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支持医学领域代表性不足群体(UIM)和非 UIM 学员申请皮肤科:一项定性分析。

Supporting Underrepresented in Medicine (UIM) and non-UIM Trainees Applying into Dermatology: A Qualitative Analysis.

出版信息

J Drugs Dermatol. 2021 Jul 1;20(7):795-797. doi: 10.36849/JDD.6043.

DOI:10.36849/JDD.6043
PMID:34231995
Abstract

BACKGROUND

Recently, there have been calls to improve diversity among the dermatology workforce, with emphasis placed on the resident selection process and trainee pipeline. However, there is limited data on the perspectives of dermatology applicants, especially among UIM trainees, and the support that they need and want to successfully apply in dermatology.

METHODS

To assess trainee perspectives, we disseminated a survey to medical students, interns (matched into dermatology), and dermatology residents asking how dermatology residency programs can best support trainees through the dermatology application process. We developed a codebook drawing upon grounded theory methodology, and consensus coded all qualitative responses.

RESULTS

We received 224 qualitative responses from underrepresented in medicine (UIM) (65, 29.0%) and non-UIM trainees (159, 70.9%). UIM trainees were more likely to mention diversity and inclusion initiatives (46.2% vs 3.8%, P<0.001), transparency in program information (40.0% vs 24.5%, P=0.021), holistic review (30.8% vs 6.3%, P<0.001), UIM student outreach/pipeline programs (23.1% vs 0.6%, P<0.001), and mentorship (21.5% vs 8.2%, P=0.009).

CONCLUSION

Improving programmatic efforts to address unique challenges UIM trainees face when applying into dermatology is instrumental to mitigating barriers. We highlight opportunities for dermatology residency programs to create a more fair and equitable dermatology application process and support a more diverse pipeline of future dermatologists. J Drugs Dermatol. 2021;20(7):795-797. doi:10.36849/JDD.6043.

摘要

背景

最近,人们呼吁改善皮肤科劳动力的多样性,重点是住院医师选拔过程和学员管道。然而,关于皮肤科申请人的观点,尤其是少数族裔学员的观点,以及他们在成功申请皮肤科方面需要和希望得到的支持,数据有限。

方法

为了评估学员的观点,我们向医学生、实习医师(已分配到皮肤科)和皮肤科住院医师发放了一份调查,询问皮肤科住院医师培训项目如何通过皮肤科申请流程最好地支持学员。我们根据扎根理论方法制定了一个代码本,并对所有定性回复进行了共识编码。

结果

我们收到了来自少数族裔学员(29.0%,65 人)和非少数族裔学员(70.9%,159 人)的 224 份定性回复。少数族裔学员更有可能提到多样性和包容性举措(46.2%比 3.8%,P<0.001)、项目信息的透明度(40.0%比 24.5%,P=0.021)、全面审查(30.8%比 6.3%,P<0.001)、少数族裔学员学生外展/管道项目(23.1%比 0.6%,P<0.001)和指导(21.5%比 8.2%,P=0.009)。

结论

改善计划努力,以解决少数族裔学员在申请皮肤科时面临的独特挑战,对于缓解障碍至关重要。我们强调了皮肤科住院医师培训项目创造一个更公平、更公平的皮肤科申请流程和支持未来皮肤科医生的更多元化管道的机会。J 皮肤病药物杂志。2021;20(7):795-797。doi:10.36849/JDD.6043.

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