University of Nebraska Medical Center, College of Public Health, United States.
University of Nebraska Medical Center, College of Public Health, United States.
J Natl Med Assoc. 2023 Apr;115(2):101-118. doi: 10.1016/j.jnma.2023.01.007. Epub 2023 Feb 11.
The purpose of our study is to examine the barriers and facilitators for urban African American students interested in pursuing health professions careers in the Midwest. In our analysis of the key informant interviews and focus groups, we identified four barriers (lack of preparation, lack of funding, lack of support/isolation, and perceived discrimination) and three facilitators (early preparation, support/mentorship, funding). We provide recommendations for how to leverage these facilitators and address the barriers to increase the representation of African Americans in the healthcare workforce. Novel future directions for this work should include comprehensive interventions tailored to URM students that span the health professions education pipeline and begin as early as elementary school. Interventions that engage mentors should take place at high school, undergraduate, and graduate health professions school levels.
我们研究的目的是探讨对在中西部地区从事健康职业感兴趣的非裔美国城市学生所面临的障碍和促进因素。在对关键知情人访谈和焦点小组的分析中，我们确定了四个障碍（缺乏准备、缺乏资金、缺乏支持/孤立和感知歧视）和三个促进因素（早期准备、支持/指导、资金）。我们为如何利用这些促进因素和解决障碍以增加非裔美国人在医疗保健劳动力中的代表性提供了建议。这项工作的未来方向应该包括针对 URM 学生的全面干预措施，这些措施应贯穿整个健康职业教育管道，并从小学阶段开始。让导师参与的干预措施应在高中、本科和研究生健康职业学校层面进行。
