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性别一致指导在女医学生对手术职业的认知和追求中的作用。

The Role of Gender-Concordant Mentorship in Women Premedical Students' Perception and Pursuit of Surgical Careers.

机构信息

Department of Surgery, Boston University School of Medicine, Boston, Massachusetts.

Department of Surgery, Boston University School of Medicine, Boston, Massachusetts.

出版信息

J Surg Educ. 2023 Aug;80(8):1089-1097. doi: 10.1016/j.jsurg.2023.05.021. Epub 2023 Jun 17.

Abstract

OBJECTIVE

Evaluate the impact of a 6-month structured mentorship program between women premedical student mentees paired with women medical students and surgical residents on mentees' interests and perceptions of surgical careers.

DESIGN

Prospective qualitative and quantitative study.

SETTING

This study took place at the Boston University School of Medicine, a single institution tertiary care hospital.

PARTICIPANTS

Self-identified women premedical students at Boston University were eligible for inclusion in this program (n=90). Participants were recruited and grouped with self-identified women medical student (n=52) and resident (n=19) mentors. Participants were provided with a monthly curriculum to guide discussions. Mentees completed pre- and postprogram surveys with 5-point Likert scale questions regarding interest and exposure to surgery, role models and mentorship, and effect of COVID-19 on their career interests. Pre- and postprogram responses were compared using a Wilcoxon rank sum test.

RESULTS

Of the 90 mentees, 63 (70%) completed preprogram surveys, and 53 (59%) completed postprogram surveys. Survey respondents indicated statistically significant increased exposure to positive role models (preprogram mean 3.15, postprogram mean 4.06, p=0.0003), increased exposure to women role models (preprogram 2.30, postprogram 3.79, p<0.0001), increased access to dedicated mentors (preprogram 2.11, postprogram 3.75, p<0.0001), and increased availability of support persons to answer their questions and concerns about careers in surgery (preprogram 3.03, postprogram 3.85, p=0.001). There was also a statistically significant increase in the reported effect that exposure to gender-concordant role models in surgery had on participants' decisions to consider a surgical career (preprogram 3.58, postprogram 4.23, p=0.001).

CONCLUSION

This 6-month structured mentorship program for undergraduate premedical students increased mentees' exposure to positive women role models and mentors, and increased mentee's interest in pursuing a surgical career. This emphasizes the need for structured gender-concordant mentorship programs early in women's careers to encourage pursuit of surgical careers in an otherwise men-dominated field.

摘要

目的

评估为期 6 个月的医学生导师计划对医学预科女学生的影响,这些学生与女医学生和外科住院医师配对,以了解她们对外科职业的兴趣和看法。

设计

前瞻性定性和定量研究。

地点

本研究在波士顿大学医学院进行,这是一家单一机构的三级保健医院。

参与者

符合条件的波士顿大学医学预科女学生(n=90)被纳入本研究。参与者与自认为是女性医学生(n=52)和住院医师(n=19)导师分组。参与者每月都有一份课程来指导讨论。学生在项目前后完成了调查,调查采用 5 分李克特量表,询问他们对手术的兴趣和接触、榜样和指导,以及 COVID-19 对他们职业兴趣的影响。使用 Wilcoxon 秩和检验比较项目前后的反应。

结果

在 90 名学生中,63 名(70%)完成了项目前调查,53 名(59%)完成了项目后调查。调查对象表示,他们接触到的积极榜样明显增加(项目前平均 3.15,项目后平均 4.06,p=0.0003),接触到的女性榜样增加(项目前 2.30,项目后 3.79,p<0.0001),获得专门导师的机会增加(项目前 2.11,项目后 3.75,p<0.0001),以及回答他们关于外科职业的问题和担忧的支持人员的可用性增加(项目前 3.03,项目后 3.85,p=0.001)。报告中还显示,接触手术中性别一致的榜样对参与者决定考虑外科职业的影响也有统计学意义上的增加(项目前 3.58,项目后 4.23,p=0.001)。

结论

这个为期 6 个月的医学生导师计划增加了医学预科女学生接触积极的女性榜样和导师的机会,增加了学生对从事外科职业的兴趣。这强调了在女性职业生涯早期需要有结构化的性别一致的指导计划,以鼓励她们在一个以男性为主导的领域中追求外科职业。

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