Abstract
This chapter focuses on the role that a psychological sense of belonging, or the lack thereof, plays in academic medicine and how mentors and educators can foster a greater sense of belonging for trainees. By examining the conceptual and empirical basis for this concept, the authors make the case for the importance of belonging as a protective factor for mental health and well-being and a marker of positive academic and professional outcomes. In reflecting on the history of inequality and bias experienced by women and people of color in academic medicine, and drawing on peer-reviewed publications in social psychology and educational policy realms, the authors offer a series of practical interventions and suggestions for cultivating a greater culture of belonging within academic medicine.
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References
Byrd RP, Cole JB, Guy-Sheftall B, editors. I am your sister: collected and unpublished writings of Audre Lorde. New York: Oxford University Press; 2008.
Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as fundamental human motivation. Psychol Bull. 1995;117(3):497–529.
http://www.providentfoundation.org/index.php/history/history-provident-hospital
Lokko HN, Chen JA, Parekh RI, Stern TA. Racial and ethnic diversity in the US Psychiatric Workforce: a perspective and recommendations. Acad Psychiatry. 2016;40(6):898–904.
https://www.aamc.org/members/gwims/statistics/489870/stats16.html.
Rosenthal L, Levy SR, London B, Lobel M, Bazile C. In pursuit of the MD: the impact of role models, identity compatibility, and belonging among undergraduate women. Sex Roles. 2013;68(7–8):464–73.
Good C, Rattan A, Dweck CS. Why do women opt out? Sense of belonging and women’s representation in mathematics. J Pers Soc Psychol. 2012;102(4):700–17.
Steele CM. A threat in the air: how stereotypes shape intellectual identity and performance. Am Psychol. 1997;52(6):613–29. https://doi.org/10.1037/0003-066X.52.6.613.
Spencer S, Logel C, Davies PG. Stereotype threat. Ann Rev Psychol. 2016;67:415–37.
Yeager DS, Walton GM, Brady ST, Akcinar EN, Paunesku D, Keane L, et al. Teaching a lay theory before college narrows achievement gaps at scale. Proc Natl Acad Sci U S A. 2016;113:E3341–8. https://doi.org/10.1073/pnas.1524360113.
Walton GM, Brady ST. The many questions of belonging. In: Elliot A, Dweck C, Yeager D, editors. Handbook of competence and motivation: theory and application. 2nd ed. New York: Guilford Press; 2017. p. 272–93.
Devine PG, Forscher PS, Austin AJ, Cox WT. Long-term reduction in implicit race bias: a prejudice habit-breaking intervention. J Exp Soc Psychol. 2012;48(6):1267–78.
Wilce J. Medical discourse. Ann Rev Anthropol. 2009;38:199–215.
Leonardo Z, Porter RK. Pedagogy of fear: toward a Fanonian theory of ‘safety’ in race dialogue. Race Ethn Educ. 2010;13(2):139–57. https://doi.org/10.1080/13613324.2010.482898.
Worthington EL, Davis DD, Hook JN, Provencher C. Humility. In: Maddux JE, editor. Subjective well-being and life satisfaction. New York/London: Routledge; 2018.
Worthington EL, Goldstein L, Cork B, Griffin BJ, Garthe RC, Lavelock CR, et al. Humility: a qualitative review of definitions, theory, concept, and research support for seven hypotheses. The Oxford handbook of positive psychology. 3rd ed. New York: Oxford University Press and Oxford Handbooks Online; 2015. Retrieved from www.oxfordhandbooks.com.
Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117–25.
Walters KL, Simoni JM, Evans-Campbell TT, Udell W, Johnson-Jennings M, Pearson CR, et al. Mentoring the mentors of underrepresented racial/ethnic minorities who are conducting HIV research: beyond cultural competency. AIDS Behav. 2016;20(Suppl 2):288–93.
Anderson B. Imagined communities: reflections on the origin and spread of nationalism. New York: Verso Books; 2006.
Association of American Medical Colleges, Table 11: US medical school faculty by sex, race/ethnicity, and rank. https://www.aamc.org/download/495052/data/18table15.pdf.
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Lane-McKinley, K., Turner-Essel, L. (2020). How to Cultivate a Culture of Belonging in Academic Medicine. In: Roberts, L. (eds) Roberts Academic Medicine Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-31957-1_3
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DOI: https://doi.org/10.1007/978-3-030-31957-1_3
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