Organizations in science and medicine must hold each other accountable for discriminatory practices

Julie K Silver; Garrett S Booth; Archana Chatterjee; Cindy A Crusto; Nuha El-Sayed; Talya K Fleming; Nara Gavini; Sherita Hill Golden; Jeremy W Jacobs; Reshma Jagsi; Allison R Larson; Howard Y Liu; Gianni R Lorello; Roshell Muir; Ruth S Shim; Nancy D Spector; Fatima Cody Stanford; Monica Verduzco-Gutierrez; Ross D Zafonte

doi:10.1016/j.cell.2022.06.043

Organizations in science and medicine must hold each other accountable for discriminatory practices

Cell. 2022 Aug 18;185(17):3073-3078. doi: 10.1016/j.cell.2022.06.043.

Authors

Julie K Silver¹, Garrett S Booth², Archana Chatterjee³, Cindy A Crusto⁴, Nuha El-Sayed⁵, Talya K Fleming⁶, Nara Gavini⁷, Sherita Hill Golden⁸, Jeremy W Jacobs⁹, Reshma Jagsi¹⁰, Allison R Larson¹¹, Howard Y Liu¹², Gianni R Lorello¹³, Roshell Muir¹⁴, Ruth S Shim¹⁵, Nancy D Spector¹⁶, Fatima Cody Stanford¹⁷, Monica Verduzco-Gutierrez¹⁸, Ross D Zafonte¹⁹

Affiliations

¹ Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA. Electronic address: julie_silver@hms.harvard.edu.
² Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
³ Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
⁴ Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
⁵ Department of Medicine, Harvard Medical School, Boston, MA, USA.
⁶ Department of Physical Medicine and Rehabilitation, JFK Johnson Rehabilitation Institute at Hackensack Meridian Health, Edison, NJ, USA.
⁷ Massachusetts General Hospital Institute of Health Professions, Charlestown Navy Yard, Boston, MA, USA.
⁸ Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Office of Diversity, Inclusion, and Health Equity, Johns Hopkins Medicine, Baltimore, MD, USA.
⁹ Department of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.
¹⁰ Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA.
¹¹ Department of Dermatology, Georgetown University School of Medicine and MedStar Health, Washington, DC, USA.
¹² Department of Psychiatry, University of Nebraska Medical School, Omaha, NE, USA.
¹³ Department of Anesthesiology and Pain Medicine, University of Toronto, Toronoto, ON, Canada.
¹⁴ Division of Infectious Diseases and HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA.
¹⁵ Department of Psychiatry and Behavioral Sciences, University of California, Davis School of Medicine, Sacramento, CA, USA.
¹⁶ Department of Pediatrics, Executive Leadership in Academic Medicine®, Drexel University College of Medicine, Philadelphia, PA, USA.
¹⁷ Departments of Medicine and Pediatrics, Harvard Medical School, Boston, MA, USA.
¹⁸ Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
¹⁹ Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.

Abstract

Many organizations persist in working with others that engage in known, remediable structural discrimination. We name this practice interorganizational structural discrimination (ISD) and argue it is a pivotal contributor to inequities in science and medicine. We urge organizations to leverage their relationships and demand progress from collaborators.

Abstract

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