Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Division of Nephrology, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada.
JAMA Netw Open. 2023 Jul 3;6(7):e2324194. doi: 10.1001/jamanetworkopen.2023.24194.
Medical schools promote admission pathways as well as diversity and inclusivity to prospective students who are underrepresented in medicine (UIM) primarily via their websites. Research from organizational structures supports the use of instrumental values (which focus on behavior and core beliefs), rather than terminal values (which focus on the end goal), to promote diversity.
To characterize the use of instrumental and terminal values to promote institutional diversity and inclusivity on Canadian medical school websites.
DESIGN, SETTING, AND PARTICIPANTS: This qualitative study analyzed the contents and themes of Canadian medical school websites based on a theoretical value framework and an organizational diversity management framework. A literature review was conducted to explore the use of instrumental and terminal values in promoting diversity and inclusivity, and a codebook was created that outlined the characteristics of these values. The content of all application pathway websites for UIM applicants to all Canadian medical schools was coded between July and August 2022.
Use of terminal vs instrumental values across the UIM-targeted admission websites of medical schools.
Twenty-two websites for 17 Canadian medical schools were included. Content on most of these websites promoted diversity in response to government policies or public accountability and often supported a dominant culture while treating diversity as an exception. The use of terminal rather than instrumental values was also more prominent on websites that targeted Indigenous prospective students compared with Black prospective students and applicants with lower socioeconomic status (11 [50%] websites vs 5 [23%] and 4 [18%] websites). Instrumental values, although seldom used, promoted diversity as a means to improve health care and training for all students in a program.
Results of this qualitative study suggested that medical schools in Canada promoted diversity and inclusivity to prospective students primarily as an end goal rather than as a core value. Medical schools should highlight the benefits of diverse lived experiences and reinforce their commitment to diversity and inclusion by aligning their website content with their ongoing work in this area.
医学院校主要通过其网站向医学专业代表性不足的未来学生（简称 UIM）推广入学途径以及多样性和包容性。组织架构的研究支持使用工具价值观（关注行为和核心信念），而不是最终价值观（关注最终目标）来促进多样性。
描述加拿大医学院校网站中使用工具价值观和最终价值观来促进机构多样性和包容性。
设计、设置和参与者：这项定性研究基于理论价值观框架和组织多样性管理框架，分析了加拿大医学院校网站的内容和主题。进行了文献综述，以探讨在促进多样性和包容性方面使用工具价值观和最终价值观的情况，并创建了一个代码本，概述了这些价值观的特征。2022 年 7 月至 8 月，对所有加拿大医学院校 UIM 申请人的所有入学途径网站的内容进行了编码。
医学院校 UIM 目标入学网站中使用最终价值观与工具价值观的情况。
共纳入 22 个网站，涵盖了 17 所加拿大医学院校。这些网站中的大多数内容都是为了响应政府政策或公众问责制而宣传多样性，而且通常支持主流文化，同时将多样性视为例外。与针对黑人未来学生和社会经济地位较低的申请人的网站相比，针对土著未来学生的网站更倾向于使用最终价值观而非工具价值观（11[50%]网站与 5[23%]和 4[18%]网站）。虽然工具价值观很少被使用，但它们将多样性作为改善所有学生项目中医疗保健和培训的手段来促进多样性。
这项定性研究的结果表明，加拿大的医学院校主要将多样性和包容性推广给未来的学生作为最终目标，而不是核心价值观。医学院校应该通过将网站内容与他们在这一领域的持续工作保持一致，突出多样化生活经历的好处，并强化他们对多样性和包容性的承诺。
