Dholakia Jhalak, Lee Yeon Woo, Lu Karen H, Huh Warner K, Yamada S Diane, Fuh Katherine C, Kumar Amanika S, Liang Margaret I, Nair Navya, Kim Kenneth H
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, United States.
Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, MA, United States.
Gynecol Oncol Rep. 2022 Nov 6;44:101097. doi: 10.1016/j.gore.2022.101097. eCollection 2022 Dec.
Anti-Asian violence increased during the COVID-19 pandemic. Asian American/Pacific Islanders (AAPI) represent a diverse population experiencing a long history of stereotyping and exclusionism; however, this group is often left out of diversity/inclusion conversations. In academic medicine, AAPI are under-represented in leadership. We characterized the personal/professional experiences of AAPI gynecologic oncology trainees and assessed the impact of a virtual panel discussion with leaders in the field.
An anonymous survey was disseminated online to trainees in/interested in gynecologic oncology fellowship who identified as AAPI, using modified snowball sampling. A virtual session with AAPI leaders in gynecologic oncology discussed themes emerging from survey responses. Session attendees completed an anonymous follow-up survey. Results were assessed quantitatively and qualitatively.
44/59 (75%) respondents participated in the pre-survey; 23 (39%) participated in the virtual session. All session participants (23/23, 100%) completed the post-session survey. Participants reported increased identity-related thoughts with the COVID-19 pandemic (88% during, 61% prior). Sixty-eight percent reported that identity-related thoughts/awareness changed during the pandemic. Presence of AAPI colleagues was associated with higher perceived identity-related support from their department. Of those without AAPI coworkers, none (0%) felt 'moderately' or 'extremely well supported.' Qualitative analysis demonstrated that the panel discussion created a sense of community and encouragement, combating previously reported isolation and self-consciousness. Participants reported more connection with their heritage and identified more personal/professional topics that might be related to their cultural backgrounds.
This intervention demonstrates the opportunity to provide a supportive network for mentorship and professional development in a culturally inclusive way.
在新冠疫情期间，反亚裔暴力事件有所增加。亚裔美国人/太平洋岛民（AAPI）是一个多元化的群体，长期以来一直遭受刻板印象和排外主义；然而，这个群体在多元化/包容性对话中常常被忽视。在学术医学领域，AAPI在领导层中的代表性不足。我们描述了AAPI妇科肿瘤学培训学员的个人/职业经历，并评估了与该领域领导者进行的虚拟小组讨论的影响。
使用改良的滚雪球抽样法，在线向认定为AAPI的妇科肿瘤学研究员培训学员或对其感兴趣的学员发放匿名调查问卷。与AAPI妇科肿瘤学领导者举行了一次虚拟会议，讨论了调查回复中出现的主题。会议参与者完成了一份匿名的后续调查问卷。对结果进行了定量和定性评估。
59名受访者中有44名（75%）参与了预调查；23名（39%）参与了虚拟会议。所有会议参与者（23/23，100%）完成了会后调查。参与者报告称，新冠疫情期间与身份认同相关的想法有所增加（疫情期间为88%，之前为61%）。68%的人报告称，在疫情期间与身份认同相关的想法/意识发生了变化。有AAPI同事的人感觉从所在部门获得了更高的身份认同相关支持。在没有AAPI同事的人中，没有人（0%）感到“得到适度”或“非常好的支持”。定性分析表明，小组讨论营造了一种社区感和鼓励氛围，消除了之前报告的孤立感和自我意识。参与者报告称与自己的传统有了更多联系，并确定了更多可能与他们文化背景相关的个人/职业话题。
本次干预表明，有机会以文化包容的方式提供一个支持性的网络，以促进指导和职业发展。
