Department of Pediatrics, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
American Board of Pediatrics, Chapel Hill, NC.
J Pediatr. 2023 Jan;252:162-170. doi: 10.1016/j.jpeds.2022.08.014. Epub 2022 Aug 13.
To examine the associations among pediatric trainees' self-reported race/ethnicity, educational debt, and other factors for pursuing a pediatrics career.
Cross-sectional study using data from the American Board of Pediatrics In-training Examination Post-examination Survey years 2018-2020 of categorical pediatric interns. Independent variable of interest was race/ethnicity. Classifications used were White, Hispanic/Latinx, Black/African American, Asian, and other/multiracial. The primary dependent variable was educational debt; secondary dependent variables included the importance of personal, professional, and financial factors in selecting a pediatric career. Means with 95% CIs were computed to summarize scores regarding a factor's importance. Chi-square tests of homogeneity and one-way ANOVA F tests were used to compare proportions and means of dependent variables across levels of self-reported race/ethnicity.
A total of 11 150 (91.5%) completed the survey. Of the final analytical sample (7 943), approximately 6.3% self-identified as Black/African American, 8.2% as Hispanic/Latinx, 22% as Asian, and 55% as White; 44% reported >$200 000 of debt. Overall, 33% of those identifying as Black/African American had >$300 000 in educational debt. The highest ranked career factor was interest in a specific disease/patient population. The importance of educational debt in career choices was highest among those identifying as Black/African American, followed by Asians and Hispanic/Latinx. Among all races/ethnicities, the importance of mentorship decreased with higher educational debt.
Among individuals pursuing pediatrics, the intersection of race/ethnicity and debt may influence trainees' pursuit of pediatric careers. Educational debt negatively impacts the importance of mentorship.
探讨儿科住院医师自我报告的种族/民族、教育债务和其他职业选择因素之间的关联。
这是一项使用 2018-2020 年美国儿科学会住院医师培训后考试调查年度中儿科住院医师分类数据的横断面研究。感兴趣的自变量是种族/民族。使用的分类包括白种人、西班牙裔/拉丁裔、黑种人/非裔美国人、亚洲人和其他/多种族。主要因变量是教育债务；次要因变量包括个人、专业和财务因素在选择儿科职业中的重要性。使用均值和 95%置信区间来总结与因素重要性相关的得分。采用卡方同质性检验和单向方差分析 F 检验来比较自我报告的种族/民族水平上的依赖变量的比例和均值。
共有 11 150 名（91.5%）完成了调查。在最终分析样本（7 943 名）中，约有 6.3%自认为是黑种人/非裔美国人，8.2%是西班牙裔/拉丁裔，22%是亚洲人，55%是白种人；44%报告有超过$200 000 的债务。总的来说，33%的黑种人/非裔美国人有超过$300 000 的教育债务。在职业因素中，排名最高的是对特定疾病/患者群体的兴趣。在职业选择中，教育债务的重要性在黑种人/非裔美国人中最高，其次是亚洲人和西班牙裔/拉丁裔。在所有种族/民族中，导师的重要性随着教育债务的增加而降低。
在追求儿科医学的人群中，种族/民族和债务的交叉可能会影响住院医师对儿科职业的追求。教育债务对导师的重要性产生负面影响。
