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医学领域代表性不足的 MD/PhD 申请人面临的挑战和建议。

Challenges and advice for MD/PhD applicants who are underrepresented in medicine.

机构信息

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.

University of Michigan Medical School, University of Michigan, Ann Arbor, MI 48109.

出版信息

Mol Biol Cell. 2020 Nov 15;31(24):2640-2643. doi: 10.1091/mbc.E20-07-0444.

DOI:10.1091/mbc.E20-07-0444
PMID:33180675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7927183/
Abstract

The importance of diversity is self-evident in medicine and medical research. Not only does diversity result in more impactful scientific work, but diverse teams of researchers and clinicians are necessary to address health disparities and improve the health of underserved communities. MD/PhD programs serve an important role in training physician-scientists, so it is critical to ensure that MD/PhD students represent diverse backgrounds and experiences. Groups who are underrepresented in medicine and the biomedical sciences include individuals from certain racial and ethnic backgrounds, individuals with disabilities, individuals from disadvantaged backgrounds, and women. However, underrepresented students are routinely discouraged from applying to MD/PhD programs due to a range of factors. These factors include the significant cost of applying, which can be prohibitive for many students, the paucity of diverse mentors who share common experiences, as well as applicants' perceptions that there is inadequate support and inclusion from within MD/PhD programs. By providing advice to students who are underrepresented in medicine and describing steps programs can take to recruit and support minority applicants, we hope to encourage more students to consider the MD/PhD career path that will yield a more productive and equitable scientific and medical community.

摘要

多样性在医学和医学研究中至关重要。多样性不仅能产生更有影响力的科学工作,而且还需要多样化的研究人员和临床医生团队来解决健康差距问题并改善服务不足社区的健康状况。医学博士/哲学博士(MD/PhD)项目在培养医师科学家方面发挥着重要作用,因此,确保 MD/PhD 学生具有多样化的背景和经验至关重要。在医学和生物医学科学领域代表性不足的群体包括来自某些种族和族裔背景的人、残疾人士、来自不利背景的人以及女性。然而,由于一系列因素,代表性不足的学生经常被劝阻申请 MD/PhD 项目。这些因素包括申请的高昂费用,这对许多学生来说可能是望尘莫及的,以及缺乏具有共同经验的多样化导师,以及申请人认为 MD/PhD 项目内部缺乏足够的支持和包容。通过向医学领域代表性不足的学生提供建议,并描述项目可以采取哪些措施来招募和支持少数族裔申请人,我们希望鼓励更多的学生考虑 MD/PhD 职业道路,从而产生更富有成效和公平的科学和医学社区。

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本文引用的文献

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Using admission statistics to encourage diverse applicants to MD-PhD programs.利用录取统计数据鼓励多元化的申请人申请医学博士-哲学博士联合培养项目。
J Clin Invest. 2020 Jan 2;130(1):17-19. doi: 10.1172/JCI134941.
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Change in Prevalence of Disabilities and Accommodation Practices Among US Medical Schools, 2016 vs 2019.2016 年与 2019 年美国医学院残疾患病率及适应做法的变化。
JAMA. 2019 Nov 26;322(20):2022-2024. doi: 10.1001/jama.2019.15372.
3
The national MD-PhD program outcomes study: Outcomes variation by sex, race, and ethnicity.全国医学博士-哲学博士项目成果研究:按性别、种族和民族划分的成果差异。
JCI Insight. 2019 Oct 3;4(19):133010. doi: 10.1172/jci.insight.133010.
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The Science and Value of Diversity: Closing the Gaps in Our Understanding of Inclusion and Diversity.多样性的科学与价值:弥合我们对包容和多样性理解的差距。
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The Diversity and Success of Medical School Applicants With Scores in the Middle Third of the MCAT Score Scale.《MCAT 成绩处于中等三分之一区间的医学生申请者的多样性与成功》。
Acad Med. 2020 Mar;95(3):344-350. doi: 10.1097/ACM.0000000000002941.
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Maintaining a Robust Pipeline of Future Physician-Scientists.保持未来医师科学家的强大人才库。
J Infect Dis. 2018 Aug 14;218(suppl_1):S40-S43. doi: 10.1093/infdis/jiy093.
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Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults - United States, 2016.残疾状况和类型对美国成年人残疾和医疗保健获取的影响:2016 年。
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