The health care field continues to face challenges in achieving racial and ethnic representation. According to the Association of American Medical Colleges, White people represent most active physicians at 56%, while Asians account for 17%, Hispanics 6%, and Black or African Americans 5%. The picture is even more stark in the field of psychology. APA reports that 81% of psychologists are White, with only 8% identifying as Hispanic, 3% as Asian, and 5% as Black or African American.
Creating an inclusive and diverse professional environment requires more than surface-level interventions. A recent study explored strategies for increasing racial and ethnic diversity in academic health science institutions, with a focus on psychological well-being (Alegría, M., et al., JAMA Health Forum, Vol. 5, No. 2, 2024opens in new window). Researchers used a mixed-methods approach to uncover practices that promote equity in recruitment, retention, and promotion. Through surveys and in-depth interviews, researchers addressed mental health challenges faced by people from underrepresented racial and ethnic minoritized (URM) groups, including the impact of perceived racism on their psychological well-being. The study emphasized the importance of emotional and social support systems, as well as mentorship, in creating inclusive environments that nurture the mental and emotional health of URM faculty.
Many organizations use diversity training programs to create more inclusive workplaces, but research shows these programs have limitations. They often fail to achieve meaningful change because they are not integrated into organizational practices, said Alexandra Kalev, PhD, an associate professor of sociology and chair of the Department of Sociology and Anthropology at Tel Aviv University, and coauthor of Getting to Diversity: What Works and What Doesn’topens in new window.
“Diversity training sessions are short, usually lasting from 2 hours to 2 days, tops. In terms of a learning perspective, it’s not a good learning tool, especially when it comes to biases that are ingrained since the day we’re born,” she explained.
Short-term training can backfire by making biases more prominent in the minds of participants. This emphasis can inadvertently reinforce the very stereotypes the training aims to diminish (Dobbin, F., & Kalev, A., Anthropology Now, Vol. 10, No. 2, 2018opens in new window). Prodiversity messages can also seem threatening to White employees, who may anticipate unfair treatment or discrimination against their group. This perception can result in resistance against diversity initiatives and affect their support for these programs (Dover, T. L., et al., Journal of Experimental Social Psychology, Vol. 62, 2016opens in new window).
To foster genuine inclusivity, Kalev advocates for more systemic approaches. She points to strategies that engage managers in problem-solving and as active leaders of change, exposure to different groups, and social accountability. Encouraging managers to participate in voluntary diversity initiatives such as college recruitment programs and mentoring can help them see themselves as diversity champions. This approach can also lead to increased representation of marginalized groups in management roles.
Expanding contact among diverse groups, such as through self-managed teams and cross-training, also helps break down stereotypes and promote equitable hiring and promotion. These practices encourage diverse groups to work toward common goals, reducing bias (Kende, J., et al., Social Psychological and Personality Science, Vol. 9, No. 8, 2017opens in new window).
Susan Fiske, PhD, a social psychologist and professor emerita at Princeton University who studies contact theory, said, “When we’re interdependent, we have to coordinate. We have to go beyond our stereotypes of each other’s groups and make sense of the things that don’t fit our expectations.”
There is ongoing debate in the field of psychology about how well intergroup contact works, but proponents agree that certain parameters have to be in place to promote equitable communication. “It has to be under the right conditions,” Fiske said. “You can’t bring in one group from on high visiting another group on low and say they’re going to get along. [Contact] has to be meaningful.”