Evidence map›Paper›PMID 36257684›Full record

ArticleCMAJ open

Equity, diversity and inclusion of pediatric clinician-scientists in Canada: a thematic analysis.

Gina Dimitropoulos, Katherine S Bright, Queenie K W Li, Krista Wollny, Marinka Twilt, Catharine M Walsh, Linda Pires, Lianne Tomfohr-Madsen, Susan Samuel, Lesley Pritchard

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gina DimitropoulosFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta. gdimit@ucalgary.ca.
Katherine S BrightFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Queenie K W LiFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Krista WollnyFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Marinka TwiltFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Catharine M WalshFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Linda PiresFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Lianne Tomfohr-MadsenFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Susan SamuelFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.
Lesley PritchardFaculty of Social Work (Dimitropoulos), University of Calgary; Mathison Centre for Mental Health Research and Education (Dimitropoulos), Alberta Children's Hospital Research Institute (Tomfohr-Madsen, Twilt, Wollny, Dimitropoulos); Faculty of Nursing (Wollny, Bright), University of Calgary; Department of Community Health Sciences (Samuel, Wollny, Bright), Cumming School of Medicine, University of Calgary; Department of Psychology (Tomfohr-Madsen, Li), University of Calgary; Department of Pediatrics (Tomfohr-Madsen, Twilt), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Division of Gastroenterology, Hepatology and Nutrition and SickKids Research Institute and SickKids Learning Institute (Walsh), The Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto; Canadian Child Health Clinician Scientist Program (Pires), The Hospital for Sick Children, Toronto, Ont.; Department of Physical Therapy, Faculty of Rehabilitation (Pritchard), University of Alberta, Edmonton, Alta.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderrepresented voices and perspectives are missing from academic and clinical health sciences. We aimed to define the unique opportunities and challenges of pediatric clinician-scientists related to equity, diversity and inclusion; and to identify key components of training needed to support people from equity-seeking groups as emerging and early-career pediatric clinician-scientists to generate diverse health research leaders in knowledge generation, implementation and translation.

methodsUsing a qualitative descriptive approach, we examined the experiences of clinician stakeholders. Semistructured interviews were conducted with pediatric clinician-scientist stakeholders. Thematic analysis was performed.

resultsWe interviewed a total of 39 individuals. Our analysis resulted in 4 interrelated themes: the pervasiveness and invisibility of sexism; the invisibility and visibility of racism; proposed individual-level solutions to the sexism and racism; and proposed institutional and system-level changes to address the porous and leaky pipeline. These themes acknowledged that, ultimately, system change is required for addressing equity, diversity and inclusion in clinical and academic training environments.

interpretationThese findings highlight the importance of addressing systemic biases that limit the inclusion of women and racialized individuals in pediatric clinician-scientist careers. Further research is needed to explore the problem of exclusion, which will, in turn, inform education of pediatric clinician-scientists and inform better ways to promote equity, diversity and inclusivity; these steps are needed to foster systemic change in the cultures that perpetuate exclusivity in both academic and clinical communities.

Indexed as

PhysiciansRacismCanadaChildCultural DiversityFemaleHumans

Identifiers

PMID36257684
PMCPMC9616604

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.