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Erschienen in: Journal of Genetic Counseling 1/2007

01.02.2007 | Original Research

What Is It Like To Be in the Minority? Ethnic and Gender Diversity in the Genetic Counseling Profession

verfasst von: K. Cheri Schoonveld, Patricia McCarthy Veach, Bonnie S. LeRoy

Erschienen in: Journal of Genetic Counseling | Ausgabe 1/2007

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Abstract

Increasingly, the genetic counseling profession is recognizing the need for greater ethnic and gender diversity. Recruitment and retention efforts may be enhanced by better understanding of the experience of individuals considered to be underrepresented in the profession. In this qualitative study, 8 genetic counseling students and 7 practicing genetic counselors who were ethnic minority and/or male participated in semi-structured telephone interviews regarding how they were introduced to the field, perceived career supports and barriers, their experiences within training programs and the field, and suggestions for increasing diversity. Introduction to the field tended to be late and accidental. There were several career supports (e.g., field combines science and helping others) and barriers (e.g., lack of information about the field). Participant experiences, although primarily positive, included instances of passive, unintentional discrimination; and there were internal and external pressures to be diversity experts and positive representatives of their group. Participants reported positively impacting colleagues’ cultural competency and offering a different presence within clinical settings. Suggestions for increasing diversity and research recommendations are given.
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Literatur
Zurück zum Zitat Baker, B. (2000). Recruiting minorities to the biological sciences. BioScience, 50, 191–195.CrossRef Baker, B. (2000). Recruiting minorities to the biological sciences. BioScience, 50, 191–195.CrossRef
Zurück zum Zitat Carline, J. D., & Patterson, D. G. (2003). Characteristics of health professions schools, public school systems, and community-based organizations in successful partnerships to increase the numbers of underrepresented minority students entering health professions education. Acad Med, 78, 467–482.CrossRef Carline, J. D., & Patterson, D. G. (2003). Characteristics of health professions schools, public school systems, and community-based organizations in successful partnerships to increase the numbers of underrepresented minority students entering health professions education. Acad Med, 78, 467–482.CrossRef
Zurück zum Zitat Cregler, L. L., Clark, L. T., & Jackson, E. B. Jr. (1994). Careers in academic medicine and clinical practice for minorities: Opportunities and barriers. J Assoc Acad Minor Physicians, 5, 68–73. Cregler, L. L., Clark, L. T., & Jackson, E. B. Jr. (1994). Careers in academic medicine and clinical practice for minorities: Opportunities and barriers. J Assoc Acad Minor Physicians, 5, 68–73.
Zurück zum Zitat Erwin, K., Blumenthal, D. S., Chapel, T., & Allwood, L. V. (2004). Building an academic-community partnership for increasing the representation of minorities in the health professions. J Health Care for Poor and Underserved, 15, 589–602.CrossRef Erwin, K., Blumenthal, D. S., Chapel, T., & Allwood, L. V. (2004). Building an academic-community partnership for increasing the representation of minorities in the health professions. J Health Care for Poor and Underserved, 15, 589–602.CrossRef
Zurück zum Zitat Gabard, D. L., Baumeister Parikh, M., Takahashi, R., Wells, A., & Canfield, J. (1997). Barriers to nonwhite potential students of physical therapy. J Physical Ther Ed, 11(2), 38–45.CrossRef Gabard, D. L., Baumeister Parikh, M., Takahashi, R., Wells, A., & Canfield, J. (1997). Barriers to nonwhite potential students of physical therapy. J Physical Ther Ed, 11(2), 38–45.CrossRef
Zurück zum Zitat Greer, D. B. (1995). Minority underrepresentation in nursing: Socioeconomic and political effects. Assoc Black Nurs Fac J, 6(2), 44–46. Greer, D. B. (1995). Minority underrepresentation in nursing: Socioeconomic and political effects. Assoc Black Nurs Fac J, 6(2), 44–46.
