Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Yale University School of Medicine, Hew Haven, Connecticut.
JAMA Netw Open. 2023 Sep 5;6(9):e2333067. doi: 10.1001/jamanetworkopen.2023.33067.
Asian American physicians have experienced a dual pandemic of racism and COVID-19 since 2020; understanding how racism has affected the learning environment of Asian American medical students is necessary to inform strategies to promoting a more inclusive medical school environment and a diverse and inclusive workforce. While prior research has explored the influence of anti-Asian racism on the experiences of Asian American health care workers, to our knowledge there are no studies investigating how racism has impacted the training experiences of Asian American medical students.
To characterize how Asian American medical students have experienced anti-Asian racism in a medical school learning environment.
DESIGN, SETTING, AND PARTICIPANTS: This qualitative study included online video interviews of Asian American medical students performed between July 29, 2021, and August 22, 2022. Eligible participants were recruited through the Asian Pacific American Medical Students Association and snowball sampling, and the sample represented a disaggregated population of Asian Americans and all 4 medical school years.
The medical school experiences of Asian American medical students.
Among 25 participants, Asian ethnicities included 8 Chinese American (32%), 5 Korean American (20%), 5 Indian American (20%), 3 Vietnamese American (12%), 2 Filipino American (8%), and 1 (4%) each Nepalese, Pakistani, and Desi American; 16 (64%) were female. Participants described 5 major themes concerning their experience with discrimination: (1) invisibility as racial aggression (eg, "It took them the whole first year to be able to tell me apart from the other Asian guy"); (2) visibility and racial aggression ("It transitioned from these series of microaggressions that every Asian person felt to actual aggression"); (3) absence of the Asian American experience in medical school ("They're not going to mention Asian Americans at all"); (4) ignored while seeking support ("I don't know what it means to have this part of my identity supported"); and (5) envisioning the future.
In this qualitative study, Asian American medical students reported feeling invisible within medical school while a target of anti-Asian racism. Addressing these unique challenges related to anti-Asian racism is necessary to promote a more inclusive medical school learning environment.
自 2020 年以来，亚裔美国医生经历了种族主义和 COVID-19 的双重大流行；了解种族主义如何影响亚裔美国医学生的学习环境对于制定策略以促进更包容的医学院环境和多元化、包容性的劳动力队伍是必要的。虽然之前的研究已经探讨了反亚裔种族主义对亚裔美国医疗保健工作者经历的影响，但据我们所知，没有研究调查种族主义如何影响亚裔美国医学生的培训经历。
描述亚裔美国医学生在医学院学习环境中经历的反亚裔种族主义。
设计、地点和参与者：这项定性研究包括 2021 年 7 月 29 日至 2022 年 8 月 22 日期间进行的亚裔美国医学生在线视频访谈。通过亚太裔美国医学生协会和滚雪球抽样招募合格参与者，样本代表了亚裔美国人的离散群体和所有 4 年医学院。
亚裔美国医学生的医学院经历。
在 25 名参与者中，亚裔族裔包括 8 名美籍华人（32%）、5 名韩裔美国人（20%）、5 名印度裔美国人（20%）、3 名越南裔美国人（12%）、2 名菲律宾裔美国人（8%）和 1 名（4%）尼泊尔人、巴基斯坦人和 Desi 美国人；16 名（64%）为女性。参与者描述了他们在歧视方面的 5 个主要主题：（1）隐形种族侵略（例如，“他们花了整整第一年的时间才能够把我和另一个亚洲人区分开来”）；（2）可见性和种族侵略（“从每一个亚洲人都感受到的一系列微侵略，转变为实际的侵略”）；（3）医学院没有亚裔美国人的经历（“他们根本不会提到亚裔美国人”）；（4）在寻求支持时被忽视（“我不知道支持我的身份的这一部分意味着什么”）；和（5）展望未来。
在这项定性研究中，亚裔美国医学生报告说，他们在医学院期间感到隐形，同时也是反亚裔种族主义的目标。解决与反亚裔种族主义相关的这些独特挑战对于促进更包容的医学院学习环境是必要的。
