Department of Surgery, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA
Department of Surgery, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA.
BMJ Open. 2023 Jul 12;13(7):e074118. doi: 10.1136/bmjopen-2023-074118.
Diversity in the physician workforce improves patient-centred outcomes. Patients are more likely to trust in and comply with care when seeing gender/racially concordant providers. A current emphasis on standardised metrics in academic achievement often serves as a barrier to the recruitment and retention of gender and racial minorities in medicine. Holistic review of residency applicants has been supported as a means of encouraging diversification but is not yet standardised. The current body of evidence examining the effects of holistic review on the recruitment of racial and gender minorities in surgical residencies is small. We therefore propose a systematic review to summarise the state of holistic review in graduate medical education in the USA and its impact on diversification.
Our systematic review protocol has been designed with plans to report our review findings in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. PubMed and Embase will be searched with the assistance of a health sciences librarian with expertise in systematic review. We will include studies of graduate medical education programmes that describe the implementation of holistic review, outline the components of their holistic review process and compare proportions of under-represented minorities (URM) and women interviewed and matriculating before and after holistic review implementation. We will first report a summary of the findings regarding the operationalisation of holistic review as described by studies included. We will then pool the percentages of URM and women for interviewee and matriculant populations from each study and report the collective odds ratios of each for holistic review compared with traditional review as our primary outcome.
This study is a protocol for systematic review, and therefore does not involve any human subjects. Findings will be published in the form of a manuscript submitted to a peer-reviewed journal.
CRD42023401389.
医师队伍的多样性可改善以患者为中心的治疗效果。当患者看到性别/种族相符的医护人员时，他们更有可能信任并配合治疗。目前，学术成就的标准化指标强调往往成为医学领域中招募和留住性别和少数族裔人员的障碍。全面审查住院医师申请人已被支持作为促进多样化的一种手段，但尚未标准化。目前，关于全面审查对手术住院医师中种族和性别少数群体招聘的影响的证据有限。因此，我们建议进行系统评价，以总结美国研究生医学教育中全面审查的现状及其对多样化的影响。
我们的系统评价方案是在计划按照系统评价和荟萃分析报告标准的首选报告项目的指导下设计的。将在具有系统评价专业知识的健康科学图书馆员的协助下，在 PubMed 和 Embase 上进行搜索。我们将包括描述全面审查实施情况的研究生医学教育计划的研究，概述其全面审查过程的组成部分，并比较实施全面审查前后接受采访和入学的代表性不足的少数群体（URM）和女性的比例。我们将首先报告有关纳入研究中描述的全面审查实施情况的发现摘要。然后，我们将汇总每个研究中受访者和入学者人群中 URM 和女性的百分比，并报告每个研究中与传统审查相比全面审查的综合优势比作为我们的主要结果。
这项研究是系统评价的方案，因此不涉及任何人类受试者。研究结果将以提交给同行评议期刊的手稿形式发表。
PROSPERO 注册号：CRD42023401389。
