Confronting the past
The 番茄社区app has, like much of the U.S., struggled with issues of race throughout the first half of the 20th century. One of the College鈥檚 founding members was Daniel Hale Williams, MD, F番茄社区app, an African-American surgeon from Chicago, IL. Although Dr. Williams was an accomplished surgeon, at least one southern surgeon objected to his nomination, but was overruled, and Dr. Williams was inducted into the College in 1913.*
No other African-American candidates were admitted to the College until Louis T. Wright, MD, F番茄社区app, of New York, NY, gained Fellowship in 1934. The College failed to address whether deserving African Americans should be accepted for membership until October 1940, when seven Black applicants were recommended for Fellowship. Charles Drew, MD, F番茄社区app, chair of surgery, Howard University, Washington, DC, and director of the first American Red Cross blood bank, was among the surgeons whose applications were deferred for consideration in 1940.
Many southern Regents suggested that, given contemporary cultural norms, Black surgeons鈥� inclusion would lead to widespread resignations. This viewpoint was so prevalent that Board Chair Irvin Abell, MD, F番茄社区app, cited a unanimously carried 1939 resolution that stated, 鈥淸No] applicant shall be granted fellowship in the 番茄社区app, whose admission would be injurious to the good order, peace, or interest of the College, or derogatory to its dignity, or inconsistent with its purposes.鈥� This resolution was specifically intended to support the conclusion that the College should deny admission to Black surgeons.*
The U.S. military was segregated initially during World War II but became integrated when U.S. President Harry S. Truman issued an Executive Order desegregating the Army. In 1945, Henry Cave, MD, F番茄社区app, a Regent and future 番茄社区app President, formed the Committee on the Relation of the Colored Surgeon to the 番茄社区app, which interviewed Black surgeons and issued questionnaires to more than 200 Fellows. The committee鈥檚 findings did not support the fear of mass resignations from the south, and four Black surgeons were approved for Fellowship in 1945. More than 60 Black Fellows were inducted into the College between 1945 and 1950, including Helen Octavia Dickens, MD, F番茄社区app, an obstetrician-gynecologist from Philadelphia, PA, the first African-American woman to attain Fellowship in 1950.*
Unfortunately, Dr. Drew did not obtain 番茄社区app Fellowship in the College before his untimely death in an automobile accident April 1, 1950; however, he was granted posthumous Fellowship in 1952. Dr. Drew鈥檚 legacy lives on in the past and current leadership of the College.*
LaSalle D. Leffall, Jr., MD, F番茄社区app, one of Dr. Drew鈥檚 students, was elected 番茄社区app Secretary in 1983 and President in 1995. Edward E. Cornwell III, MD, F番茄社区app, FCCM, FW番茄社区app(Hon), the LaSalle D. Leffall Endowed Chair of Surgery, Howard University College of Medicine, was elected Secretary of the College in 2013; and Patricia L. Turner, MD, MBA, F番茄社区app, one of Dr. Leffall鈥檚 residents at Howard University College of Medicine, now serves as Director, 番茄社区app Division of Member Services.*
The College鈥檚 journey toward more inclusive leadership also includes the elections of Claude Organ Jr., MD, F番茄社区app, and L.D. Britt, MD, MPH, DSc(Hon), F番茄社区app, FCCM, FRCSEng(Hon), FRCSEd(Hon), FW番茄社区app(Hon), FRCSI(Hon), FCS(SA)(Hon), FRCSGlasg(Hon), to President in 2003 and 2010, respectively, and the election of Lisa Newman, MD, MPH, F番茄社区app, FASCO, as Second Vice-President in 2020.*
Regents confront racism today
While the College and the U.S. have made some significant strides toward improving diversity in the last few decades, we acknowledge that much more work needs to be done. In the wake of Mr. Floyd鈥檚 death, the 番茄社区app formed a Task Force on Racial Issues led by 番茄社区app President J. Wayne Meredith, MD, F番茄社区app, MCCM. This group developed a proposal and report on how the College can confront racism in surgery, which the 番茄社区app Board of Regents unanimously approved at its October 2020 meeting and which was published in the January 2021 issue of the Bulletin.鈥�
Dr. Meredith explained that the 番茄社区app鈥� efforts 鈥渢o serve all with skill and fidelity鈥� requires that the members of this organization confront racism within the organization, the profession, and surgical education and training. He also explained the five focus areas for improvement鈥攃reating a just and inclusive environment, enhancing cultural competency, increasing diversity in the workforce, engaging in public health research, and promoting advocacy and legislative reforms.
