Diversity, equity, inclusion, and justice (DEIJ) are important factors to be considered in medical education, academic and community health centers, and health care policy. DEIJ efforts have been shown to have a strong influence in advancing health equity, yet these efforts tend to fall on a small group of providers, usually of historically marginalized or minority backgrounds (eg, race and ethnicity, gender identity, sexual orientation, religion). To combat this inequity, more research needs to be done to identify where the burden is falling and what strategies can be set in place to counteract this taxing imbalance. Providers should educate themselves on the anti-DEIJ legislation sweeping across the country, recogniz- ing the misinformation, and advocating for efforts pushing back against this movement. Providers can also advocate for ways their institution or practice can reduce the burden for historically marginalized providers by supporting recognition of DEIJ-related efforts in traditional promotional measures or taking on activities allowing for participation in scholarly work that will advance careers. [Pediatr Ann. 2024;53(10):e354-e357.].

中文翻译：

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意图与实施：临床实践中的多样性、公平性、包容性和正义努力。


多样性、公平性、包容性和正义 （DEIJ） 是医学教育、学术和社区健康中心以及医疗保健政策中需要考虑的重要因素。DEIJ 的努力已被证明对促进健康公平具有强大的影响力，但这些努力往往落在一小群提供者身上，通常是历史上被边缘化或少数族裔背景（例如，种族和民族、性别认同、性取向、宗教）。为了消除这种不平等，需要进行更多的研究，以确定负担下降在哪里，以及可以制定哪些策略来抵消这种繁重的不平衡。提供者应该对席卷全国的反 DEIJ 立法进行自我教育，认识到错误信息，并倡导努力抵制这一运动。提供者还可以通过支持在传统推广措施中认可与 DEIJ 相关的努力或开展允许参与学术工作的活动来促进职业发展，从而倡导他们的机构或实践可以减轻历史上被边缘化的提供者的负担。[儿科年鉴 2024;53（10）：e354-e357.]。