Northwestern University Feinberg School of Medicine, Chicago, IL.
Northwestern McGaw Family Medicine Residency at Humboldt Park, Chicago, IL.
Fam Med. 2024 Jan;56(1):24-29. doi: 10.22454/FamMed.2023.919199. Epub 2023 Oct 17.
In 2020, the Association of Family Medicine Residency Directors (AFMRD) Diversity and Health Equity (DHE) Task Force developed and piloted a framework to measure diversity, equity, and inclusion (DEI) initiatives in medical residencies across five domains: curriculum, evaluation, institution, resident pathway, and faculty pathway. The objectives were (1) to measure DEI initiatives across multiple domains in family medicine residencies using the DEI milestones and (2) to obtain current national baseline data providing criteria against which to measure effectiveness of initiatives and create tailored benchmarks.
We developed a cross-sectional survey of 12 quantitative residency characteristic items and the five DEI milestone ratings, and distributed the survey to program directors of family medicine residencies accredited by the Accreditation Council for Graduate Medical Education in the spring of 2022. We generated descriptive statistics, including item frequencies and cross-tabulations, and completed subgroup comparisons with analysis of variance.
We collected aggregate milestone data for 194 family medicine residencies of 588 eligible programs (33% response rate). Respondents represented 48 states and US territories: 107 community-based, university-affiliated; 48 community-based; 34 university-based; and 5 military/other programs. Overall, the curriculum milestone was rated the highest (mean=2.54, SD=1.03), whereas the faculty pathway (mean=1.94, SD=1.04) and resident pathway (mean=2.02, SD=1.06) milestones were rated lowest.
DEI milestone data may support residency programs as they assess their institution's developmental progress across five key domains. Additionally, aggregate data may shed light on collective strengths and areas for improvement.
2020 年，美国家庭医学住院医师主任协会（AFMRD）多样性和健康公平（DHE）工作组制定并试行一个框架，以衡量五个领域的医学住院医师的多样性、公平性和包容性（DEI）举措：课程、评估、机构、住院医师途径和教师途径。目标是（1）使用 DEI 里程碑衡量家庭医学住院医师的多个领域的 DEI 举措，（2）获取当前全国基线数据，为衡量举措的有效性提供标准，并制定量身定制的基准。
我们开发了一项横断面调查，包含 12 个定量住院医师特征项目和五个 DEI 里程碑评分，并于 2022 年春季向经研究生医学教育认证委员会（Accreditation Council for Graduate Medical Education）认证的家庭医学住院医师项目主任分发了该调查。我们生成了描述性统计数据，包括项目频率和交叉表，并使用方差分析完成了亚组比较。
我们收集了 194 个家庭医学住院医师项目的综合里程碑数据，涵盖了 588 个合格项目（33%的响应率）。受访者代表了 48 个州和美国领土：107 个是社区为基础、与大学相关联的；48 个是社区为基础的；34 个是大学为基础的；5 个是军事/其他项目。总体而言，课程里程碑的评分最高（均值=2.54，标准差=1.03），而教师途径（均值=1.94，标准差=1.04）和住院医师途径（均值=2.02，标准差=1.06）的评分最低。
DEI 里程碑数据可能支持住院医师项目评估其机构在五个关键领域的发展进展。此外，汇总数据可以揭示集体优势和改进领域。
