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通过临床模拟为历史上处于边缘地位的潜在受训人员创造参与机会。

Creating opportunities to engage with prospective historically marginalized trainees with clinical simulation.

作者信息

Mmeje Okeoma, Perry Marcia, Andreski Patricia, Haggins Adrianne, Brown David J

机构信息

Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109 USA.

Department of Emergency Medicine, University of Michigan, 1500 E. Medical Center Dr., Ann, Arbor, MI 48109 USA.

出版信息

J Natl Med Assoc. 2023 Apr;115(2):127-133. doi: 10.1016/j.jnma.2023.01.005. Epub 2023 Jan 25.

Abstract

BACKGROUND

Recruiting a diverse group of medical students, house officers, and faculty in medicine is challenging-particularly for predominantly white, midwest institutions that may not be racially or ethnically diverse.

PURPOSE

To evaluate a novel clinical simulation program, SiMfest, for recruiting house officers from historically marginalized populations to our institution to demonstrate our leadership's commitment to high-quality education and recruitment of these students to enhance diversity in academic medicine.

METHODS

The Office for Health Equity and Inclusion, institutional leadership, and clinical department chairs developed a novel and engaging series of clinical simulations, SiMfest, to engage the pipeline of historically marginalized trainees and demonstrate our leadership's commitment to high-quality education. SiMfest is a two-hour simulation session presented annually (2017-2019) by our institution at the Student National Medical Association Annual Medical Education Conference.

RESULTS

Over 800 students participated in SiMfest sessions over three years. Of the 461 participants who completed a survey after participation, 301 identified as female, and 382 indicated a racial category considered as historically marginalized in medicine-91% of whom identified as African American or Black. Thirty percent (n = 125) of respondents identified as pre-medical (e.g., undergraduate, post-baccalaureate) students and 69% (n = 289) identified as current medical students. Over 80% of students would recommend SiMfest to others. Additionally, 73% (n = 87) of pre-medical and 54% (n = 143) of medical students reported exposure to a previously unknown specialty. Thirty-three department representatives reported their SiMfest experience revealed new information about historically marginalized applicants that they may not have engaged with through the traditional application process but would be more likely to engage with in future diversity, equity, and inclusion initiatives.

CONCLUSION

SiMfest harnessed our institution's high-quality training, personnel resources, and diversity, equity, and inclusion values to bring historically marginalized students in medicine and department leadership together to learn about one another and offer experiential learning. SiMfest may serve as a model for other institutions to draw on their strengths to develop innovative recruitment programs that promote the education and engagement of undergraduate and medical students from historically marginalized populations while simultaneously promoting diversity, equity, and inclusion culture change.

摘要

背景

招募多元化的医学生、住院医师和医学教职员工具有挑战性,尤其是对于那些主要为白人的中西部机构而言,这些机构在种族或族裔方面可能缺乏多样性。

目的

评估一项名为SiMfest的新型临床模拟项目,该项目旨在从历史上被边缘化的人群中招募住院医师到我们机构,以展示我们领导层对高质量教育的承诺,并招募这些学生以增强学术医学领域的多样性。

方法

健康公平与包容办公室、机构领导层以及临床科室主任开发了一系列新颖且引人入胜的临床模拟项目SiMfest,以吸引历史上被边缘化的受训人员,并展示我们领导层对高质量教育的承诺。SiMfest是一个为期两小时的模拟课程,我们机构每年(2017 - 2019年)在学生全国医学协会年度医学教育会议上举办。

结果

三年来,超过800名学生参加了SiMfest课程。在参与后完成调查的461名参与者中,301人认定为女性,382人表明其种族类别在医学领域被视为历史上被边缘化的群体,其中91%的人认定为非裔美国人或黑人。30%(n = 125)的受访者认定为医学预科学生(如本科生、本科后学生),69%(n = 289)的受访者认定为在读医学生。超过80%的学生愿意向他人推荐SiMfest。此外,73%(n = 87)的医学预科学生和54%(n = 143)的医学生表示接触到了一个之前未知的专业。33名科室代表报告称,他们的SiMfest经历揭示了有关历史上被边缘化申请人的新信息,这些信息他们可能在传统申请过程中未曾接触到,但在未来的多元化、公平和包容举措中更有可能接触到。

结论

SiMfest利用了我们机构的高质量培训、人力资源以及多元化、公平和包容价值观,将医学领域历史上被边缘化的学生与科室领导层聚集在一起,相互了解并提供体验式学习。SiMfest可以作为其他机构借鉴自身优势来开发创新招募项目的典范,这些项目既能促进历史上被边缘化人群的本科生和医学生的教育与参与,同时又能推动多元化、公平和包容文化的变革。

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