Health
Under Pressure, Psychology Accreditation Board Suspends Diversity Standards
The American Psychological Association, which sets standards for professional training in mental health, has voted to suspend its requirement that postgraduate programs show a commitment to diversity in recruitment and hiring.
The decision comes as accrediting bodies throughout higher education scramble to respond to the executive order signed by President Trump attacking diversity, equity and inclusion policies. It pauses a drive to broaden the profession of psychology, which is disproportionately white and female, at a time of rising distress among young Americans.
The A.P.A. is the chief accrediting body for professional training in psychology, and the only one recognized by the U.S. Department of Education. It provides accreditation to around 1,300 training programs, including doctoral internships and postdoctoral residencies.
Mr. Trump has made accrediting bodies a particular target in his crusade against D.E.I. programs, threatening in one campaign video to “fire the radical Left accreditors that have allowed our colleges to become dominated by Marxist maniacs and lunatics” and “accept applications for new accreditors.”
Department of Justice officials have pressured accrediting bodies in recent weeks, warning the American Bar Association in a letter that it might lose its status unless it repealed diversity mandates. The A.B.A. voted in late February to suspend its diversity and inclusion standard for law schools.
The concession by the A.P.A., a bastion of support for diversity programming, is a particular landmark. The association has made combating racism a central focus of its work in recent years, and in 2021 adopted a resolution apologizing for its role in perpetuating racism by, among other things, promulgating eugenic theories.
Aaron Joyce, the A.P.A.’s senior director of accreditation, said the decision to suspend the diversity requirement was driven by “a large influx of concerns and inquiries” from programs concerned about running afoul of the president’s order.
In many cases, he said, institutions had been instructed by their legal counsels to cease diversity-related activities, and were worried it might imperil their accreditation.
“The Commission does not want to put programs in jeopardy of not existing because of a conflict between institutional guidelines” and accreditation standards, Dr. Joyce said.
He would not describe the tally of the March 13 vote, which followed about three weeks of deliberation. “Nothing about this was an easy decision, and not taken lightly,” he said. “The understanding of individual and cultural diversity is a core facet of the practice of psychology.”
The commission opted to retain another diversity-related standard: Programs must teach trainees to respect cultural and individual differences in order to treat their patients effectively. In reviewing each standard, the commission weighed “what may put programs in a compromised position” against “what is essential to the practice of psychology that simply cannot be changed,” he said.
Kevin Cokley, a professor of psychology at the University of Michigan, said he was “absolutely devastated” to learn of the A.P.A.’s decision on a psychology listserv this week.
“Frankly, I think the decision is really unconscionable, given what we know of the importance of having diverse mental health providers,” Dr. Cokley said. “I don’t know how the A.P.A. can make this sort of decision and think that we are still maintaining the highest standards of training.”
He said he thought the A.P.A. had acted prematurely, and could have waited until it faced a direct challenge from the administration.
“I think that there is always a choice,” he said. “I think this is a classic example of the A.P.A. engaging in anticipatory compliance. They made the move out of fear of what might happen to them.”
According the data from the A.P.A., the psychology work force is disproportionately white. In 2023, more than 78 percent of active psychologists were white, 5.5 percent were Black, 4.4 percent were Asian and 7.8 percent were Latino. (The general population is around 58 percent white, 13.7 percent Black, 6.4 percent Asian and 19.5 percent Latino.)
The demographic breakdown of graduate students in Ph.D. programs, in contrast, is more in line with the country. According to 2022 data from the A.P.A., 54 percent of doctoral students were white, 10 percent were Black, 10 percent were Asian and 11 percent Latino.
John Dovidio, a professor emeritus of psychology at Yale and the author of “Unequal Health: Anti-Black Racism and the Threat to America’s Health,” said the A.P.A.’s focus on diversity in recruiting had played a major part in that change.
“It really is something that departments take very, very seriously,” he said. “I have seen the impact personally.”
A memorandum announcing the decision describes it as an “interim action while awaiting further court guidance” on Mr. Trump’s executive order, which was upheld by a federal court of appeals on March 13. The order, it says, “is currently law while litigation is pending.”
Cynthia Jackson Hammond, the president of the Council for Higher Education Accreditation, which coordinates more than 70 accreditation groups, said it is “unprecedented” for such bodies to receive direct orders from the government.
“The government and higher education have always worked independently, and in good faith with each other,” she said. “Throughout the decades, what we have had is a healthy separation, until now.”
The federal government began taking a role in accreditation after World War II, as veterans flooded into universities under the G.I. Bill. Accrediting bodies are regularly reviewed by the National Advisory Committee on Institutional Quality and Integrity, which advises the Secretary of Education on whether to continue to recognize them.
But government officials have never used this leverage to impose ideological direction on higher education, Ms. Jackson Hammond said. She said diversity in recruitment remains a serious challenge for higher education, which is why the standard is still so commonly used.
“If we think about what our institutions looked like before,” she said, “that might be a barometer of what it’s going to look like if there’s not attention paid.”
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Health
Men may need to work twice as hard as women to prevent potentially deadly disease
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Men may need to exert double the amount of effort as women to fend off heart disease.
