RECRUITMENT, RETENTION, AND INTERSECTIONALITY: RECOGNIZING THE VOICES OF HISTORICALLY MARGINALIZED AND SYSTEMICALLY OPPRESSED MEDICAL RESIDENTS

Abstract

The health and wellbeing of healthcare professionals has become a significant concern for the function of the healthcare system in the United States (U.S.). With a catastrophic physician shortage in healthcare and cumulative social injustices across the nation, medical schools and residency programs must prioritize the recruitment, wellbeing, diversification, and retention of physicians. The purpose of this dissertation is to increase the body of literature related to burnout and compassion fatigue related to historically marginalized and systemically oppressed residents. The six chapters in this dissertation, include a/an: (a) conceptual model of how MedFTs can influence the recruitment and retention of diverse physicians, (b) scoping review of LGBTQ+ patient and provider experiences in primary care, (c) systematic review of intersectional data related to burnout and compassion fatigue in residency, (d) methodology chapter describing the original study, (e) original research study that reports the results from a quantitative survey and phenomenological interview guide with historically marginalized/systemically oppressed residents related to burnout, compassion fatigue, discrimination, and harassment throughout their residency experience, and (f) conclusion chapter that offers a review of the previous chapters and recommendations for residency programs in the form of a fact sheet.