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The Role of HBCUs and HBGIs in the NFL Diversity of Sports Medicine Pipeline Initiative

The NFL selected four Historically Black Graduate Institutions (HBGI) as its first members of the inaugural NFL Diversity of Sports Medicine Pipeline Initiative.

The NFL selected four Historically Black Graduate Institutions (HBGI) as its first members of the inaugural NFL Diversity of Sports Medicine Pipeline Initiative. The NFL's conference call introduced the four representatives who gave insight into the new program's goals. 

The medical institutions' spokespeople were:

  • Dr. Hugh E. Mighty, MD, MBA, Dean of the Howard University College of Medicine and Senior Vice President of Health Affairs
  • Dr. Digna Forbes, Dean of the School of Medicine, Meharry Medical College
  • Dr. Herman Taylor, Director of the Cardiovascular Research Institute, Morehouse School of Medicine
  • Dr. Lisa Barkley, Family Medicine Department Chair and Residency Program Director at Charles R. Drew University of Medicine and Science

The National Football League's representatives were:

  • Dr. Allen Sills, NFL Chief Medical Officer
  • Reggie Scott, Acting President, Professional Football Athletic Trainers; Vice President, Sports Medicine, and Performance, Los Angeles Rams
  • Dr. Timothy McAdams, President, NFL Physicians Society; Head Team Physician, San Francisco 49ers
  • Dr. Anthony Casolaro, Chief Medical Officer, Internal Medicine, Washington Commanders
NFL Pipeline

The plan is for eight NFL clubs to host 16 students from these HBGI/HBCU schools with one-month shadowing rotations and one month of clinical rotations in September and October of 2022. The eight participating league teams are:

  1. Atlanta Falcons,
  2. Cincinnati Bengals,
  3. Los Angels Chargers,
  4. Los Angeles Rams,
  5. New York Giants,
  6. San Francisco, 49ers,
  7. Tennessee Titans, and
  8. Washington Commanders.

Each team will host two HBGI/HBCU medical students interested in sports medicine and orthopedic surgery.

Dr. Sills noted, "7.3% of the medical student population are black medical students today, and that figure has risen less than 1% over the last 40 years. So there's definite work to be done throughout medicine. This is not just an NFL issue. This is a challenge for all of us who are practicing physicians in all aspects of medicine."

According to Sills, 65% of the NFL's medical professionals membership - physicians, athletic trainers, interns, and related - identify as white. 85% of the Physician Society is classified as white. One of the initiative's goals hopes to change the demographics of team physicians and sports medicine specialists. They believe the best way to combat the issue is to develop a pipeline of minority medical professionals and comprise teams with a "diverse medical staff to facilitate and improve patient outcomes."

The NFL's 32-member teams will have a more diverse athletic training staff to complement the medical, nutrition, strength & conditioning, and surgical care professionals. NFL Commissioner Roger Goodell said, "We have an opportunity to help increase the pipeline of diverse sports medicine professionals, which is imperative for us as a league." 65% of the league's athletes are minorities. Hopefully, the pipeline opens opportunities that present to the players an accurate illustration of the sports medical professionals to care for their performance, surgeries, and overall health necessities.

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THE OFFICIAL ANNOUNCEMENT

This program – a joint initiative of the NFL, NFL Physicians Society (NFLPS), and the Professional Athletic Trainer Society (PFATS) – aims to increase and diversify the pipeline of students interested in pursuing careers in sports medicine.

The NFL, together with the NFL Physicians Society (NFLPS) and the Professional Football Athletic Trainer Society (PFATS), today announced the launch of the NFL Diversity in Sports Medicine Pipeline Initiative, which will provide medical students at the four Historically Black Colleges and Universities (HBCU) medical schools with the opportunity to complete a clinical rotation with NFL club medical staff. This initiative aims to increase and diversify the pipeline of students interested in pursuing careers in sports medicine to help make a positive impact in the field and, over time, help to diversify NFL club medical staff.

Medical students interested in primary care sports medicine and/or orthopedic surgery

from Charles R. Drew University of Medicine and Science, Howard University College of Medicine, Morehouse School of Medicine, and Meharry Medical College will be selected by their respective schools to complete one-month clinical rotations with NFL clubs during the 2022 NFL season. A total of 16 total students will participate in this inaugural season, two students each at eight participating NFL clubs: Atlanta Falcons, Cincinnati Bengals, Los Angeles Chargers, Los Angeles Rams, New York Giants, San Francisco 49ers, Tennessee Titans and Washington Commanders. In 2023, the program will expand to recruit students from additional academic institutions and medical disciplines and place those students with medical staffs at more NFL clubs.

