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少数族裔医师助理教员:对导致其保留教员角色的因素的现象学评估

Minority Physician Assistant Faculty: A Phenomenological Assessment of Factors Leading to Retention in the Faculty Role.

作者信息

LeLacheur Susan F, Bester Vanessa, Oxendine Lisa Huggins, Guidry Carolyn Bradley, Ryujin Darin, Samuels Kenya, Maldonado Ana, Bowen Denise, Himmerick Kristine

机构信息

Susan F. LeLacheur, DrPH, PA-C, is an associate professor in the Department of Physician Assistant Studies at the George Washington University School of Medicine and Health Sciences, Washington, DC. Vanessa Bester, MPAS, PA-C, is an assistant professor and associate director at the Augsburg University Physician Assistant Program, Minneapolis, Minnesota. Lisa Huggins Oxendine, DrPH, MAEd, PA-C, is an associate professor of clinical medicine for the Methodist University Physician Assistant Program, Fayetteville, North Carolina. Carolyn Bradley Guidry, MPAS, PA-C, is an associate professor and director of diversity and inclusion in the Department of Physician Assistant Studies at the University of Texas Southwestern Medical Center, Dallas, Texas. Darin Ryujin, MPAS, PA-C, is an associate professor and director of inclusion and diversity for the University of Utah Physician Assistant Program, Salt Lake City, Utah. Kenya Samuels, MPAS, PA-C, is an assistant professor for the University of Texas, School of Health Professions, Physician Assistant Studies Program, Fort Worth, Texas. Ana Maldonado, DHSc, MPH, PA-C, is a professor for the Joint MSPAS/MPH Program at Touro University of California, Vallejo, California. Denise Bowen, MA, PA-C, is an associate professor emerita for the Western Michigan University Physician Assistant Program, Kalamazoo, Michigan. Kristine Himmerick, PhD, PA-C, is an emergency medicine physician assistant for Vituity, Sacramento, California.

出版信息

J Physician Assist Educ. 2019 Jun;30(2):79-85. doi: 10.1097/JPA.0000000000000257.

Abstract

Improving racial and ethnic diversity in the physician assistant (PA) profession is important to providing better care for underserved communities. The recruitment and retention of minority PA faculty is one aspect of helping to attract and retain a more diverse student body. Previous research has indicated that minority status is associated with the increased attrition of PA faculty but has not provided insight into the specific factors involved in the retention or attrition of minority PA faculty. The purpose of this qualitative research study was to describe the experience of minority PA faculty through a critical race theory lens. We used a phenomenological approach using structured interviews of minority PA faculty. Better understanding of the experience of minority PA faculty might lead to improved efforts at recruiting and supporting a more diverse faculty workforce. We conducted 13 interviews of PA faculty representing a variety of underrepresented minorities, geographic regions, types of schools, and stages of their careers. Major themes that emerged across the participants' experiences included opportunities for success in the form of both internal and external support systems and mentorship. As a corollary, barriers to the retention of minority PA faculty including a lack of institutional support, gaps in mentorship, and lack of a solid support network were cited.

摘要

提高医师助理(PA)职业中的种族和民族多样性对于为服务不足的社区提供更好的护理至关重要。招募和留住少数族裔PA教师是帮助吸引和留住更多样化学生群体的一个方面。先前的研究表明,少数族裔身份与PA教师流失率增加有关,但尚未深入了解少数族裔PA教师留任或流失的具体因素。这项定性研究的目的是通过批判种族理论的视角来描述少数族裔PA教师的经历。我们采用现象学方法,对少数族裔PA教师进行结构化访谈。更好地了解少数族裔PA教师的经历可能会促使在招募和支持更多样化教师队伍方面做出改进。我们对代表各种代表性不足的少数族裔、地理区域、学校类型及其职业生涯阶段的PA教师进行了13次访谈。参与者经历中出现的主要主题包括以内部和外部支持系统及指导形式存在的成功机会。作为必然结果,少数族裔PA教师留任的障碍包括缺乏机构支持、指导方面的差距以及缺乏坚实的支持网络。

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