Henry Tracey L, Freeman Christian D, Sheth Anisha, Jenkins Lauren, Olakunle Oreoluwa E, Adeagbo Segun, Sanchez-Medina Mariana C, Alcegueire Kara, Rodríguez Josué
Division of General Medicine, Emory University School of Medicine, Atlanta, GA, USA.
University of California San Francisco, Department of Obstetrics and Gynecology, San Francisco, CA, USA.
Adv Med Educ Pract. 2023 Jul 21;14:803-813. doi: 10.2147/AMEP.S400547. eCollection 2023.
Medicine has yet to increase the representation of historically excluded persons in medicine to reflect the general population. The lack of support and guidance in the medical training of these individuals is a significant contributor to this disparity. The Engage, Mentor, Prepare, Advocate for, Cultivate, and Teach (EMPACT) Mentoring program was created to address this problem by providing support for learners who are historically underrepresented in medicine (URiM) as they progress through medical school.
The EMPACT Pilot Program was formed and conducted during the 2019-2020 academic year. A total of 19 EMPACT mentorship groups were created, each consisting of two mentors and four medical student mentees. Additionally, four professional development workshops were held along with a final Wrap-up and Awards event. Pre and post pilot program surveys along with surveys after each workshop and focus groups were conducted with a random selection of program participants.
When compared to data from before and after the implementation of the EMPACT program, there were statistically significant differences (p < 0.05) in EMPACT mentees reporting they agree or strongly agree they felt ready to handle their clinical rotations (28% to 65%), felt the need to have an advocate (85% to 47%), possessed insight on day-to-day activities of an attending (26% to 56%) and felt a sense of community (79% to 94%). Mentors revealed an increase in their awareness of the concepts of microaggressions and imposter phenomenon. Finally, both groups felt an increase in their support system and sense of community at the school of medicine.
Despite COVID-19 limitations, the EMPACT program met its goals. We effectively supported URiM medical students through mentorship, networking, and community.
医学领域尚未提高历史上被排斥人群在医学中的占比,以反映总人口情况。在这些人的医学培训中缺乏支持和指导是造成这种差距的一个重要因素。“参与、指导、准备、倡导、培养和教导”(EMPACT)指导计划的创建,旨在通过为医学领域历史上代表性不足的学习者(URiM)在医学院学习过程中提供支持来解决这一问题。
EMPACT试点计划于2019 - 2020学年组建并实施。共创建了19个EMPACT指导小组,每个小组由两名导师和四名医学生 mentees组成。此外,还举办了四次职业发展研讨会以及一次最终总结和颁奖活动。在随机挑选的项目参与者中进行了试点计划前后的调查以及每次研讨会后的调查和焦点小组讨论。
与EMPACT计划实施前后的数据相比,EMPACT mentees报告称他们同意或强烈同意自己准备好应对临床轮转(从28%升至65%)、感到需要有倡导者(从85%降至47%)、对主治医生的日常活动有深入了解(从26%升至56%)以及有社区归属感(从79%升至94%),这些方面存在统计学上的显著差异(p < 0.05)。导师们表示对微侵犯和冒名顶替现象概念的认识有所提高。最后,两组都感到在医学院的支持系统和社区归属感有所增强。
尽管受到新冠疫情限制,EMPACT计划仍实现了其目标。我们通过指导、建立人际关系网络和社区有效地支持了URiM医学生。