Kolk Kendall, Joyner Kayla R, Belrhiti Sanaa, Johnson Mark, Morgan Kelsey M W
Shenandoah University Bernard J. Dunn School of Pharmacy, Department of Pharmacy Practice, Winchester, VA, USA.
Shenandoah University Bernard J. Dunn School of Pharmacy, Department of Pharmacy Practice, Winchester, VA, USA; Valley Health Winchester Medical Center, Pharmacy Department, Winchester, VA, USA.
Am J Pharm Educ. 2024 Mar;88(3):100649. doi: 10.1016/j.ajpe.2024.100649. Epub 2024 Jan 10.
The purpose of this study was to investigate if a correlation exists between a student's self-identified race or ethnicity and their rates of participating in the match or matching with a pharmacy residency.
This retrospective cohort study included pharmacy graduates from 2016 through 2021 at two schools/colleges of pharmacy, a Historically Black College or University and a non-Historically Black College or University. The primary outcome was to compare the percentage of underrepresented minority (URM) students and non-URM students who successfully matched with a postgraduate year 1 pharmacy residency. The secondary outcomes compared rates of participation in the match and the effects of student-related factors that influenced match success and participation rates between URM students and non-URM students.
Of the 900 included students, 273 participated in the match. The match rate among students participating in the match was 53.5% (146 of 273) with 50.3% (84 of 167) in the URM group compared to 58.5% (62 of 106) in the non-URM group (P = .186) successfully matching. Rates of match participation were lower for students identified as URM (26% vs 39.3%, P < .001). When adjusting for previously published predictors of match success, URM status did not significantly affect match rates or match participation.
At two schools of pharmacy, URM students were less likely to participate in the match but just as likely to match to an American Society of Health-System Pharmacists residency in the univariable analysis. However, when adjusting for other characteristics, there was no difference in match participation or match success in students who self-identified as URM.
本研究旨在调查学生自我认定的种族或族裔与他们参与药学住院医师匹配的比例之间是否存在关联。
这项回顾性队列研究纳入了2016年至2021年期间两所药学院校（一所历史悠久的黑人学院或大学和一所非历史悠久的黑人学院或大学）的药学专业毕业生。主要结果是比较未被充分代表的少数族裔（URM）学生和非URM学生成功匹配到第一年药学住院医师职位的百分比。次要结果比较了参与匹配的比例以及影响URM学生和非URM学生匹配成功率和参与率的学生相关因素的影响。
在纳入的900名学生中，有273人参与了匹配。参与匹配的学生的匹配率为53.5%（273人中的146人），URM组为50.3%（167人中的84人），而非URM组为58.5%（106人中的62人）（P = 0.186）成功匹配。被认定为URM的学生的匹配参与率较低（26%对39.3%，P < 0.001）。在调整先前公布的匹配成功预测因素后，URM状态并未显著影响匹配率或匹配参与率。
在两所药学院校中，在单变量分析中，URM学生参与匹配的可能性较小，但匹配到美国卫生系统药师协会住院医师职位的可能性相同。然而，在调整其他特征后，自我认定为URM的学生在匹配参与或匹配成功方面没有差异。
