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Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM)

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Abstract

Biomedical research has advanced medicine but also contributed to widening racial and ethnic health inequities. Despite a growing acknowledgment of the need to incorporate anti-racist objectives into research, there remains a need for practical guidance for recognizing and addressing the influence of ingrained practices perpetuating racial harms, particularly for general internists. Through a review of the literature, and informed by the Research Lifecycle Framework, this position statement from the Society of General Internal Medicine presents a conceptual framework suggesting multi-level systemic changes and strategies for researchers to incorporate an anti-racist perspective throughout the research lifecycle. It begins with a clear assertion that race and ethnicity are socio-political constructs that have important consequences on health and health disparities through various forms of racism. Recommendations include leveraging a comprehensive approach to integrate anti-racist principles and acknowledging that racism, not race, drives health inequities. Individual researchers must acknowledge systemic racism’s impact on health, engage in self-education to mitigate biases, hire diverse teams, and include historically excluded communities in research. Institutions must provide clear guidelines on the use of race and ethnicity in research, reject stigmatizing language, and invest in systemic commitments to diversity, equity, and anti-racism. National organizations must call for race-conscious research standards and training, and create measures to ensure accountability, establishing standards for race-conscious research for research funding. This position statement emphasizes our collective responsibility to combat systemic racism in research, and urges a transformative shift toward anti-racist practices throughout the research cycle.

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Acknowledgements

We appreciate the review of this manuscript by members of the Health Equity Commission, Research Committee, Education Committee, and Ethics Committee of SGIM, as well as the administrative support from Erika Baker and Clarence Perez-Mejia.

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Authors and Affiliations

  1. Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA

    Christopher J. Gonzalez MD, MS

  2. Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA

    Sudarshan Krishnamurthy BS

  3. Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA

    Francois G. Rollin MD, MPH & Tracey L. Henry MD

  4. Division of General Medicine, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA

    Sarah Siddiqui MD, MPH

  5. Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA, USA

    Meghan Kiefer MD

  6. Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA

    Shaowei Wan PhD, MS

  7. Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA

    Himali Weerahandi MD, MPH

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Gonzalez, C.J., Krishnamurthy, S., Rollin, F.G. et al. Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM). J GEN INTERN MED (2024). https://doi.org/10.1007/s11606-024-08770-2

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