梦想生医学生——作为陷入困境的医学生，他们的经历与心路历程。

Deferred Action for Childhood Arrivals (DACA) medical students - an examination of their journey and experiences as medical students in limbo.

机构信息

Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1133, New York, NY, 10029, USA.

Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.

出版信息

BMC Med Educ. 2021 Jun 28;21(1):358. doi: 10.1186/s12909-021-02787-5.

DOI:10.1186/s12909-021-02787-5

PMID:34182976

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8240215/

Abstract

BACKGROUND

Although the value of DACA medical students has been hypothesized, no data are available on their contribution to US healthcare. While the exact number of DACA recipients in medical school is unknown, DACA medical students are projected to represent an increasing proportion of physicians in the future. The current literature on DACA students has not analyzed the experiences of these students.

METHODS

A mixed-methods study on the career intentions and experiences of DACA medical students was performed utilizing survey data and in-depth interviews. The academic performance of a convenience sample of DACA medical students was compared to that of matriculated medical students from corresponding medical schools, national averages, and first-year residents according to specialty.

RESULTS

Thirty-three DACA medical students completed the survey and five participated in a qualitative interview. The average undergraduate GPA (SD) of the DACA medical student sample was 3.7 (0.3), the same as the national GPA of 2017-2018 matriculated medical students. The most common intended residency programs were Internal Medicine (27.2%), Emergency Medicine (15.2%), and Family Medicine (9.1%). In interviews, DACA students discussed their motivation for pursuing medicine, barriers and facilitators that they faced in attending medical school, their experiences as medical students, and their future plans.

CONCLUSIONS

The intent of this sample to pursue medical specialties in which there is a growing need further exemplifies the unique value of these students. It is vital to protect the status of DACA recipients and realize the contributions that DACA physicians provide to US healthcare.

摘要

背景

尽管人们假设 DACA 医学学生具有价值，但关于他们对美国医疗保健的贡献尚无数据。虽然就读医学院的 DACA 接收者的确切人数未知，但预计未来 DACA 医学生会在医生中占越来越大的比例。目前关于 DACA 学生的文献尚未分析这些学生的经历。

方法

采用调查数据和深入访谈的混合方法研究，对 DACA 医学生的职业意向和经历进行了研究。根据专业，将一个方便样本的 DACA 医学生的学业成绩与相应医学院的入学医学生、全国平均水平和第一年住院医师进行了比较。

结果

33 名 DACA 医学生完成了调查，5 名学生参加了定性访谈。DACA 医学生样本的平均本科 GPA（SD）为 3.7（0.3），与 2017-2018 年入学医学生的全国 GPA 相同。最常见的预期住院医师培训计划是内科（27.2%）、急诊医学（15.2%）和家庭医学（9.1%）。在访谈中，DACA 学生讨论了他们选择医学的动机、在就读医学院时面临的障碍和促进因素、他们作为医学生的经历以及他们的未来计划。