Zurück zum Zitat Hardin, E. E., Leong, F. T. L., & Osipow, S. H. (2001). Cultural relativity in the conceptualization of career maturity. J Voc Behav, 58, 36–52.CrossRef Hardin, E. E., Leong, F. T. L., & Osipow, S. H. (2001). Cultural relativity in the conceptualization of career maturity. J Voc Behav, 58, 36–52.CrossRef
Zurück zum Zitat Helms, J. E., & Piper, R. E. (1994). Implications of racial identity theory for vocational psychology. J Voc Behav, 44, 124–138.CrossRef Helms, J. E., & Piper, R. E. (1994). Implications of racial identity theory for vocational psychology. J Voc Behav, 44, 124–138.CrossRef
Zurück zum Zitat Heron, S., & Haley, L. L., Jr. (2001). Diversity in emergency medicine – a model program. Acad Emergency Med, 8, 192–195.CrossRef Heron, S., & Haley, L. L., Jr. (2001). Diversity in emergency medicine – a model program. Acad Emergency Med, 8, 192–195.CrossRef
Zurück zum Zitat Hill, C., Thompson, B., & Nutt Williams, E. (1997). A guide to conducting consensual qualitative research. The Counsel Psychol, 25, 517–572.CrossRef Hill, C., Thompson, B., & Nutt Williams, E. (1997). A guide to conducting consensual qualitative research. The Counsel Psychol, 25, 517–572.CrossRef
Zurück zum Zitat Institute of Medicine. (2003). In the nation’s compelling interest: Ensuring diversity in the healthcare workforce. Washington, DC: National Academy Press. Institute of Medicine. (2003). In the nation’s compelling interest: Ensuring diversity in the healthcare workforce. Washington, DC: National Academy Press.
Zurück zum Zitat Institute of Medicine. (2001). The right thing to do; the smart thing to do: Enhancing diversity in health professions. Washington DC: National Academy Press. Institute of Medicine. (2001). The right thing to do; the smart thing to do: Enhancing diversity in health professions. Washington DC: National Academy Press.
Zurück zum Zitat Kenny, M. E., Blustein, D. L., Chaves, A., Grossman, J. M., & Gallagher, L. A. (2003). The role of perceived barriers and relational support in the educational and vocational lives of urban high school students. J Counsel Psych, 50, 142–155.CrossRef Kenny, M. E., Blustein, D. L., Chaves, A., Grossman, J. M., & Gallagher, L. A. (2003). The role of perceived barriers and relational support in the educational and vocational lives of urban high school students. J Counsel Psych, 50, 142–155.CrossRef
Zurück zum Zitat Kington, R. S., & Nickens, H. W. (2001). Racial and ethnic differences in health: Recent trends, current patterns, future directions. In N. J. Smelser, W. J. Wilson & F. Mitchel (Eds.), America becoming: Racial trends and their consequences. Washington, DC: National Academy Press. Kington, R. S., & Nickens, H. W. (2001). Racial and ethnic differences in health: Recent trends, current patterns, future directions. In N. J. Smelser, W. J. Wilson & F. Mitchel (Eds.), America becoming: Racial trends and their consequences. Washington, DC: National Academy Press.
