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找到我的同类:学生身份和易受刻板印象威胁的影响对手术归属感的影响。

Finding my people: Effects of student identity and vulnerability to Stereotype Threat on sense of belonging in surgery.

机构信息

Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.

Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA; Massachusetts General Hospital, Dept of Surgery, 15 Parkman St, Boston, MA, 02114, USA.

出版信息

Am J Surg. 2022 Jul;224(1 Pt B):384-390. doi: 10.1016/j.amjsurg.2022.01.025. Epub 2022 Jan 31.

Abstract

BACKGROUND

Diversity in surgery lags behind the medical student population. We documented first-year medical students' vulnerability to stereotype threat (VST) and its impact on a sense of belonging in surgery.

METHODS

All first-year medical students at a single academic institution were surveyed. Demographics, VST, anticipated clerkship experience, and sense of belonging were assessed.

RESULTS

44% of students were vulnerable to ST in upcoming clerkships, with the majority worried about surgical clerkships. More student from races/ethnicities underrepresented in medicine (URM; 74%) and sexual minorities (62%) were vulnerable than white (30%) and heterosexual (38%) students respectively (p = 0.001 and p = 0.017). Knowing a surgeon with a shared identity would enhance belonging for most students (84%). VST was higher for those who do not anticipate working with (p < 0.001) or do not know a surgeon (p = 0.0001) who shares their identity.

CONCLUSION

VST significantly influences a student's sense of belonging in surgery. More research is needed to promote inclusivity in surgery.

摘要

背景

外科手术中的多样性落后于医学生群体。我们记录了一年级医学生易受刻板印象威胁(VST)的影响,以及这种影响对他们在外科手术中的归属感的影响。

方法

对一所学术机构的所有一年级医学生进行了调查。评估了人口统计学、VST、预期的实习经验和归属感。

结果

44%的学生在即将到来的实习中容易受到 ST 的影响,其中大多数人担心外科实习。来自少数民族(URM;74%)和性少数群体(62%)的学生比白人(30%)和异性恋(38%)学生更容易受到 VST 的影响(p=0.001 和 p=0.017)。大多数学生(84%)认为,如果他们知道有一个与自己有共同身份的外科医生,他们的归属感会增强。那些预计不会与(p<0.001)或不认识一个与自己有共同身份的外科医生(p=0.0001)合作的学生,VST 更高。

结论

VST 对外科手术中学生的归属感有重大影响。需要进一步研究以促进外科手术的包容性。

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