Risk factors associated with professional consequences in a cohort of black physicians

Of 176 respondents; professional consequences occurred in 79 (45 %) who were more likely to come from Western US region and were females. Those with professional consequences scored significantly higher on Stereotype threat (71% versus 31%, P < 0.001), Stigmatization/devaluation (9% vs. 0%, p = 0.004), Exclusion rejection (41% vs. 4%, p < 0.001) and Discrimination at work/school (28% vs. 1%, p < 0.001) and significantly lower on psychological safety (32% vs. 56%, P = 0.001). They also scored significantly higher on burnout (66% vs 30%, p < 0.001), high stress (89% vs 54%, p < 0.001) and high work factors contributing to stress (24% vs 4%, p < 0.001), but significantly lower on accessing institutional wellness resources (18% vs 40%, p < 0.002), initiating back-up systems without negative consequences from supervisors(42% vs 69%, p < 0.001), and without negative consequences from peers (41% vs 75 %, p < 0.001) CONCLUSIONS: Black physicians with professional consequences are more likely to be female, practice in Western US and perceive the clinical workplace as hostile and unsafe. These physicians are more burned out, stressed and unable to access institutional support resources. Early identification, coaching and scaffolding of these at-risk physicians and learners is urgently required.