Jacobs Benjamin, Kenyon DenYelle Baete, Beard Mark N, Bragg Dawn St A, Yutrzenka Gerald J
University of South Dakota.
TCU and UNTHSC School of Medicine, Fort Worth, Texas.
S D Med. 2021 Sep;74(9):408-412.
American Indians are burdened with a myriad of health disparities. As South Dakota's largest minority population, increasing medical students' experiences with the healthcare of American Indians can play a significant role in helping to alleviate American Indians' health disparities as these future physicians will be better able to predict, detect, and treat the health care needs of this population.
Survey data from 103 medical students at the University of South Dakota Sanford School of Medicine (SSOM) was collected and analyzed. Demographic information and perceived levels of being informed about American Indians and populations on reservations were collected. Furthermore, medical students' insights on how the SSOM can improve its students' educational experiences with American Indian populations were also collected.
Compared to their perceived knowledge of American Indians prior to beginning medical school (26.2 percent), responding medical students believe they became more informed regarding American Indians (61.2 percent) as they progressed through medical school. Fifty-one of the 64 students (80 percent) who answered the open-ended question noted that their medical training would benefit from increased opportunities (including required) with American Indian people, culture, and reservation-based communities.
There is a desire amongst medical students to increase and require more cultural information and clinical experiences with American Indian people and populations on reservations. Future research is needed to obtain medical student feedback on the newly implemented curriculum and elective opportunities.
美国印第安人面临着众多健康差距问题。作为南达科他州最大的少数族裔群体,增加医学生与美国印第安人医疗保健方面的接触经历,对于帮助缓解美国印第安人的健康差距可能会发挥重要作用,因为这些未来的医生将更有能力预测、检测和治疗该群体的医疗保健需求。
收集并分析了南达科他大学桑福德医学院(SSOM)103名医学生的调查数据。收集了人口统计学信息以及对美国印第安人和保留地居民的了解程度。此外,还收集了医学生对SSOM如何改善其学生与美国印第安人群体的教育经历的见解。
与入学前对美国印第安人的认知(26.2%)相比,参与调查的医学生认为随着医学院学习的推进,他们对美国印第安人的了解有所增加(61.2%)。在回答开放式问题的64名学生中,有51名(80%)指出,增加与美国印第安人、其文化以及保留地社区的接触机会(包括必修机会)将使他们的医学培训受益。
医学生希望增加并要求获取更多与美国印第安人及其保留地居民相关的文化信息和临床经验。未来需要开展研究,以获取医学生对新实施课程和选修机会的反馈。