Lab Medicine Rounds

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Alaa Koleilat, Ph.D., a fellow in the Genetics and Genomics Laboratory at Mayo Clinic in Rochester, Minnesota, to discuss increased representation of minorities in leadership in biomedical science and medicine.

Show Notes

Timestamps:

0:00 Intro

01:15 What has your experience been seeing minorities in Biomedical leadership roles?

03:56 At what points so far have you really been most engaged with leadership training, so that you’re set up for great things in the future? What have you found that really engages/resonates with you?

08:07 Is there one or two insights for what is helpful to make it work, and is there a good first and second step for launching something similar (mentorship program) at their place? 

10:10 Is there something I should do automatically when I have a mentee come in who comes from an underrepresented minority or from a disadvantaged background? Do you recommend that being part of an initial conversation of, “Would you like me to identify a mentor for you?” from a diversity perspective?

12:27 What advice would you like to share with the underrepresented minority student trainee learners who are listening to this podcast? 

14:40 Outro

What is Lab Medicine Rounds?

A Mayo Clinic podcast for laboratory professionals, physicians, and students, hosted by Justin Kreuter, M.D., assistant professor of laboratory medicine and pathology at Mayo Clinic, featuring educational topics and insightful takeaways to apply in your practice.

(upbeat music)

- This is Lab Medicine
Rounds, a curated podcast

for physicians, laboratory
professionals, and students.

I'm your host, Justin Kreuter,
the Bow Tie Bandit of Blood,

a Transfusion Medicine
Pathologist at Mayo Clinic.

Today we're rounding
with Dr. Alaa Koleilat.

Dr. Koleilat is currently
a Fellow in the Genetics

and Genomics Laboratory
here at Mayo Clinic

in Rochester, Minnesota.

We'll be talking about
increased representation

of minorities in leadership
in biomedical science

and medicine for today's episode.

So thanks for joining
us today, Dr. Koleilat.

- Thank you for having me, I'm excited.

- Absolutely, this is great.

This I think for our listeners

pairs with some of our
previous episodes we have done

where we really talked with Dr. Salomao,

who is a leader in diversity,
equity, and inclusion

here in Laboratory Medicine.

So those of you that haven't
heard that episode yet,

you might go and check that
earlier episode in the stream.

And now we really wanted
to get another perspective

on some of these issues,

and that's why we're
reaching out to Dr. Koleilat.

And maybe can we get started
with what's your experience

been seeing minorities in
biomedical leadership roles?

- Yeah.

I think I would say, and
probably other individuals

of underrepresented minorities
in the field would say

it's quite limited.

I think that we've made a
lot of progress when it comes

to women in leadership roles,

although I think there's
still a good amount

of bias when it comes to
having women in positions

of authority that we could probably do

a whole other podcast on.

But for people of color
and like I said individuals

from underrepresented backgrounds,

there are far and few
in leadership positions.

And this is actually quite
distressing for myself at least

because we see an increasing
amount of DEI initiatives

across institutions and societies.

And we have a lot of
people talking about it.

But when we think about what
are some tangible outcomes

that have come out of these initiatives

in terms of increased representation,

it's hard to pinpoint many examples.

And what I'd like to
highlight for the audience

and even just to set ourselves
up is why representation

at the top positions is important.

And it's important for many reasons.

Diversity brings
creativity and innovation,

it leads to greater employee
engagement and empowerment.

These individuals that when
they get into these leadership

positions bring a breadth
and depth of experience

and perspective that
others may have not thought

of just because of their
individual and unique experiences.

And lastly, which I
think is really important

for an institution like Mayo Clinic

is these individuals mirror
possibly top tier talent

that we'd like to recruit.

So if a person of this
underrepresented background

or a minority comes to an
institution and sees nobody

that looks like them in a leadership role,

they might not feel that there's
a position for them there

or even feel like there's a road or a path

to a top position.

- I really like how you're highlighting

the critical importance of representation.

And it sparked in mind that
there are maybe a couple

of threads connecting to a
couple of previous podcasts

that we've had.

So we had a few weeks
ago, Dr. Ven Bellamkonda,

one of our emergency
medicine physicians talk

about wellbeing and connecting
to exactly some of these

aspects you're talking about,
this employee engagement

and how we can really
become this self actualized

fully realized healthcare professional.

As you're talking about
this discrepancy about

diversity, equity of inclusion,

and there's a lot of talk about it

but how we're seeing results.

