跨文化军事家庭医学指导：问题定义。

Cross-Cultural Mentorship in Military Family Medicine: Defining the Problem.

机构信息

Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD.

National Capital Consortium Family Medicine Residency Program, A.T. Augusta Military Medical Center, Fort Belvoir, VA.

出版信息

Fam Med. 2023 Oct;55(9):607-611. doi: 10.22454/FamMed.2023.794972. Epub 2023 Jul 24.

DOI:10.22454/FamMed.2023.794972

PMID:37540532

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10622125/

Abstract

BACKGROUND AND OBJECTIVES

Mentorship is critical to physician recruitment, career development, and retention. Many underrepresented in medicine (URiM) physicians experience minority taxes that can undermine their professional objectives. Use of cross-cultural mentoring skills to navigate differences between non-URiM and URiM physicians can make mentorship relationships with URiM physicians more effective. This survey examined military family physician demographics and mentorship practices.

METHODS

Design and Setting: Cross-sectional study using voluntary, anonymous data from the 2021 Uniformed Services Academy of Family Physicians (USAFP) Annual Meeting Omnibus Survey.

STUDY POPULATION

USAFP Members attending 2021 Virtual Annual Meeting.

INTERVENTION

None.

STATISTICAL ANALYSIS

Descriptive statistics and χ2 tests.

RESULTS

The response rate to the omnibus survey was 52.9%, n=258. More than half of respondents did not have a URiM mentee and had not collaborated with a URiM colleague on a scholarly activity within the last 3 years. Only 54.7% of respondents could recognize and address minority taxes. URiM physicians were more likely to have a URiM mentee (65.4% vs 44.4%, P=.042) and to recognize and address minority taxes (84.6% vs 51.3%, P=.001). They also were more confident (84.6% vs 60.3%, P=.015) and more skilled in discussing racism (80.8% vs 58.2%, P=.026).

CONCLUSIONS

Structured programs are needed to improve knowledge and skills to support cross-cultural mentorship. Additional studies are needed to further evaluate and identify implementation strategies.

摘要

背景与目的

导师制对于医生的招聘、职业发展和留用至关重要。许多医学领域的少数族裔（URiM）医生经历着少数族裔税，这可能会破坏他们的职业目标。运用跨文化指导技能来处理非 URiM 和 URiM 医生之间的差异，可以使与 URiM 医生的指导关系更加有效。这项调查研究了军队家庭医生的人口统计学特征和指导实践。

方法

设计和设置：使用 2021 年统一服务学院家庭医生协会（USAFP）年会综合调查的自愿、匿名数据进行横断面研究。

研究人群

参加 2021 年虚拟年会的 USAFP 成员。

干预措施

无。

统计分析

描述性统计和 χ2 检验。

结果

对综合调查的回复率为 52.9%，n=258。超过一半的受访者没有 URiM 指导对象，并且在过去 3 年内没有与 URiM 同事合作开展学术活动。只有 54.7%的受访者能够识别和解决少数族裔税。URiM 医生更有可能有 URiM 指导对象（65.4%比 44.4%，P=.042），并且能够识别和解决少数族裔税（84.6%比 51.3%，P=.001）。他们也更有信心（84.6%比 60.3%，P=.015），并且在讨论种族主义方面更有技巧（80.8%比 58.2%，P=.026）。