Zurück zum Zitat Komaromy, M., Grumbach, K., Drake, M., Vranizan, K., Lurie, N., Keane, D., & Bindman, A. B. (1996). The role of Black and Hispanic physicians in providing health care for underserved populations. New Eng J Med, 334, 1305–1310.CrossRef Komaromy, M., Grumbach, K., Drake, M., Vranizan, K., Lurie, N., Keane, D., & Bindman, A. B. (1996). The role of Black and Hispanic physicians in providing health care for underserved populations. New Eng J Med, 334, 1305–1310.CrossRef
Zurück zum Zitat Laskey, S. L., Williams, J., Pierre-Louis, J., O’Riordan, M., Matthews, A., & Robin, N. H. (2003). Attitudes of African American premedical students toward genetic testing and screening. Genet Med, 5, 49–54.CrossRef Laskey, S. L., Williams, J., Pierre-Louis, J., O’Riordan, M., Matthews, A., & Robin, N. H. (2003). Attitudes of African American premedical students toward genetic testing and screening. Genet Med, 5, 49–54.CrossRef
Zurück zum Zitat Lega, M., McCarthy Veach, P., Ward, E., & LeRoy, B. (2005). Who are the next generation of genetic counselors? A survey of students. J Genet Counsel, 14, 395–407.CrossRef Lega, M., McCarthy Veach, P., Ward, E., & LeRoy, B. (2005). Who are the next generation of genetic counselors? A survey of students. J Genet Counsel, 14, 395–407.CrossRef
Zurück zum Zitat Legler, C., & Stohs, S. M. (2003). Integrating diversity into a physician assistant program. Perspective Physician Assist Ed, 14(1), 31–36. Legler, C., & Stohs, S. M. (2003). Integrating diversity into a physician assistant program. Perspective Physician Assist Ed, 14(1), 31–36.
Zurück zum Zitat Lent, R. W., Brown, S. D., & Hackett, G. (1994). Toward a unified social cognitive theory of career/academic interest, choice, and performance. J Voc Behav, 45, 79–122.CrossRef Lent, R. W., Brown, S. D., & Hackett, G. (1994). Toward a unified social cognitive theory of career/academic interest, choice, and performance. J Voc Behav, 45, 79–122.CrossRef
Zurück zum Zitat Lewis, C. L. (1996). A state university’s model program to increase the number of its disadvantaged students who matriculate into health professions schools. Acad Med, 71, 1050–1057.CrossRef Lewis, C. L. (1996). A state university’s model program to increase the number of its disadvantaged students who matriculate into health professions schools. Acad Med, 71, 1050–1057.CrossRef
Zurück zum Zitat Lopez, N., Wadenya, R., & Berthold, P. (2003). Effective recruitment and retention strategies for underrepresented minority students: Perspectives from dental students. J Dent Ed, 67, 1107–1112. Lopez, N., Wadenya, R., & Berthold, P. (2003). Effective recruitment and retention strategies for underrepresented minority students: Perspectives from dental students. J Dent Ed, 67, 1107–1112.
Zurück zum Zitat McIntosh, P. (1990). White privilege: Unpacking the invisible knapsack. Independent School, Winter, 31–36. McIntosh, P. (1990). White privilege: Unpacking the invisible knapsack. Independent School, Winter, 31–36.
Zurück zum Zitat Nelson, M. L., Englar-Carlson, M., Tierney, S. C., & Hau, J. M. (2006). Class jumping into academia: Multiple identities for counseling academics. J Counsel Psych, 53, 1–14.CrossRef Nelson, M. L., Englar-Carlson, M., Tierney, S. C., & Hau, J. M. (2006). Class jumping into academia: Multiple identities for counseling academics. J Counsel Psych, 53, 1–14.CrossRef
Zurück zum Zitat Oh, T., & Lewis, L. J. (2005). Consideration of genetic counseling as a career: Implications for diversifying the genetic counseling field. J Genet Counsel, 14, 71–81.CrossRef Oh, T., & Lewis, L. J. (2005). Consideration of genetic counseling as a career: Implications for diversifying the genetic counseling field. J Genet Counsel, 14, 71–81.CrossRef
Zurück zum Zitat Parrott, S., & Manley, S. (2004). National Society of Genetic Counselors, Inc. Professional status survey 2004. Retrieved January 20, 2005 from www.nsgc.org Parrott, S., & Manley, S. (2004). National Society of Genetic Counselors, Inc. Professional status survey 2004. Retrieved January 20, 2005 from www.​nsgc.​org
Zurück zum Zitat Patton, M. Q. (1990). Qualitative evaluation and research methods. (2nd ed.). Newbury Park, CA: Sage. Patton, M. Q. (1990). Qualitative evaluation and research methods. (2nd ed.). Newbury Park, CA: Sage.
