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.
Am J Surg. 2022 Jul;224(1 Pt B):384-390. doi: 10.1016/j.amjsurg.2022.01.025. Epub 2022 Jan 31.
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.
All first-year medical students at a single academic institution were surveyed. Demographics, VST, anticipated clerkship experience, and sense of belonging were assessed.
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.
VST significantly influences a student's sense of belonging in surgery. More research is needed to promote inclusivity in surgery.
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。
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。
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。
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。
