Arizona School of Health Sciences, A.T. Still University, Mesa.
Applied Medicine and Rehabilitation Department, College of Health and Human Services, Indiana State University, Terre Haute.
J Athl Train. 2023 Jan 1;58(1):1-8. doi: 10.4085/1062-6050-0483.21.
Achievement gaps have been well documented in the medical and health professions. Previous researchers have indicated that individuals from underrepresented minority groups consistently fall short of White candidates in performance on standardized credentialing examinations.
To determine the relative risk of failure by ethnicity and first-time and retake pass rates on the Board of Certification (BOC) examination.
Descriptive study.
Professional master's degree athletic training programs.
A total of 3742 unique candidates with 4425 attempts between examination windows 1 of 2011-2012 (April) and 5 of the 2019-2020 (February) cycle of the BOC examination.
MAIN OUTCOME MEASURE(S): Ethnicity as self-selected by the candidates, attempt number, result of each attempt, year, and testing window.
Examination candidates self-identified as White (60.4%, n = 2261/3742), unknown (ie, withheld an ethnicity selection; 10.6%, n = 395/3742), Hispanic (8.6%, n = 320/3742), or African American (8.4%, n = 313/3742). On the first attempt, White candidates passed at a rate of 93.2% (2107/2261), African American candidates at 74.8% (234/313), and Hispanic candidates at 86.9% (278/320; overall first-time pass rate for this subsample = 90.5%, 2619/2894). The relative risk of first-attempt failure was higher for African Americans than for both White (relative risk = 3.706, 95% CI = 2.903, 4.730; P < .001) and Hispanic (relative risk = 1.923, 95% CI = 1.368, 2.703; P > .001) candidates. For Hispanic candidates, the relative risk of first-attempt failure was about 50% lower than for White candidates (relative risk = 0.519, 95% CI = 0.377, 0.715; P < .001).
Achievement gaps existed between White candidates and those from ethnic minority groups in athletic training. Diversification of the athletic training workforce will require ensuring equity in preparation for and success on the BOC examination.
在医学和卫生职业中，成就差距得到了充分的证明。先前的研究表明，代表性不足的少数群体的个体在标准化凭证考试中的表现始终不如白人候选人。
确定族裔、首次和重考通过率与认证委员会（BOC）考试之间的相对风险。
描述性研究。
专业硕士学位的运动训练计划。
共有 3742 名独特的候选人，在 2011-2012 年（4 月）的考试窗口 1 与 2019-2020 年（2 月）BOC 考试周期的 5 个考试窗口之间，共有 4425 次尝试。
候选人自行选择的族裔、尝试次数、每次尝试的结果、年份和考试窗口。
考试候选人自行认定为白人（60.4%，n=2261/3742）、未知（即选择不透露族裔；10.6%，n=395/3742）、西班牙裔（8.6%，n=320/3742）或非裔美国人（8.4%，n=313/3742）。首次尝试时，白人候选人的通过率为 93.2%（2107/2261），非裔美国候选人的通过率为 74.8%（234/313），西班牙裔候选人的通过率为 86.9%（278/320；该子样本的首次尝试总通过率为 90.5%，2619/2894）。非裔美国人首次尝试失败的相对风险高于白人（相对风险=3.706，95%CI=2.903，4.730；P<.001）和西班牙裔（相对风险=1.923，95%CI=1.368，2.703；P>.001）。对于西班牙裔候选人，首次尝试失败的相对风险比白人候选人低约 50%（相对风险=0.519，95%CI=0.377，0.715；P<.001）。
在运动训练中，白人和少数族裔群体之间存在成就差距。运动训练劳动力的多样化将需要确保在准备和成功通过 BOC 考试方面的公平性。