Zurück zum Zitat Punales-Morejon, D., & Rapp, R. (1993). Ethnocultural diversity and genetic counseling training: The challenge for a twenty-first century. J Genet Counsel, 2, 155–158.CrossRef Punales-Morejon, D., & Rapp, R. (1993). Ethnocultural diversity and genetic counseling training: The challenge for a twenty-first century. J Genet Counsel, 2, 155–158.CrossRef
Zurück zum Zitat Saha, S., Komaromy, M., Koepsell, T. D., & Bindman, A. B. (1999). Patient-physician racial concordance and the perceived quality and use of health care. Archives Intern Med, 159, 997–1004.CrossRef Saha, S., Komaromy, M., Koepsell, T. D., & Bindman, A. B. (1999). Patient-physician racial concordance and the perceived quality and use of health care. Archives Intern Med, 159, 997–1004.CrossRef
Zurück zum Zitat Samelson, E. J., Speers, M. A., Ferguson, M. S., & Bennett, C. (1994). Racial differences in cervical cancer mortality in Chicago. Amer J Pub Health, 84, 1007–1009.CrossRef Samelson, E. J., Speers, M. A., Ferguson, M. S., & Bennett, C. (1994). Racial differences in cervical cancer mortality in Chicago. Amer J Pub Health, 84, 1007–1009.CrossRef
Zurück zum Zitat Smith, S. C., Warren, N. S., & Misra, L. (1993). Minority recruitment into the genetic counseling profession. J Genet Counsel, 2, 171–181.CrossRef Smith, S. C., Warren, N. S., & Misra, L. (1993). Minority recruitment into the genetic counseling profession. J Genet Counsel, 2, 171–181.CrossRef
Zurück zum Zitat Sullivan Commission. (2004). Missing persons: Minorities in the health professions: A report of the Sullivan Commission on diversity in the healthcare workforce. Retrieved May 8, 2006 from www.sullivancommission.org Sullivan Commission. (2004). Missing persons: Minorities in the health professions: A report of the Sullivan Commission on diversity in the healthcare workforce. Retrieved May 8, 2006 from www.​sullivancommissi​on.​org
Zurück zum Zitat Tajfel, H., & Turner, J. C. (1986). The social identity theory of inter-group behavior. In S. Worchel, & L. W. Austin (Eds.), Psychology of intergroup relations. Chicago: Nelson-Hall. Tajfel, H., & Turner, J. C. (1986). The social identity theory of inter-group behavior. In S. Worchel, & L. W. Austin (Eds.), Psychology of intergroup relations. Chicago: Nelson-Hall.
Zurück zum Zitat Tang, M., Fouad, N. A., & Smith, P. L. (1999). Asian Americans’ career choices: A path model to examine factors influencing their career choices. J Voc Behav, 54, 142–157.CrossRef Tang, M., Fouad, N. A., & Smith, P. L. (1999). Asian Americans’ career choices: A path model to examine factors influencing their career choices. J Voc Behav, 54, 142–157.CrossRef
Zurück zum Zitat Taylor, V., & Rust, G. S. (1999). The needs of students from diverse cultures. Acad Med, 74, 302–304.CrossRef Taylor, V., & Rust, G. S. (1999). The needs of students from diverse cultures. Acad Med, 74, 302–304.CrossRef
Zurück zum Zitat Thomson, W. A., & Denk, J. P. (1999). Promoting diversity in the medical school pipeline: A national overview. Acad Med, 74, 312–314.CrossRef Thomson, W. A., & Denk, J. P. (1999). Promoting diversity in the medical school pipeline: A national overview. Acad Med, 74, 312–314.CrossRef
Zurück zum Zitat Uhlmann, W. (1992). Professional status survey results. Perspectives Genet Counsel, 142(2 Supl), 7–10. Uhlmann, W. (1992). Professional status survey results. Perspectives Genet Counsel, 142(2 Supl), 7–10.