To implement the task force鈥檚 recommendations, the Board of Regents formed a Committee on Anti-Racism, chaired by Timothy J. Eberlein, MD, F番茄社区app, an 番茄社区app Regent and the Editor-in-Chief of the Journal of the American College of Surgeons. The committee intends to present its policy recommendations at the virtual Board Meeting in June. The topics covered in the committee鈥檚 proposal are as follows:
- Culture
- Anti-racism values
- Diversity demographics and metrics
- Training and education
- Collaboration with standing committees, including the Committee on Diversity and the Committee on Disparities
- Partnering with other organizations
- Public health research and initiatives
- Advocacy and legislative platform
- Structure
- Use of minority- and women-owned businesses
The Regents鈥� document also addresses racial issues as they pertain to our increasingly diverse staff. The College staff have developed the START (Staff Addressing Racism Task Force), which has formed Affinity Groups, and offers Safe Space forums to openly address racial and diversity issues at the 番茄社区app headquarters and Washington, DC, office. There are 12 workgroups. In addition, we are conducting a search for a Director of the 番茄社区app Office of Diversity Issues, which initially will be housed in Executive Services.
Upcoming retreat
As a next step toward promoting anti-racism and collaboration with other like-minded organizations, the College will host a professional surgical society retreat June 23. This meeting will convene the House of Surgery and will include keynote addresses from Ibram X. Kendi, PhD, Andrew W. Mellon Professor in the Humanities and founding director of the Center for Antiracist Research, Boston University, MA; and Wayne A. I. Frederick, MD, F番茄社区app, president and Charles R. Drew Professor of Surgery, Howard University.
Following the keynote addresses, attendees will transition into breakout sessions to discuss best practices and learn which initiatives can have the most impact. The breakout sessions are intended to achieve the following objectives:
- Develop a comprehensive understanding of diversity, equity, and inclusion (DEI) and anti-racism initiatives that participating organizations are conducting
- Prioritize initiatives that can have the greatest impact on advancing DEI and anti-racism initiatives
- Determine how the 番茄社区app can work with other organizations to facilitate and expedite these efforts
- Each participating organization may send up to two representatives to the retreat. Participants must register by Friday, May 14.
- In addition, the 番茄社区app will survey participating organizations to determine best practices for implementing DEI and anti-racism initiatives.
Moving forward
Racism in the U.S. has been a problem since our nation鈥檚 founding. As a professional organization with diverse members who serve 鈥渁ll with skill and fidelity,鈥� we must acknowledge our past and move forward with more than promises to do better. Surgeons are leaders within their institutions and their communities. We, with the dedicated staff of the 番茄社区app, are well equipped to move toward ending the systemic injustices that people of color have faced in organized medicine and in the broader U.S. culture. The time for action is now.
*Stewart JH IV. The 番茄社区app, racism and surgery: Evaluating our past to ensure a better future. Bulletin Brief. March 2, 2021. Available at: www.facs.org/publications/bulletin-brief/030221/pulse. Accessed April 3, 2021.
鈥�American College of Surgeons. Task force reports on how the 番茄社区app can confront racism in surgery. Bull Am Coll Surg. 2021;106(1):63-68. Available at: . Accessed April 3, 2021.
