Allyship to Advance Diversity, Equity, and Inclusion in Otolaryngology: What We Can All Do

Balakrishnan, Karthik; Faucett, Erynne A.; Villwock, Jennifer A.; Boss, Emily F.; Esianor, Brandon I.; Jefferson, Gina D.; Graboyes, Evan M.; Thompson, Dana M.; Flanary, Valerie A.; Brenner, Michael

doi:10.1007/s40136-023-00467-0

Cited by 3 publications

(3 citation statements)

References 90 publications

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“…Female-led conferences and increasing female leadership roles may highlight successful female surgeons allowing greater opportunity for female colleagues to present their work and network. Helping female authors in OHNS publish their work in journals, giving them the possibility to present their works in conferences leading to an active creation of female OHNS leaders [23,24], and not forgetting steps required to reduce burnout in OHNS as in all medical specialties [13,25]. Constructing a more “parent/surgeon” friendly working environment with more flexible residency programs which take into consideration parenthood and maternal/paternal leave.…”

Section: Discussionmentioning

confidence: 99%

‘Seeing is believing’ – gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review

Seguya,

Kabagenyi,

Tamir

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Various factors affect otolaryngology – head and neck surgery (OHNS) services in low- and middle-income countries (LMICs); including inadequate infrastructure, limited academic positions, unfavorable hospital research policies, and traditional misconceptions about gender and surgery, among others. Although gender inequalities exist globally, they are particularly pronounced in LMICs, especially in Africa. Recent findings A comparative narrative literature review for relevant manuscripts from January 1, 2017 to through January 10th, 2024, using PubMed, Embase and Google Scholar for articles from the United States/Canada and Africa was done. 195 relevant articles were from the United States/Canada, while only 5 were from Africa and only 1 manuscript was relevant to OHNS. The reviewed articles reported that gender disparities exist in medical training, authorship, and career advancement. We highlight possible solutions to some of these disparities to promote a more gender-diversified workforce in OHNS in Africa as well as all over the world. Summary Additional studies on gender disparities in Africa, are needed. These studies will highlight need for inclusive policies, structured and accessible mentorship programs; through which these disparities can be highlighted and addressed. This will in the long run ensure sustainability of OHNS care in LMICs.

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Section: Discussionmentioning

confidence: 99%

‘Seeing is believing’ – gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review

Seguya,

Kabagenyi,

Tamir

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…However, a considerable difference is that patients value cultural safety, as it is reflected in reported attitudes as allyship, sensitivity and self-awareness, whereas healthcare providers scarcely mention cultural safety at all [ 72 ]. The notions of allyship and self-awareness, however, have previously been founded to contribute to mitigating health disparties [ 73 ]. The self-reflexivity and dynamic aspect of some of the competencies mentioned also fit the concept of cultural humility better than cultural competence [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

The patient perspective on diversity-sensitive care: a systematic review

Lauwers,

Vandecasteele,

McMahon

et al. 2024

Int J Equity Health

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Background The provision of diversity-sensitive care is a promising approach towards reducing health disparities. Recent criticism and a scientific gap demonstrate the need for the patient perspective on diversity-sensitive care. This systematic review aims to describe the patient perspective, including patient experiences, expectations, and satisfaction with diversity-sensitive care provided by healthcare providers. Methods In December 2022 the Medline ALL, Embase, Web of Science Core Collection, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO and additionally Google Scholar were searched for original studies that described or measured patient expectations, experiences, and/or satisfaction, specifically focusing on cultural or diversity competence of healthcare providers. Analysis of the collected data was performed using a convergent mixed-methods design based on thematic synthesis. Results From initially 5,387 articles, 117 were selected for full-text screening, and ultimately, 34 articles were included in this study. The concept of diversity-sensitive care was observed to comprise three components. The first component is focused on patient-centered care and includes competencies such as clear and direct communication, shared decision-making, individualized care, empathy, and consideration. The second component centers on providing culturally tailored information, adjusting care to cultural needs, working with interpreters, allyship, community partnerships, self-awareness, and cultural knowledge, and builds upon the first component. Across the first two components of diversity-sensitive care, patients have reported experiencing dissatisfaction and encountering shortcomings in their healthcare providers, sometimes resulting in the third and final component pertaining to provider care. This component underscores the importance of linguistic, ethnic, cultural, and gender concordance in delivering quality care. Conclusion In conclusion, the patient perspective on diversity-sensitive care encompasses multiple components, from patient-centered care to concordant care. The components incorporate various competencies as communication skills, empathy, self-awareness and adjusting care to cultural needs. Patients reported experiencing dissatisfaction and shortcomings across all components of diversity-sensitive care provided by healthcare providers.

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“…The integration of AI in these domains aims to mitigate human biases, enhance decision-making processes, and foster a more inclusive environment. As AI technologies evolve, their impact on DE&I initiatives warrants thorough investigation to understand their potential and limitations fully [1][2][3][4][5]. Recent studies highlight the dual nature of AI in DE&I.…”

Section: Introductionmentioning

confidence: 99%

Evaluating AI's Role in Enhancing DE and I: A Bibliometric Approach

Charul Sharma,

Ritik Srivastava,

Anmol Rajput

et al. 2024

Int Res J Adv Engg Mgt

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This study investigates the evolving role of Artificial Intelligence (AI) in promoting Diversity, Equity, and Inclusion (DE&I) initiatives within Indian organizations. Employing a bibliometric analysis, the research explores the application of AI-powered tools in mitigating bias during recruitment and performance evaluations. Findings suggest that anonymized applications and skill-based assessments facilitated by AI can contribute to fairer decision-making processes. However, the analysis also identifies significant ethical and practical challenges, including data privacy concerns and the lack of algorithmic transparency. Notably, the research highlights a growing emphasis on developing fair AI algorithms and integrating DE&I principles throughout the design process. This underscores the critical need for robust ethical frameworks and ongoing research tailored to the Indian context. By navigating these complexities, organizations can harness the potential of AI to foster a more inclusive and equitable work environment.

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Allyship to Advance Diversity, Equity, and Inclusion in Otolaryngology: What We Can All Do

Cited by 3 publications

References 90 publications

‘Seeing is believing’ – gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review

‘Seeing is believing’ – gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review

The patient perspective on diversity-sensitive care: a systematic review

Evaluating AI's Role in Enhancing DE and I: A Bibliometric Approach

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