Boatright Dowin, Ross David, O'Connor Patrick, Moore Edward, Nunez-Smith Marcella
Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut2Fellow, Robert Wood Johnson Clincal Scholars Program, Veterans Affairs Scholar.
Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
JAMA Intern Med. 2017 May 1;177(5):659-665. doi: 10.1001/jamainternmed.2016.9623.
Previous studies have found racial and ethnic inequities in the receipt of academic awards, such as promotions and National Institutes of Health research funding, among academic medical center faculty. Few data exist about similar racial/ethnic disparities at the level of undergraduate medical education.
To examine the association between medical student race/ethnicity and induction into the Alpha Omega Alpha (AΩA) honor society.
DESIGN, SETTING, AND PARTICIPANTS: This study analyzed data from the Electronic Residency Application Service, the official service used by US medical students to apply to residency programs. A total of 4655 US medical students from 123 allopathic US medical schools who applied to 12 distinct residency programs associated with one academic health center in the 2014 to 2015 academic year were studied.
Membership in the AΩA society among black, white, Hispanic, and Asian medical students.
A total of 4655 unique applications were analyzed in the study (median age, 26 years; 2133 women [45.8%]). Overall, self-reported race/ethnicity in our sample was 2605 (56.0%) white (691 [71.5%] of AΩA applicants were white), 276 (5.9%) black (7 [0.7%] AΩA), 186 (4.0%) Hispanic (27 [2.8%] AΩA), and 1170 (25.1%) Asian (168 [17.4%] AΩA). After controlling for US Medical Licensing Examination Step 1 scores, research productivity, community service, leadership activity, and Gold Humanism membership, the study found that black (adjusted odds ratio [aOR], 0.16; 95% CI, 0.07-0.37) and Asian (aOR, 0.52; 95% CI, 0.42-0.65) medical students remained less likely to be AΩA members than white medical students. No statistically significant difference was found in AΩA membership between white and Hispanic medical students (aOR, 0.79; 99% CI, 0.45-1.37) in the adjusted model.
Black and Asian medical students were less likely than their white counterparts to be members of AΩA, which may reflect bias in selection. In turn, AΩA membership selection may affect future opportunities for minority medical students.
以往研究发现，在学术医疗中心教职人员中，在获得学术奖励（如晋升和美国国立卫生研究院研究经费）方面存在种族和民族不平等现象。关于本科医学教育层面类似的种族/民族差异的数据很少。
研究医学生的种族/民族与入选阿尔法欧米伽阿尔法（AΩA）荣誉学会之间的关联。
设计、背景和参与者：本研究分析了电子住院医师申请服务的数据，这是美国医学生申请住院医师项目所使用的官方服务。对2014至2015学年申请与一个学术健康中心相关的12个不同住院医师项目的123所美国opathic医学院的4655名医学生进行了研究。
黑人、白人、西班牙裔和亚裔医学生在AΩA学会的会员资格。
本研究共分析了4655份独特的申请（中位年龄26岁；2133名女性[45.8%]）。总体而言，我们样本中的自我报告种族/民族为2605人（56.0%）为白人（AΩA申请者中的691人[71.5%]为白人），276人（5.9%）为黑人（7人[0.7%]为AΩA会员），186人（4.0%）为西班牙裔（27人[2.8%]为AΩA会员），1170人（25.1%）为亚裔（168人[17.4%]为AΩA会员）。在控制了美国医师执照考试第一步成绩、研究生产力、社区服务、领导活动和金人道主义会员资格后，研究发现黑人（调整后的优势比[aOR]，0.16；95%可信区间，0.07 - 0.37）和亚裔（aOR，0.52；95%可信区间，0.42 - 0.65）医学生成为AΩA会员可能性仍低于白人医学生。在调整模型中，白人和西班牙裔医学生在AΩA会员资格方面未发现统计学上的显著差异（aOR，0.79；99%可信区间，0.45 - 1.37）。
黑人与亚裔医学生成为AΩA会员的可能性低于白人医学生，这可能反映了选拔中的偏见。反过来，AΩA会员资格选拔可能会影响少数族裔医学生未来的机会。
