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英国扩大参与度的医学生与其非扩大参与度的同龄人相比所面临挑战的定量分析。

Quantitative Analysis of Challenges Encountered by UK Widening Participation Medical Students in Comparison With Their Non-Widening Participation Peers.

作者信息

Ravulapalli Krishna Chaitanya, Arroyave Caicedo Nicolle M, Zahra Daniel, Mirza Mahrukh

机构信息

Newcastle University, Newcastle upon Tyne, UK.

University College London, London, UK.

出版信息

J Med Educ Curric Dev. 2024 May 26;11:23821205241249012. doi: 10.1177/23821205241249012. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVES

Few studies have captured the experiences of widening participation (WP) medical students, and none have compared their experiences to their non-WP peers. This study aims to identify which challenges WP students are more likely to face.

METHODS

A 22-item questionnaire was distributed to medical students across all UK medical schools. Students were asked yes or no questions on whether they faced challenges in finances, socializing, physical and mental health, academic attainment, and COVID19-related teaching changes.

RESULTS

One-hundred seventy-six medical students from all year groups across the UK responded, with 97 students from a WP background. WP students were significantly more likely to have their personal background impacting their mental health (OR = 2.65, WP  =  0.002), more than twice as likely to feel that their job impacted their studies (OR = 2.53,  ≤.05), more likely to feel limited by their financial situation (OR = 2.29, ≤.05) and to receive support from student finance (OR = 2.08,  < .05).

CONCLUSION

WP students were more likely to face challenges in mental health and finances in medical school compared to their peers. These findings, further informed by qualitative insights can aid in advancing equity in medical training.

摘要

目标

很少有研究记录拓宽参与度(WP)的医学生的经历,而且没有一项研究将他们的经历与非WP的同龄人进行比较。本研究旨在确定WP学生更可能面临哪些挑战。

方法

向英国所有医学院的医学生发放了一份包含22个条目的问卷。学生们被问及关于他们在财务、社交、身心健康、学业成绩以及与新冠疫情相关的教学变化方面是否面临挑战的是或否问题。

结果

来自英国各年级的176名医学生做出了回应,其中97名学生有WP背景。WP学生的个人背景对其心理健康产生影响的可能性显著更高(比值比[OR]=2.65,P=0.002),感觉工作对学习产生影响的可能性是其两倍多(OR=2.53,P≤0.05),感觉受到财务状况限制以及获得学生资助支持的可能性更高(OR分别为2.29,P≤0.05;OR为2.08,P<0.05)。

结论

与同龄人相比,WP学生在医学院更可能面临心理健康和财务方面的挑战。这些发现,再结合定性见解,有助于推动医学培训的公平性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3435/11131392/c10a3f626f40/10.1177_23821205241249012-fig1.jpg

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