2013
DOI: 10.1080/02732173.2013.836143
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White Coats, Black Specialists? Racial Divides in the Medical Profession

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Cited by 12 publications
(12 citation statements)
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“…The training differences between Community and University Hospitals, the treatment of non-USMDs and USMDs, and the segregation in programs may well be contributing to an informal elite and rank and file within specialties between USMDs and non-USMDs—a form of stratification for which medical sociologists cannot yet account. While informal gender and racial hierarchies have been identified within medicine (Davis and Allison 2013; Hoff, Sutcliffe, and Young 2017), and while prestige differentials between USMDs and non-USMDs may seem obvious, sociologists have yet to theorize about the construction of informal status distinctions between these different graduates in part because so little has been written in sociology about non-USMDs in the American workforce. That non-USMDs disproportionately end up training in community programs with lower resources and poorer supervision may be an important driver of horizontal status inequalities between trainees within the same specialty (supposed equals), which, upon graduation, have the potential to convert themselves into more formal, vertical status hierarchies between specialists and general practitioners, as evidenced by the residents’ trajectories after residency.…”
Section: Discussionmentioning
confidence: 99%
“…The training differences between Community and University Hospitals, the treatment of non-USMDs and USMDs, and the segregation in programs may well be contributing to an informal elite and rank and file within specialties between USMDs and non-USMDs—a form of stratification for which medical sociologists cannot yet account. While informal gender and racial hierarchies have been identified within medicine (Davis and Allison 2013; Hoff, Sutcliffe, and Young 2017), and while prestige differentials between USMDs and non-USMDs may seem obvious, sociologists have yet to theorize about the construction of informal status distinctions between these different graduates in part because so little has been written in sociology about non-USMDs in the American workforce. That non-USMDs disproportionately end up training in community programs with lower resources and poorer supervision may be an important driver of horizontal status inequalities between trainees within the same specialty (supposed equals), which, upon graduation, have the potential to convert themselves into more formal, vertical status hierarchies between specialists and general practitioners, as evidenced by the residents’ trajectories after residency.…”
Section: Discussionmentioning
confidence: 99%
“…The data suggest that a degree of racial division in medical specialization endures, but that this division does not neatly map onto specialty prestige and is deeply gendered. Black graduates were found to be more likely to enter high-prestige surgical residency programs than their white colleagues, but this finding pertains only to male medical school graduates [ 64 ]. Further research is therefore needed to study the effect of intersectionality of ethnicity and gender on medical specialization and stratification.…”
Section: Discussionmentioning
confidence: 99%
“…These processes can have important implications for physician career trajectories. Davis and Allison (2013) found that Black men medical students were more likely to enter high-prestige specialties than their white peers when controlling for differences in racial discrimination and mentorship, suggesting that racism and not personal preference contribute to racial inequality in specialization trends. Still, experiences of medical students—and educators—of color remain highly understudied (Olsen 2019) and represent an important area for continued research, particularly as the national conversation shifts toward addressing structural racism.…”
Section: Stratification In the Professionmentioning
confidence: 93%