Howe Alice, Orkin Chloe, Apea Vanessa
SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
Tower Hamlets Primary Care Trust, London, UK.
BJGP Open. 2024 Jul 29;8(2). doi: 10.3399/BJGPO.2023.0136. Print 2024 Jul.
General practice has one of the most diverse medical training programmes in terms of sex and ethnic background. However, this diversity of race and ethnicity is not reflected in academic GP careers, with just 17% ( = 81/473) of academic GPs being from racially minoritised groups, according to the Medical Schools Council.
To determine whether GP academic clinical fellow (ACF) trainees from racially minoritised backgrounds are proportionally represented, compared with the non-academic training programme, using the annual GP ACF conference as a proxy.
DESIGN & SETTING: A retrospective analysis of conference programmes from national academic GP training conferences from 2018-2023 and demographic data obtained from Health Education England (HEE).
Using conference programmes and online searches, demographic information on conference speakers was obtained and a freedom of information request was made to HEE for the demographics of GP ACFs for corresponding years. This was compared with demographic data of GP trainees and academics.
On average, there were 40 speakers each year at the conference. White females (average 20.2 speakers each year) were the most well represented group, followed by White males (average 12.5), Asian females (average 3.3), Asian males (average 1.8), Black males (average 0.7), and Black females (average 0.3). HEE data from 2022 revealed that 27 (71.1%) of the 38 (excluding five who did not state their ethnicity) ACFs were White British.
GP academia should be more representative of the non-academic GP training scheme. Work needs to be done to understand and overcome the structural barriers to recruiting from racially minoritised groups.
就性别和种族背景而言，全科医学拥有最多样化的医学培训项目之一。然而，种族和民族的这种多样性在学术全科医生职业中并未得到体现，根据医学院理事会的数据，只有17%（即81/473）的学术全科医生来自少数族裔群体。
以年度全科医学学术临床研究员（ACF）会议为代表，确定与非学术培训项目相比，来自少数族裔背景的全科医学学术临床研究员学员是否得到了相应比例的代表。
对2018 - 2023年全国学术全科医学培训会议的会议议程以及从英国健康教育署（HEE）获取的人口统计数据进行回顾性分析。
利用会议议程和在线搜索获取会议发言者的人口统计信息，并向英国健康教育署提交信息公开申请，以获取相应年份全科医学学术临床研究员的人口统计数据。将其与全科医生学员和学者的人口统计数据进行比较。
该会议平均每年有40位发言者。白人女性（平均每年20.2位发言者）是代表人数最多的群体，其次是白人男性（平均12.5位）、亚洲女性（平均3.3位）、亚洲男性（平均1.8位）、黑人男性（平均0.7位）和黑人女性（平均0.3位）。英国健康教育署2022年的数据显示，在38名（不包括5名未说明种族的人）学术临床研究员中，有27名（71.1%）是英国白人。
全科医学学术界应更能代表非学术性全科医生培训计划。需要开展工作来理解并克服从少数族裔群体招募人员的结构性障碍。
