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对由《第七章法案》资助的一项多元化干预措施的评估。

Evaluation of a diversity intervention funded by Title VII.

作者信息

Muma Richard D, Pries Patricia

机构信息

Department of Public Health Sciences, Wichita State University, Wichita, Kansas 67260-0043, USA.

出版信息

J Physician Assist Educ. 2010;21(4):4-17. doi: 10.1097/01367895-201021040-00001.

Abstract

PURPOSE

The purpose of this study was to evaluate an intervention intended to make an impact in heightening the cultural training of health care-focused high school and physician assistant (PA) students, increasing the number of underrepresented minority faculty and preceptors, and increasing the number of minority/disadvantaged applicants and ultimately graduates from the PA program.

METHODS

A parsimonious design was developed to assess program components, including PA student instruction of leading health indicator/career information in low-income high schools; affiliating with a diverse faculty; implementing a PA race-neutral application process; and PA student retention activities.

RESULTS

The ability of the project to strengthen and expand the cultural training of health care students was demonstrated in the number of participants (high school students [n = 549]; PA students [n = 163]) in the diversity intervention. The scores from the leading health indicator and health care career knowledge tests were above average among high school students. The cultural competency evaluation indicated PA student awareness of health disparities before and after the intervention. Thirty-five percent of each PA class received exposure to underrepresented minority clinicians. The underrepresented and disadvantaged applicant pool increased during the grant project. The number of accepted underrepresented minority matriculates was maintained.

CONCLUSIONS

The project was successful in terms of heightening the training of health care students as measured by the number of participants and their performance on surveys. Exposure of PA students to underrepresented minority faculty was limited. The number of underrepresented minorities increased in the applicant pool; however, the number of underrepresented minorities accepted remained constant.

摘要

目的

本研究旨在评估一项干预措施,该措施旨在对加强以医疗保健为重点的高中生和医师助理(PA)学生的文化培训、增加代表性不足的少数族裔教员和带教老师的数量、增加少数族裔/弱势申请人数量以及最终增加PA项目毕业生数量产生影响。

方法

制定了一个简洁的设计方案来评估项目组成部分,包括PA学生在低收入高中讲授主要健康指标/职业信息;与多元化的教员建立联系;实施PA种族中立的申请流程;以及PA学生保留活动。

结果

该项目加强和扩大医疗保健学生文化培训的能力体现在多样性干预的参与者数量上(高中生[n = 549];PA学生[n = 163])。高中生在主要健康指标和医疗保健职业知识测试中的得分高于平均水平。文化能力评估表明PA学生在干预前后对健康差异的认识。每个PA班级有35%的学生接触到代表性不足的少数族裔临床医生。在资助项目期间,代表性不足和弱势申请人库有所增加。被接受的代表性不足的少数族裔录取人数保持不变。

结论

就参与者数量及其在调查中的表现而言,该项目在加强医疗保健学生培训方面取得了成功。PA学生接触代表性不足的少数族裔教员的机会有限。申请人库中代表性不足的少数族裔数量有所增加;然而,被接受的代表性不足的少数族裔数量保持不变。

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