The Punxsutawney Spirit

Black doctors say they face discrimina­tion based on race

- By Kate Brumback

ATLANTA (AP) — Dr. Dare Adewumi was thrilled when he was hired to lead the neurosurge­ry practice at an Atlanta-area hospital near where he grew up. But he says he quickly faced racial discrimina­tion that ultimately led to his firing and has prevented him from getting permanent work elsewhere.

His lawyers and other advocates say he's not alone, that Black doctors across the country commonly experience discrimina­tion, ranging from microaggre­ssions to career-threatenin­g disciplina­ry actions. Biases, conscious or not, can become magnified in the fiercely competitiv­e hospital environmen­t, they say, and the underrepre­sentation of Black doctors can discourage them from speaking up.

“Too many of us are worried about retaliatio­n, what happens when you say something," said Dr. Rachel Villanueva, president of the National Medical Associatio­n, which represents Black doctors.

“We have scores of doctors that are sending us letters about these same discrimina­tory practices all the time and seeking our help as an associatio­n in fighting that.”

According to the Associatio­n of American Medical Colleges, Black doctors made up just 5% of active physicians in the U.S. in 2018, the most recent data available. People who identify as Black alone represent 12.4% of the total U.S. population, according to the 2020 U.S. census. For the 2021- 2022 academic year, 8.1% of students enrolled in medical schools identified as Black alone. The medical school associatio­n and the National Medical Associatio­n in 2020 announced an initiative to address the scarcity of Black men in medicine — they made up only 2.9% of 2019- 2020 enrolled students.

The American Medical Associatio­n, the country’s largest, most influentia­l doctors’ group, is also trying to attract Black students to medicine, working with historical­ly Black colleges and universiti­es and helping secure scholarshi­ps, president Dr. Gerald Harmon said.

“We’re trying to put our money where our mouth is on this and our actions where our thoughts are,” he said, acknowledg­ing that, among other things, a shortage of Black physicians contribute­s to poorer health outcomes for Black patients.

Some Black doctors who believe they've been mistreated are speaking out. Adewumi, 39, filed a federal lawsuit in September against Wellstar Medical Group and Wellstar Health Systems alleging employment discrimina­tion based on race.

“If they don’t like him, that’s one thing, but you can’t penalize someone — according to the law — based on race,” his lawyer C. K. Hoffler said. “And that’s the exact thing that happened to Dare. And that’s what many, many highly skilled, highly trained, highly credential­ed African American doctors are experienci­ng in this country.”

Adewumi said some of his surgical decisions were questioned and he was placed on a performanc­e review plan, steps he says were a pretext to push him out. He said he had a previously unblemishe­d record and his white colleagues didn’t face similar scrutiny.

“I’ve worked so hard, done so much to get to this level, and all I really wanted to do was help sick people,” he said. “And here I was having this taken away from me for no reason other than my skin color.”

William Hill, an attorney for Wellstar, said the case is sealed so he's unable to speak about specifics.

“Wellstar does not discrimina­te. Dr. Adewumi has not been the subject of discrimina­tion or unfair treatment. Patient care and safety are Wellstar's top priorities,” Hill wrote in an email, noting that they have filed a motion to dismiss the lawsuit.

Dr. Stella Safo, an HIV specialist, is among a group of past and present employees at the Arnhold Institute for Global Health at Mount Sinai in New York City who in April 2019 sued alleging sex, age and race discrimina­tion. Some claims have been dismissed but others are moving forward. Safo's claims focus on alleged gender discrimina­tion, but she said that, as a Black woman, race and gender discrimina­tion are intertwine­d. Since filing the lawsuit, she's heard from a lot of people with similar stories.

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