "owned" and cost effective approaches to investors' assessments could be developed in the future.
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