That’s according to new research from China that found men need twice as much exercise as women to lower their risk.
The study, published in the journal Nature Cardiovascular Research, analyzed data from more than 85,000 participants in the U.K. Biobank to pinpoint gender differences regarding physical activity and the incidence of coronary heart disease (also known as coronary artery disease).
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Data was pulled from wearable accelerometers, like smartwatches, for a defined period to measure the amount of moderate to vigorous physical activity.
The participants, who did not have coronary heart disease at the start of the study, were monitored for nearly eight years to determine how many developed heart disease and how many died from it.
Men need double the amount of exercise as women to prevent coronary heart disease, research suggests. (iStock)
The average age for the incidence study was about 61 years and 57.3% were women. The mortality study had an average age of about 66 and 30% were women.
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After adjusting for other heart disease risk factors, like BMI (body mass index) and smoking, the researchers found a “notable” difference between men and women.
Specifically, they discovered that women experienced lower risk levels with half the minutes of activity as men.

The association between coronary heart disease risk and physical activity was consistent for both onset of disease and mortality. (iStock)
In terms of developing heart disease, an extra 30 minutes of exercise per week was linked to a 2.9% lower risk in females and a 1.9% lower risk in men.
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Meeting the standard 150 minutes per week of recommended exercise lowered the women’s incidence risk by 22%, while men’s risk was lowered by 17%.
A further extended workout regimen of 300 minutes, or five hours, per week reduced the risk by 21% for females and only 11% for men.
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For about a 30% reduction in coronary heart disease incidence risk, women need about 250 minutes of exercise per week, while men need about 530 minutes, according to the researchers.

For about a 30% reduction in coronary heart disease incidence risk, women need about 250 minutes of exercise per week, while men need about 530 minutes. (iStock)
When it comes to mortality from heart disease, sticking to 150 minutes of exercise per week reduced women’s risk by a whopping 70%, and only lowered men’s risk by 19%.
To reduce coronary heart disease mortality by 30%, women need about 51 minutes of exercise per week and men need about 85 minutes.
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The researchers commented in the study that these findings “underscore the value of sex-specific tailored coronary heart disease prevention strategies using wearable devices, which may help bridge the ‘gender gap’ by motivating females to engage in physical activity.”
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Fox News senior medical analyst Dr. Marc Siegel spoke about the study on “America’s Newsroom” on Tuesday.
“I can tell you, having been married for almost 30 years, that women are better than men. There’s no question about it,” he said. “Physiologically, spiritually, women are superior.”

To reduce coronary heart disease mortality by 30%, women need about 51 minutes of exercise per week and men need about 85 minutes. (iStock)
Siegel noted that men have higher levels of testosterone, which is “bad for cholesterol,” and tend to build up fat “in the wrong places” in the gut, leading to inflammation.
“We smoke more, we drink more, we don’t exercise as much,” Siegel said about men in general. “All of that puts us at risk for heart disease.”
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According to the doctor, women “start to catch up” with increased risk after menopause, although it “takes a long time.”
“With all these risks, [men] need the exercise way more than women do to make up for it,” Siegel added.
Health
Inside the Poisonous Smoke Killing Wildfire Fighters at Young Ages
Across the country, wildfire fighters work for weeks at a time in poisonous smoke.
The government says they are protected.
We tested the air at one fire to find out why they are still dying.
Across the country, wildfire fighters work for weeks at a time in poisonous smoke.
The government says they are protected.
We tested the air at one fire to find out why they are still dying.
It’s July and the Green fire is tearing through Northern California. An elite federal firefighting crew called the La Grande Hotshots has been sent to help. The 24-person crew has been working for days on the front lines, where invisible toxins hide in the thick haze.
More than 1,000 firefighters are on the fire. Several crews, including the La Grande Hotshots, are trying to contain the flames by building a trench of bare earth that will stretch from a road to a river bank. They’re doing this at night, in hopes that the cooler air will tamp down the smoke.
The crew knows that they’re risking their health.
One longtime member died last year after being diagnosed at 40 with brain cancer. A former crew leader is being treated for both leukemia and lymphoma diagnosed in his 40s. Another colleague was recently told that he has the lungs of a lifelong chainsmoker.
Wildfire fighters nationwide are getting sick and dying at young ages, The New York Times has reported. The federal government acknowledges that the job is linked to lung disease, heart damage and more than a dozen kinds of cancer.
But the U.S. Forest Service, which employs thousands of firefighters, has for decades ignored recommendations from its own scientists to monitor the conditions at the fire line and limit shifts when the air becomes unsafe.
To find out how harmful the air gets on an average-size wildfire, Times reporters brought sensors to the Green fire this summer. We tracked levels of some of the most lethal particles in the air, called PM2.5, which are so tiny that they can enter the bloodstream and cause lasting damage.
Readings above 225.5 micrograms per cubic meter are considered hazardous. On the fire line, levels regularly exceeded 500.
The fire began on July 1 after a lightning storm passed over the Shasta-Trinity National Forest.
By July 16, much of the area was shrouded in smoke.