I was wondering if you might share,

when are some or at what points so far

have you really been most
engaged with leadership training

so that you're set up for
great things in the future?

What have you found that
really kind of engages you,

resonates with you?

- Yeah.

In the Department of
Laboratory Medicine Pathology,

as I'm sure you know, we have
a leadership and management

course, so all the trainees
are required to take that.

And I think it's a wonderful
course when it comes

to the technical aspects of
being a laboratory director

and a leader in your institution.

But some of the things that
we don't cover in extensive,

I would say time are these soft skills

and even including a
component about diversity,

equity, and inclusion
and what that looks like

for trainees and how do we
obtain diversity in our leaders?

And also how do we make sure
that their voices are heard

when they're at the table?

Not just having representation
but having the inclusivity

part which is making sure
their voices are heard.

So there is some leadership training

that I've been exposed
to that's been helpful.

But in terms of what's been
the most effective for me

has been my one on one mentorship
with my personal mentors.

I've been fortunate to
have really great mentors

along my career path.

And when I first started
the laboratory genetics

and genomics fellowship at Mayo
Clinic, I immediately sought

out mentors that would
be able to relate to me

in ways that none of my
other mentors have before.

So in my 13 years of advanced education,

I've never had a non-White mentor.

And if you talk to anybody
that comes from a non-White

background, they'll tell
you how important it is

to have someone that can
advocate for you, that can relate

to you and experiences that you've had,

for example, microaggressions
in the workplace are a reality

for many people.

Knowing what to do about
them, when it's appropriate,

when it's not, just how to
handle some of these situations.

And as a trainee, you're
still figuring it all

out for your career and add
on this extra layer of bias

and obstacles that
minorities have to experience

on the daily.

So my mentor, Dr. Linda Hasadsri,

who is very involved in
laboratory genetics and genomics

in terms of diversity, equity,
and inclusion initiatives

has been really vital to
my leadership development.

And we talk about all aspects of

laboratory director work.

And it's not just some
of these experiences,

but really that's been the most important

and most significant for me.

And I'll add one point on that,

I know I've been rambling at this point.

Because of my experience has
been so positive with her

and really vital for my training so far,

I wanted everybody to have that.

And so I reached out to our
diversity, equity, and inclusion

division chairs, Dr. Ande
Rumilla and Dr. Neil (indistinct)

and in collaboration with them
I actually started a pilot

mentorship program within
our division for trainees

and even laboratory staff

who identify as
underrepresented minorities

or even those from
disadvantaged backgrounds.

And we've paired them up with consultants

that have volunteered their
time to serve as their mentors.

And they can talk about
anything from career goals

to personal experience or advice,

just serving as a confidential
and unique advisor to these

individuals in order to
increase workplace diversity.

So we have a lot of laboratory
staff that are interested

in advanced careers, advanced degrees

but really haven't had
one-on-one mentorship

to get them there.

And this is especially
true for individuals

of these categories that I've,

I don't mean to categorize people,

but of this group that I'm
specifically interested in

to help them get to their career goals.

- Well, that's wonderful.

I'm curious if we can dive
down that a little bit,

'cause maybe some people are listening

and don't have that
kind of a program set up

but are interested.

Is there one or two insights for what

is helpful to make it work

and is there a good first

and second step that folks
might do for launching something

similar at their place?

- Yeah.

So we just launched the program in January

and we have 16 participants,

eight mentees and eight mentors.

And really what I did first,

and I hope that this can
actually serve as a template

for other divisions to either
build on it or change it

in any way that they see fit for their own

laboratory environment.

So the hope is that other
programs will utilize this.

But what I did was really just ask around,

I saw that there was a need

I saw that we didn't
have anything like this.

I literally went around the lab and said,

"If we had a program like
this, would you participate?"

And a lot of fellows and laboratory staff

were very interested and said,

"Yeah, of course, I'd love
to have something like this."

And especially our consultants
who have an extreme amount

of experience and a network
that they could tap into,

there's like a lot of rich knowledge

that our consultants have.

And a lot of times they're just waiting

for someone to ask them.

I got a couple consultants to help promote

this initiative.

And I sent out a survey
actually to the entire division

and said, "Who's interested
in something like this?

What are your roles?

I'd be more than happy to
share the initial survey

with whoever's interested."

It was just a Google form.

what are some strengths?

What are some things
you'd like to talk about?

And then I just went in
and paired people up.

