Cervantes Lilia, Chu Eugene, Nogar Carmella, Burden Marisha, Fischer Stacy, Valtierra Christian, Albert Richard K
Department of Medicine, Denver Health, Denver, Colorado; Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
J Hosp Med. 2014 Sep;9(9):586-9. doi: 10.1002/jhm.2218. Epub 2014 May 30.
Ethnic minorities in the United States have decreased access to healthcare and disproportionately high morbidity and mortality. There has been minimal growth in the number of minority physicians despite their important role in reducing health disparities. Under-represented minority (URM) undergraduate students are 50% less likely to maintain interest in medical careers.
Denver Health and the University of Colorado, Denver enrolled URM students interested in healthcare careers in a year-long, comprehensive program called the Healthcare Interest Program (HIP) that included pairing each student with a hospitalist for mentoring and job shadowing. At the end of the first year of HIP, students were surveyed, and 2 years later they were contacted for follow-up.
Twenty-three students enrolled and all completed the program. Nineteen (83%) completed the survey and all "strongly agreed" that participating in HIP expanded their perceptions of what they might accomplish and increased their confidence in their ability to participate in a healthcare profession. Two-year follow-up was available for 21 students (91%). Twenty (95%) remained committed to a career in healthcare, 18 (86%) had graduated, and 6 (29%) were enrolled in postgraduate healthcare training.
The interest of undergraduate minority prehealth students in healthcare careers may be maintained by participation in a multifaceted, year-long mentoring program such as HIP.
美国的少数族裔获得医疗保健服务的机会减少,发病率和死亡率高得不成比例。尽管少数族裔医生在减少健康差距方面发挥着重要作用,但其数量增长微乎其微。代表性不足的少数族裔(URM)本科学生对医学职业保持兴趣的可能性要低50%。
丹佛健康中心和科罗拉多大学丹佛分校让对医疗保健职业感兴趣的URM学生参加了一个为期一年的综合项目,即医疗保健兴趣项目(HIP),该项目包括为每个学生配对一名住院医师进行指导和跟班实习。在HIP项目第一年结束时,对学生进行了调查,两年后与他们联系进行随访。
23名学生报名参加并全部完成了该项目。19名(83%)学生完成了调查,所有人都“强烈同意”参加HIP项目拓宽了他们对自己可能取得成就的认知,并增强了他们从事医疗保健职业的信心。21名学生(91%)有两年的随访数据。20名(95%)学生仍致力于从事医疗保健职业,18名(86%)已毕业,6名(29%)正在接受研究生医疗保健培训。
本科少数族裔医学预科学生对医疗保健职业的兴趣可能通过参与诸如HIP这样多方面的、为期一年的指导项目得以维持。