Around 6 p.m., the La Grande Hotshots started their shift and set off toward the fire line.
Capt. Nick Schramm, a crew leader, assumed the air was reasonably safe. He has done this work for nearly two decades, and like most firefighters, he often has coughing fits after long shifts. But he believes that exposure to hazardous air is unavoidable.
“That’s just the harsh truth,” he said later.
As climate change makes fire seasons worse, several states have tried to shield outdoor workers from wildfire smoke, which can contain poisons like arsenic, benzene and lead. California now requires employers to monitor air quality during fires, and to provide breaks and masks when the air turns unhealthy.
But these rules don’t apply on the wildfires themselves, because state agencies and private companies successfully argued that those constraints would get in the way of fighting fires.
Until recently, federal firefighters weren’t even allowed to wear masks on the job. Masks are now provided, but they are still banned during the most arduous work, closest to the fire. The Forest Service says face coverings could cause heatstroke, though wildland firefighters in other countries regularly use masks without this problem.
As crews descended the ridge toward the fire line, the levels of toxic particles nearly doubled.
Firefighters say that during their shifts they worry more about immediate dangers — falling trees, burns, sharp tools — than about smoke exposure. As the La Grande crew hiked down the steep terrain, Lily Barnes, a squad leader, concentrated on keeping her footing.
Back home in the off-season, she sometimes wonders what the smoke is doing to her body, she said in an interview. “Maybe I’ll realize one day I shouldn’t have been doing this work.”
The handbook issued to Forest Service crews has 10 words of guidance for smoke exposure on the fire line: “If needed, rotate resources in and out of smoky areas.” The agency declined to comment for this story, but in the past has told The Times that while exposure cannot be completely eliminated, rotating crews helps limit risk.
In practice, according to interviews with hundreds of firefighters, workers feel as though they are sent into smoke and then forgotten. Over months of reporting, Times journalists never saw a boss pull a crew back because of exposure.
Even experienced supervisors can’t tell exactly how unhealthy the air is just by looking.
Chuy Elguezabal, the La Grande superintendent, says he pulls his crews out of smoke when it becomes impossible for them to work — when they cannot see or breathe, or they are overcome by headaches and coughing fits.
On the Green fire, he said, the smoke seemed like more of an inconvenience, like the 105-degree daytime heat or the poison oak that had given many of the firefighters weeping sores.
Since the 1990s, Forest Service researchers have suggested giving crews wearable air sensors, but the agency hasn’t done it. Other dangerous workplaces, like coal mines, have long been required to monitor airborne hazards.
On the Green fire, The Times used a device that weighs as much as a deck of cards and costs about $200.
Last year, firefighters wore the same devices during a small federal research project to measure their exposure. For hours, those readings stayed at 1,000 — as high as the monitors go — according to Zach Kiehl, a consultant who worked on the project.
Mr. Kiehl said that ideally, crews would be issued monitors to know when to put on masks or pull back from a smoky area. “You can pay now and prevent future cases, or pay out later when a person is losing a husband or a father,” he said.
The firefighters believe that the decision to work at night has paid off: The smoke occasionally got thick, but didn’t seem bad compared with other fires they have worked. They think the exposure was fleeting.
In fact, the monitors show, the air was never safe.
Methodology
To measure particulate concentrations at the Green fire, The Times followed U.S. Forest Service crews and carried two Atmotube PRO sensors. These portable, inexpensive monitors are the same as those the Forest Service has tested in the field.
We consulted with Dr. Aishah Shittu, an environmental health scientist, and Dr. Jim McQuaid, an atmospheric scientist, both from the University of Leeds. They are co-authors of a study showing that Atmotube Pro sensors demonstrated good performance for measuring fine particulate matter concentrations despite being a fraction of the size of reference-grade models. We also developed our approach in consultation with experts from the Interior Department and the Forest Service.
On the Green fire, the sensors recorded minute-by-minute averages of airborne particles that are 2.5 micrometers in diameter or smaller. The Times then matched these readings with timestamps and locations from a satellite-enabled GPS watch.
Generally, the harm associated with PM2.5 levels is calculated based on a 24-hour average. Here, for near-real-time monitoring on the fire line, we followed the guidance of Drs. Shittu and McQuaid by first averaging the readings from the two sensors and then calculating a 15-minute rolling average.
Using those figures, we categorized the health risks of PM2.5 exposure according to standards set by the U.S. Environmental Protection Agency. We used standards meant for the public because there are no federal occupational standards for wildfire smoke exposure.
After averaging, our data had a correlation coefficient of 0.98 and a mean coefficient of variation between the two sensors of 7.5 percent. The E.P.A. recommends that PM2.5 air measurements have a correlation coefficient of at least 0.7 and a mean coefficient of variation less than 30 percent. Our correlation and variance measures gave us confidence that the sensors were largely in agreement.
The 3-D base map in this article uses Google’s Photorealistic 3D Tiles, which draw from the following sources to create the tiles: Google; Airbus; Landsat / Copernicus; Data SIO, NOAA, U.S. Navy, NGA, GEBCO; IBCAO.
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