通过手术服务：临床前研讨会课程对不同指导和对服务不足人群态度的影响的准实验比较研究。

Service through surgery: A quasi-experimental comparison study on the impact of a preclinical seminar course on diverse mentorship and attitudes towards the underserved.

机构信息

Stanford School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.

Stanford School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA; Stanford Surgery ACS Education Institute/Goodman Surgical Education Center, Stanford Department of Surgery, 300 Pasteur Drive, Stanford, CA, 94305, USA.

出版信息

Am J Surg. 2020 Jun;219(6):918-925. doi: 10.1016/j.amjsurg.2019.07.031. Epub 2019 Jul 29.

DOI:10.1016/j.amjsurg.2019.07.031

PMID:31376950

Abstract

BACKGROUND

Increased surgical workforce diversity diminishes health disparities.

METHODS

Researchers recruited and nonrandomly enrolled participants into intervention and comparison groups for a quasi-experimental study of the impact of a seminar course on student exposure to diverse mentorship and service through surgery. All metrics were analyzed with chi-squared and paired t-tests.

RESULTS

109 students participated (34 intervention, 75 comparison). There were significant differences in the percentage of participants that newly met a surgeon of their race (intervention, comparison: 100%, 25%), their race and gender (80%, 21%), their religion (23%, 9%), and who completed health disparities research (90%, 45%, p-value for all <0.05). There was a nonsignificant change in participants' attitudes towards underserved populations in intervention and comparison groups.

CONCLUSIONS

This preclinical surgery seminar course increased exposure of underrepresented students to surgeons from diverse backgrounds and may impact student attitudes towards the underserved. This class represents a replicable model for increasing mentorship.

摘要

背景

增加外科劳动力的多样性可以减少健康差距。

方法

研究人员招募并非随机地将参与者纳入干预组和对照组，进行一项关于研讨会课程对学生通过手术接触多元化指导和服务的影响的准实验研究。所有指标均采用卡方检验和配对 t 检验进行分析。

结果

109 名学生参与（34 名干预组，75 名对照组）。新遇到与自己种族相同的外科医生（干预组，对照组：100%，25%）、与自己种族和性别相同的外科医生（80%，21%）、与自己宗教信仰相同的外科医生（23%，9%）以及完成健康差异研究的外科医生（90%，45%，所有 p 值均<0.05）的参与者比例存在显著差异。干预组和对照组参与者对服务不足人群的态度没有明显变化。