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学生的种族预测了他们的社会学习经历、自我调节焦点和成绩。

Student ethnicity predicts social learning experiences, self-regulatory focus and grades.

机构信息

Institute of Medical Education Research Rotterdam, Erasmus MC, Rotterdam, The Netherlands.

Department of Psychology, Erasmus University Rotterdam, Rotterdam, The Netherlands.

出版信息

Med Educ. 2022 Feb;56(2):211-219. doi: 10.1111/medu.14666. Epub 2021 Oct 11.

Abstract

CONTEXT

Ethnic minority students find that their ethnicity negatively affects the evaluation of their capacities and their feelings in medical school. This study tests whether ethnic minority and majority students differ in their 'self-regulatory focus' in clinical training, that is, their ways to approach goals, due to differences in social learning experiences. Self-regulatory focus consists of a promotion and prevention focus. People who are prone to stereotypes and unfair treatments are more likely to have a prevention focus and conceal certain identity aspects. The objectives of the study are to test whether ethnic minority students, as compared with ethnic majority students, are equally likely to have a promotion focus, but more likely to have a prevention focus in clinical training due to more negative social learning experiences (Hypothesis 1), and whether the relationship between student ethnicity and clinical evaluations can be explained by students' gender, social learning experiences, self-regulatory focus and impression management (Hypothesis 2).

METHODS

Survey and clinical evaluation data of 312 (71.2% female) clerks were collected and grouped into 215 ethnic majority (69.4%) and 95 ethnic minority students (30.6%). Students' social learning experiences were measured as perceptions of unfair treatment, trust in supervisors and social academic fit. Self-regulatory focus (general and work specific) and impression management were also measured. A parallel mediation model (Hypothesis 1) and hierarchical multiple regression analyses were used (Hypothesis 2).

RESULTS

Ethnic minority students had higher perceptions of unfair treatment and lower trust in their supervisors in clinical training. They were more prevention focused in clinical training, but this was not mediated by having more negative social learning experiences. Lower clinical evaluations for ethnic minority students were unexplained. Promotion focus in clinical training and trust in supervisors positively relate to clinical grades.

CONCLUSION

Student ethnicity predicts social learning experiences, self-regulatory focus and grades in clinical training. The hidden curriculum plausibly plays a role here.

摘要

背景

少数民族学生发现,他们的族裔会对他们在医学院的能力评估和感受产生负面影响。本研究旨在测试少数民族和多数族裔学生在临床培训中的“自我调节焦点”(即他们追求目标的方式)是否存在差异,这种差异源于他们社会学习经历的不同。自我调节焦点包括促进焦点和预防焦点。那些容易受到刻板印象和不公平待遇影响的人更有可能具有预防焦点,并隐藏某些身份特征。本研究的目的是测试少数民族学生是否与多数族裔学生一样,更有可能具有促进焦点,但由于更多的负面社会学习经历,他们更有可能具有预防焦点(假设 1),以及学生的性别、社会学习经历、自我调节焦点和印象管理是否可以解释学生种族与临床评估之间的关系(假设 2)。

方法

本研究收集了 312 名(71.2%为女性)实习医生的调查和临床评估数据,并将其分为 215 名多数族裔(69.4%)和 95 名少数民族学生(30.6%)。学生的社会学习经历通过感知不公平待遇、对导师的信任和社会学术适应来衡量。自我调节焦点(一般和工作特定)和印象管理也进行了测量。采用平行中介模型(假设 1)和分层多元回归分析(假设 2)。

结果

少数民族学生在临床培训中感知到更多的不公平待遇,对导师的信任度更低。他们在临床培训中更注重预防,但这并不是由更负面的社会学习经历所介导的。少数民族学生的临床评估较低,原因尚未解释。临床培训中的促进焦点和对导师的信任与临床成绩呈正相关。

结论

学生的种族预测了他们在临床培训中的社会学习经历、自我调节焦点和成绩。隐性课程可能在这里起到了作用。

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Racial/Ethnic Disparities in Clinical Grading in Medical School.医学院临床评分中的种族/民族差异。
Teach Learn Med. 2019 Oct-Dec;31(5):487-496. doi: 10.1080/10401334.2019.1597724. Epub 2019 Apr 29.

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