And we are doing a six
month evaluation in June

of both the mentor and
the mentee to see how

the mentorship went.

But overall, I've seen a
lot of positive feedback.

Everybody's been meeting
at least once a month

with their mentee.

And I think it's a very
easy thing to set up,

it didn't really take a lot of time.

So if someone's interested,
I'd be more than happy to share

the details of it all,

but I'm hoping and I think
that the impact will be great.

- It's excellent.

If there are people that may not have,

like I'm a program director
and and I'm a White guy

and is there something I should do

or do you think automatically
about when I have a mentee

come in that comes from an
underrepresented minority

or from a disadvantaged background.

Do you recommend, but maybe
that's part of that initial

conversation of would
you like me to identify

a mentor for you from a
diversity perspective?

- Yeah, I love that you
asked that question,

because a lot of people do find themselves

in those positions and like,

"I wanna be an ally, what do I do?"

Like, "I'm not a person of color

but I wanna support my
friends or my fellows."

And I think that that's great.

Yes, do that.

When I was interviewing
and being recruited

for this position, if I was
told that there's a mentorship

program specifically for
minorities, I'd be like,

"Wow, that means that they
actually find that valuable."

That means that they're doing something

for these individuals,
because they recognize

that there are increased
amount of obstacles

for these people to get to where they are.

Yes, I think definitely
ask if your fellows

or your residents, or whoever
is interested in a mentor,

maybe put it that way
and help facilitate that.

Because also a reason for
the program that we started

is not everybody's an
extrovert and we'll go out

and just ask for a mentor like I did.

I understand, my husband's an introvert,

so I know all about introverts,

but that sometimes they
need to be approached.

And that's also a very
important leadership style.

We should have introverts as
well in leadership positions

and they deserve also to have mentors.

Yeah, I think if the
program director is willing,

definitely reach out.

- Well, thank you for actually getting

at what the core of my question was.

And I think you're very
insightful to really back me up

that it's not just that
orientation meeting,

but that it sounds like this
could actually be a very great

recruitment tool because
I know a lot of us

are very interested in
recruiting successfully

a very diverse community of learners,

because of exactly what
you're saying about

creativity that comes out

and ingenuity and
engagement in the workforce.

- Yeah, I definitely agree.

- If we can turn then to the
broader audience listening here

and Dr. Koleilat, what advice
would you like to share

with the underrepresented
minority student,

trainee learners who are
listening to this podcast?

- Yeah, there's a lot
I would love to share,

but excuse me, I'll keep it concise.

Get involved, that's really
the biggest thing I can say

is we have to be the first
advocates for ourselves.

And although allies
are extremely important

in having other people share
our sentiments and validate

what we're feeling, no
one's gonna fight for you

more than yourself and for your community.

And it can be tiring
and emotionally draining

to constantly have to be
that voice, I understand.

So when you do feel like that, step back,

take a break and then reengage,

but also meet with your
leaders in your division

and in your program.

And you'd be surprised
how many people really

do want to help you with your initiative

and help make change.

So be bold, reach out
to your division chair,

reach out to your department
chair and make it known

that this is a priority,
that this is a necessity.

And until we as a
community view increasing

minority representation
and leadership position

as like a critical,
immediate, urgent need,

nothing's gonna change.

It's really gonna be very slow.

So we need to have this
sense of urgency and a sense

of a motivation to really
try to accomplish this

in the best way possible.

And things even something small,

it doesn't have to be this
huge initiative that takes

years to implement.

Something as small as just
pairing people up from a little

survey that I sent on
Google could be of benefit.

And you won't know until you try.

- Awesome.

We've been rounding with Dr. Koleilat.

Thank you so much for really demonstrating

for our audience your
leadership skills in this area.

And I think hopefully
along with your themes

that you're saying for take
home points, advocate, be bold,

run with this sense of urgency.

I hope that this podcast
really serves as a point

for critical reflection
and sparks some thoughtful

changes at your institutions.

- [Alaa] Yeah.

So thank you so much, Dr. Koleilat.

- Thank you so much for having me.

I really appreciate it.

- To all of our listeners,

thank you for joining us today.

We invite you to share your thoughts

and suggestions via email.

Please direct any suggestions
to mcleducation@mayo.edu

and reference this podcast.

If you enjoy Lab Medicine Rounds podcast,

please subscribe.

Until our next rounds together,

we encourage you to continue
to connect Lab Medicine

and the clinical practice
through insightful conversations.

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