A study that examines diversity of the medical student population shows Black medical students comprise only 7.3 percent of the total medical school population in the U.S. – a figure that has risen less than 1 percent over the last 40 years and is far lower than the 13.4 percent Black population in the United States.

According to the NFLPS, 86 percent of their membership identify as white, 8 percent identify as Asian, 5 percent identify as Black and 1 percent identify as Hispanic. According to PFATS, 65 percent of their membership identify as white, 23 percent identify as Black, 8 percent identify as Hispanic and 4 percent identify as Asian.

"Increasing diversity across every role in our league and at our clubs is essential. Diversity makes us stronger," said NFL Commissioner Roger Goodell. "We have an opportunity to help increase the pipeline of diverse sports medicine professionals, which is imperative for us as a league. This initiative is an example of how we can lend our platform for a societal benefit. I'm proud that our league can help inspire the next generation of sports medicine professionals."

Through this program, the NFL, NFLPS and PFATS are not only working to diversify NFL club medical staffs, but also to increase health equity for athletes across the country. The importance of diversity and representation on medical care teams is well-established: diverse medical staff can facilitate improved patient outcomes.

"We have significant work to do to ensure that the NFLPS membership more closely mirrors the player population we treat every day," said NFLPS President and San Francisco 49ers head team physician Dr. Timothy McAdams. "It begins here – by broadening the pipeline and encouraging medical students from diverse backgrounds to consider the possibilities of a career in sports medicine."

The expansion of this pipeline initiative in 2023 will broaden to disciplines beyond primary care sports medicine and orthopedic surgery. Some of the roles that may be included are physician assistants, certified athletic trainers, physical therapists, occupational therapists, nutritionists and behavioral health clinicians. Additionally, while the inaugural season of this program is focused on providing Black medical students with exposure to careers in sports medicine, the NFL, NFLPS and PFATS will also work toward widening the sports medicine pipeline for other people of color and women in the seasons ahead.

"I greatly look forward to welcoming exceptional HBCU medical students to our medical staff this fall," said Reggie Scott, PFATS President and LA Rams Vice President, Sports Medicine and Performance. "The representation that will come from seeing more people of color treating players on NFL sidelines has the potential to inspire people of color from around the country to pursue careers in sports medicine."

During their rotations, students will observe and participate in the care of sports medicine patients in NFL club settings. Students will work directly with and under the supervision of the orthopedic team physicians, primary care team physicians and athletic trainers to gain basic medical knowledge and exposure to patient care in sports medicine. Additionally, students will become familiar with return-to-play guidelines and on-field treatment considerations for NFL players. Students may also have the opportunity to attend home games and be present on the sideline for observation. By the end of the rotation, students will understand the basic elements of all facets of care provided to NFL players from an orthopedic, primary care sports medicine and athletic training perspective.

"This unique collaboration between the HBCU Medical Schools, the NFL, NFL Physicians Society and the Professional Football Athletic Trainers Society will provide a potentially once-in-a-lifetime opportunity for students to experience, learn, and develop sports medicine skills in a real environment with world-class sports teams and sports medicine professionals," noted Dr. Lisa Barkley, the Family Medicine Department Chair at Charles Drew University of Medicine and Science in Los Angeles who also heads up the university's sports medicine program. "Developing medical professionals from traditionally underrepresented communities is an important, valuable, and notably proactive step towards addressing diversity issues across the field of sports medicine."

"HBCUs have a long history of serving the nation's health needs and ensuring the vital pipeline of Black doctors," said Dr. Hugh Mighty, MD, MBA, dean of the College of Medicine and senior vice president of health affairs at Howard University. "We welcome the NFL's contributions to advancing this mission and providing new opportunities for our students."

"Morehouse School of Medicine is leading the creation and advancement of health equity, and our mission includes increasing the diversity of the health professional and scientific workforce," said Morehouse School of Medicine President and CEO Dr. Valerie Montgomery Rice, MD, FACOG. "This partnership with the NFL not only opens new doors for MSM students to develop hands-on training in sports medicine, but hopefully will inspire others to seek careers as healthcare professionals in athletics."

"We are grateful the NFL is taking measurable steps to diversify the league and specifically recognizes the barriers to opportunity many minority students face in sports medicine career paths," said Dr. James E. K. Hildreth, president and CEO of Meharry Medical College. "Through this partnership, our students will be afforded the opportunity for exposure to a unique field of medicine that will create new meaningful experiences beneficial to their career advancement."

These efforts are part of the league's broader commitment to ensure that staff and leaders in the league office and at NFL clubs reflect the racial and gender makeup of America. Among NFL club medical staffs, the initiative builds on existing efforts to recruit and hire diverse medical staff when positions become available across all roles, and to increase diversity across NFL medical committees.