Acad Med. 2023 Dec 1;98(12):1434-1442. doi: 10.1097/ACM.0000000000005443. Epub 2023 Aug 30.
Underrepresented in medicine (UIM) residents experience challenges during training that threaten their sense of belonging in medicine; therefore, residency programs should intentionally implement interventions to promote belonging. This study explored UIM pediatric residents' perspectives on current residency program measures designed to achieve this goal.
The authors conducted a secondary qualitative analysis as part of a national cross-sectional study, PROmoting Med-ed Insight into Supportive Environments (PROMISE), which explored pediatric residents' experiences and perspectives during training in relation to their self-identities. A 23-item web-based survey was distributed through the Association of Pediatric Program Directors Longitudinal Educational Research Assessment Network from October 2020 to January 2021. Participants provided free-text responses to the question "What are current measures that promote a sense of belonging for the UIM community in your training program?" The authors used conventional content analysis to code and identify themes in responses from UIM participants.
Of the 1,748 residents invited to participate, 931 (53%) residents from 29 programs completed the survey, with 167 (18%) identifying as UIM. Of the 167 UIM residents, 74 (44%) residents from 22 programs responded to the free-text question. The authors coded more than 140 unique free-text responses and identified 7 major themes: (1) critical mass of UIM residents; (2) focused recruitment of UIM residents; (3) social support, including opportunities to build community among UIM residents; (4) mentorship; (5) caring and responsive leadership; (6) education on health disparities, diversity, equity, inclusion, and antiracism; and (7) opportunities to serve, including giving back to the local community and near-peer mentorship of UIM premedical and medical students.
This is the first national study to describe UIM pediatric residents' perspectives on interventions that promote a sense of belonging. Programs should consider implementing these interventions to foster inclusion and belonging among UIM trainees.
在医学领域代表性不足的(UIM)住院医师在培训期间会遇到威胁其医学归属感的挑战;因此,住院医师培训计划应有意实施干预措施以促进归属感。本研究探讨了 UIM 儿科住院医师对当前旨在实现这一目标的住院医师培训计划措施的看法。
作为一项全国性横断面研究的一部分,作者进行了二次定性分析,该研究名为 PROmoting Med-ed Insight into Supportive Environments(PROMISE),探讨了儿科住院医师在培训期间与自我认同相关的经历和观点。2020 年 10 月至 2021 年 1 月,通过儿科项目主任协会纵向教育研究评估网络,向 1748 名住院医师在线分发了一份包含 23 个项目的调查。参与者针对“在你的培训计划中,有哪些当前的措施可以促进 UIM 群体的归属感?”这一问题提供了自由文本回复。作者使用常规内容分析对 UIM 参与者回复中的主题进行编码和识别。
在邀请参加的 1748 名住院医师中,有 931 名(53%)来自 29 个项目的住院医师完成了调查,其中 167 名(18%)确定为 UIM。在 167 名 UIM 住院医师中,来自 22 个项目的 74 名(44%)住院医师对自由文本问题做出了回复。作者对 140 多条独特的自由文本回复进行了编码,确定了 7 个主要主题:(1)UIM 住院医师的临界质量;(2)UIM 住院医师的集中招募;(3)社会支持,包括 UIM 住院医师之间建立社区的机会;(4)指导;(5)关怀和响应式领导;(6)卫生差异、多样性、公平、包容和反种族主义教育;以及(7)服务机会,包括回馈当地社区和近邻指导 UIM 医学生和医学预科生。
这是第一项描述 UIM 儿科住院医师对促进归属感的干预措施看法的全国性研究。各项目应考虑实施这些干预措施,以促进 UIM 受训者的包容和归属感。