LAUSR

Key Points Question What are the experiences of trainees with respect to discrimination, bias, and inclusion during hematology and oncology fellowship? Findings In this qualitative study of anonymous hotline interviews with 17 fellows, 100% of the fellows reported experiencing or witnessing discriminatory behavior, mostly from patients; a novel theme was alien at home, referring to US citizens from racial or ethnic minority groups treated as other or foreign. Reporting was infrequent due to belief of futility; and diversity of the fellows in the program contributed a sense of inclusion. Meaning These findings suggest that hematology and oncology trainees need better protection from discrimination and processes for reporting witnessing of discrimination.