Xirau-Probert Patricia, Lai Tram, Black Erik, Fanfan Dany, Blue Amy, Rush Caronne C, Powers Rachel, Stacciarini Jeanne-Marie R
College of Dentistry, University of Florida Gainesville.
College of Nursing, University of Florida Gainesville.
JAMA Netw Open. 2024 Jan 2;7(1):e2352440. doi: 10.1001/jamanetworkopen.2023.52440.
The number of active health care professionals has not kept pace with the increasing number of minoritized individuals in the US. The Summer Health Professions Education Program (SHPEP) was developed to alleviate this underrepresentation in the health workforce.
To evaluate students' changes in perceived barriers and motivators for entering and succeeding in professional school after SHPEP participation.
DESIGN, SETTING, AND PARTICIPANTS: For this cohort study, anonymous electronic surveys were sent to the 2017 to 2021 SHPEP participants at an academic health center at a large university in the southern US. Participants were first- and second-year undergraduates interested in the health professions and enrolled in the SHPEP. Program participants were invited to complete the study.
An anonymous electronic survey was administered before and immediately after program completion.
The SHPEP Career Barriers Survey (SCBS) is composed of 22 questions on motivators and 20 questions on barriers to entering and succeeding in health professional school. Students responded using a 5-point Likert scale, with 1 indicating strongly disagree and 5 indicating strongly agree. Mixed analysis of variance was used to analyze the program's latent factors.
Of all 402 SHPEP participants (mean [SD] age, 19.32 [0.88] years) from 2017 to 2021, 325 completed the preprogram survey and 259 also completed the postprogram survey. Of the 325 initial participants, 4 identified as American Indian or Alaska Native, Native Hawaiian, or Pacific Islander (1.2%); 12 as Asian (3.7%); 188 as Black (57.8%); 95 as Hispanic or Latino (29.2%); 7 as White (2.2%); and 16 as multiracial (4.9%). Two hundred twelve participants were female (65.2%), and 226 were first-generation college students (69.5%). Results of the SCBS indicate that the SHPEP had a significant small to moderate association on perceived motivators (mean [SD] x̅ = 84.60 [9.67] vs 80.95 [8.93]; P = .001) and decreases in perceived barriers (mean [SD] x̅ = 48.02 [13.20] vs 51.72 [11.39]; P = .008). There was no significant difference in program success between studied years.
In this cohort study, the SHPEP appeared to provide essential support for underrepresented students as measured by improved perceived motivators and reduced perceived barriers to entering professional education. Knowledge from this study can assist educators and health care professionals who wish to implement similar enrichment programs.
美国活跃的医疗保健专业人员数量未能跟上少数族裔人数的增长。夏季健康职业教育计划(SHPEP)旨在缓解医疗劳动力中这种代表性不足的情况。
评估学生在参加SHPEP后,对进入专业学校并取得成功的感知障碍和动力的变化。
设计、地点和参与者:在这项队列研究中,匿名电子调查问卷被发送给美国南部一所大型大学学术健康中心2017年至2021年的SHPEP参与者。参与者为对健康职业感兴趣并参加SHPEP的大一和大二本科生。邀请项目参与者完成该研究。
在项目完成前和完成后立即进行匿名电子调查。
SHPEP职业障碍调查(SCBS)由22个关于动力的问题和20个关于进入健康专业学校并取得成功的障碍的问题组成。学生使用5点李克特量表进行回答,1表示强烈不同意,5表示强烈同意。采用混合方差分析来分析该项目的潜在因素。
在2017年至2021年的所有402名SHPEP参与者(平均[标准差]年龄,19.32[0.88]岁)中,325人完成了项目前调查,259人也完成了项目后调查。在325名初始参与者中,4人被认定为美洲印第安人或阿拉斯加原住民、夏威夷原住民或太平洋岛民(1.2%);12人为亚洲人(3.7%);188人为黑人(57.8%);95人为西班牙裔或拉丁裔(29.2%);7人为白人(2.2%);16人为多种族(4.9%)。212名参与者为女性(65.2%),226人为第一代大学生(69.5%)。SCBS的结果表明,SHPEP在感知动力方面有显著的小到中度关联(平均[标准差]x̅ = 84.60[9.67]对80.95[8.93];P = 0.001),且感知障碍有所减少(平均[标准差]x̅ = 48.02[13.20]对51.72[11.39];P = 0.008)。各研究年份之间项目成功率没有显著差异。
在这项队列研究中,从改善感知动力和降低进入专业教育的感知障碍来衡量,SHPEP似乎为代表性不足的学生提供了重要支持。该研究的知识可以帮助希望实施类似强化项目的教育工作者和医疗保健专业人员。