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学术医学领域中代表性不足的少数族裔:佛罗里达州的情况更好吗?

Underrepresented minorities in academic medicine: is Florida better off?

作者信息

Campbell Kendall M, Rodríguez José E, Beitsch Leslie M, Saunders Charles

机构信息

From the Florida State University College of Medicine, Tallahassee.

出版信息

South Med J. 2014 Mar;107(3):173-6. doi: 10.1097/SMJ.0000000000000073.

Abstract

OBJECTIVES

The state of Florida has experienced challenges recruiting and retaining underrepresented minority faculty in academic medicine, as well as maintaining a population-like balance of minority physicians practicing in the state. We sought to quantify the percentage of practicing minority physicians as compared to the general population of Florida and focus specifically on black, Hispanic, and Asian/Pacific Islander physicians in academic medicine. We hypothesized that because of the diversity of the state, the number of underrepresented minority academic physicians in Florida would be higher than the national average.

METHODS

Data were derived and analyzed from a biennial survey initiated in 2007 that all physicians renewing licenses in Florida are required to complete. Fifty percent of the licensing cohort completes the survey annually. We focused on physician practice demographics and academic employment.

RESULTS

Blacks make up 15.4% of the state population, 6.4% of practicing physicians, but only 3.9% of academic physicians. Hispanics are 22.8% of the state population, 19.2% of practicing physicians, but only 12.5% of academic physicians. Asians are 2.5% of the state population, 14.4% of practicing physicians, and 12.6% of academic physicians. Whites are 58% of the state population, 52% of practicing physicians, and 65% of academic physicians.

CONCLUSIONS

There is disparity in clinical practice and academic medicine for blacks and Hispanics. Despite the diversity of the state, the disparity of blacks in academic medicine in Florida only marginally exceeds the national average. Asians and Hispanics make up the same percentage of academic physicians, but there are 10 times more Hispanics in the state. More research and programming are needed to further define and arrive at solutions to this problem.

摘要

目标

佛罗里达州在招募和留住学术医学领域代表性不足的少数族裔教员方面面临挑战,同时也难以维持该州执业少数族裔医生的人口比例平衡。我们试图量化执业少数族裔医生在佛罗里达州总人口中所占的百分比,并特别关注学术医学领域的黑人、西班牙裔和亚太岛民医生。我们假设,由于该州的多样性,佛罗里达州代表性不足的少数族裔学术医生数量将高于全国平均水平。

方法

数据来自于2007年启动的一项两年一次的调查,所有在佛罗里达州更新执照的医生都必须完成该调查。每年有50%的执照更新人群完成该调查。我们关注医生的执业人口统计学和学术工作情况。

结果

黑人占该州人口的15.4%,执业医生的6.4%,但学术医生中仅占3.9%。西班牙裔占该州人口的22.8%,执业医生的19.2%,但学术医生中仅占12.5%。亚洲人占该州人口的2.5%,执业医生的14.4%,学术医生的12.6%。白人占该州人口的58%,执业医生的52%,学术医生的65%。

结论

黑人和西班牙裔在临床实践和学术医学方面存在差异。尽管该州具有多样性,但佛罗里达州学术医学领域黑人的差异仅略高于全国平均水平。亚洲人和西班牙裔在学术医生中所占比例相同,但该州西班牙裔人数是亚洲人的10倍。需要更多的研究和项目来进一步明确并找到解决这一问题的方法。

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