Zurück zum Zitat United States Department of Education. (2004). The condition of education 2003. Washington DC: National Center of Education Statistics. United States Department of Education. (2004). The condition of education 2003. Washington DC: National Center of Education Statistics.
Zurück zum Zitat Wang, V. O. (2001). Multicultural genetic counseling: Then, now, and in the 21st century. Am J Med Genet, 106, 208–215.CrossRef Wang, V. O. (2001). Multicultural genetic counseling: Then, now, and in the 21st century. Am J Med Genet, 106, 208–215.CrossRef
Zurück zum Zitat Warren, N. S., & Johnson, N. S. (1999). To diversify the profession, graduate genetic counseling programs need to increase the size of the minority applicant pool, not just try harder to recruit the ones who apply. J Genet Counsel, 8, 410. Warren, N. S., & Johnson, N. S. (1999). To diversify the profession, graduate genetic counseling programs need to increase the size of the minority applicant pool, not just try harder to recruit the ones who apply. J Genet Counsel, 8, 410.
Zurück zum Zitat Warren, N. S., & Wolfe, K., & The Midwest Consortium of Genetic Counseling Programs. (2005, November). Changing the face of the genetic counseling profession: The Midwest training programs’ initiative. Presented at the National Society of Genetic Counselors Annual Education Meeting, Los Angeles, CA. Warren, N. S., & Wolfe, K., & The Midwest Consortium of Genetic Counseling Programs. (2005, November). Changing the face of the genetic counseling profession: The Midwest training programs’ initiative. Presented at the National Society of Genetic Counselors Annual Education Meeting, Los Angeles, CA.
Zurück zum Zitat Weaver, H. N. (1998). Indigenous people in a multicultural society: Unique issues for human services. Soc Work, 43, 203–211.CrossRef Weaver, H. N. (1998). Indigenous people in a multicultural society: Unique issues for human services. Soc Work, 43, 203–211.CrossRef
Zurück zum Zitat Weaver, H. N. (1999). Transcultural nursing with Native Americans: Critical knowledge, skills, and attitudes. J Transcultural Nurs, 10, 197–202.CrossRef Weaver, H. N. (1999). Transcultural nursing with Native Americans: Critical knowledge, skills, and attitudes. J Transcultural Nurs, 10, 197–202.CrossRef
Zurück zum Zitat Yates, S. H., Bline, K., Bird, C., Bresnahan, E., Couper-Noles, R., Cutler, S., Henderson, S., Hymel, E., Salsman, T., Tonellato, M., Steele, A., & Strachan Lindenber, C. (2003). Start out: Building healthcare careers for minority teenagers. J Con Ed Nurs, 34, 116–121.CrossRef Yates, S. H., Bline, K., Bird, C., Bresnahan, E., Couper-Noles, R., Cutler, S., Henderson, S., Hymel, E., Salsman, T., Tonellato, M., Steele, A., & Strachan Lindenber, C. (2003). Start out: Building healthcare careers for minority teenagers. J Con Ed Nurs, 34, 116–121.CrossRef
Zurück zum Zitat Yoder, M. K. (2001). The bridging approach: Effective strategies for teaching ethnically diverse nursing students. J Transcultural Nurs, 12, 319–325.CrossRef Yoder, M. K. (2001). The bridging approach: Effective strategies for teaching ethnically diverse nursing students. J Transcultural Nurs, 12, 319–325.CrossRef
Metadaten
Titel
What Is It Like To Be in the Minority? Ethnic and Gender Diversity in the Genetic Counseling Profession
verfasst von
K. Cheri Schoonveld
Patricia McCarthy Veach
Bonnie S. LeRoy
Publikationsdatum
01.02.2007
Erschienen in
Journal of Genetic Counseling / Ausgabe 1/2007
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-006-9045-4

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