Duong David K, Samuels Elizabeth A, Boatright Dowin, Wilson Taneisha
Department of Emergency Medicine Highland Hospital Alameda Health System Oakland CA USA.
the Department of Emergency Medicine Alpert Medical School of Brown University Providence RI USA.
AEM Educ Train. 2020 Dec 8;5(3):e10547. doi: 10.1002/aet2.10547. eCollection 2021 Jul.
To improve resident diversity, emergency medicine (EM) residencies across the United States have implemented financial scholarships to attract visiting medical students underrepresented in medicine (URiM). The impact of these scholarships on changes in residency racial and ethnic diversity is currently unknown. In this study, we describe characteristics of these visiting elective scholarships for underrepresented students and evaluate changes in residency racial and ethnic diversity after program implementation.
From 2018 to 2019, we conducted a cross-sectional survey of EM residency programs with a visiting clerkship rotation scholarship for medical students URiM. Programs were identified for study inclusion using the Society for Academic Emergency Medicine's online directory of Visiting Elective Scholarship Programs for Underrepresented Minorities. Program characteristics were analyzed descriptively. Changes in residency racial and ethnic diversity were evaluated using an interrupted time series analysis.
Of 34 programs contacted, 20 responded. While there was some variability in funding sources, scholarship amounts, and application review, most scholarships were similar in implementation practices. Of the 20 program respondents, nine were able to provide complete data on residency race and ethnicity and were included in the time series analysis. After program implementation, the time series analysis showed a significant increase in both underrepresented minority EM residents overall and Black and Latinx EM residents in particular.
Emergency medicine visiting clerkship scholarship programs for medical students URiM vary in funding type and application review but had similar implementation practices. Residency programs increased their racial and ethnic diversity after program implementation. Future investigations are needed to determine specific factors contributing to the successful implementation of scholarship programs.
为了提高住院医师的多样性，美国各地的急诊医学（EM）住院医师培训项目实施了财政奖学金，以吸引医学领域中代表性不足的访问医学生（URiM）。目前尚不清楚这些奖学金对住院医师种族和民族多样性变化的影响。在本研究中，我们描述了这些针对代表性不足学生的访问选修奖学金的特点，并评估了项目实施后住院医师种族和民族多样性的变化。
2018年至2019年，我们对设有针对URiM医学生的访问实习轮转奖学金的EM住院医师培训项目进行了横断面调查。使用学术急诊医学协会的少数族裔访问选修奖学金项目在线目录来确定纳入研究的项目。对项目特征进行描述性分析。使用中断时间序列分析评估住院医师种族和民族多样性的变化。
在联系的34个项目中，20个做出了回应。虽然在资金来源、奖学金金额和申请审核方面存在一些差异，但大多数奖学金在实施做法上相似。在20个项目受访者中，9个能够提供关于住院医师种族和民族的完整数据，并被纳入时间序列分析。项目实施后，时间序列分析显示，总体上代表性不足的少数族裔EM住院医师以及特别是黑人及拉丁裔EM住院医师显著增加。
针对URiM医学生的急诊医学访问实习奖学金项目在资金类型和申请审核方面各不相同，但实施做法相似。项目实施后，住院医师培训项目增加了其种族和民族多样性。需要未来的调查来确定促成奖学金项目成功实施的具体因素。
