医学领域代表性不足的居民（URiM）：关于流行趋势和改善招募的范围综述。
Underrepresented in medicine (URiM) residents: A scoping review on prevalence trends & improving recruitment.
机构信息
Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9.
Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5.
出版信息
Am J Surg. 2024 Nov;237:115924. doi: 10.1016/j.amjsurg.2024.115924. Epub 2024 Aug 22.
BACKGROUND
Disparities exist in underrepresented in medicine (URiM) resident representation. This review examines recent trends in resident diversity, URiM recruitment strategies, and identifies research gaps in equity, diversity, and inclusion (EDI) for URiM residents.
METHODS
MEDLINE, EMBASE, Web of Science, and ERIC databases were searched for studies published from 2017 to 2022 on URiM resident prevalence and recruitment initiatives.
RESULTS
3634 abstracts were reviewed, and 52 articles were included. 35 (67 %) studies reported on prevalence of URiM residents, demonstrating URiM resident composition is lower than residency applicant demographics, particularly in surgery. Seventeen (33 %) studies reported on URiM recruitment interventions, such as visiting clerkship programs, holistic review, and targeted outreach, and demonstrated success in increasing recruitment of URiM candidates to programs.
CONCLUSIONS
URiM residents remain disproportionately underrepresented, and markedly so among surgical residency programs. Further research should focus on implementing EDI interventions in surgery and assess URiM resident attrition post-matriculation.
背景
医学领域代表性不足的人群（URiM）在住院医师中的代表性存在差异。本综述考察了住院医师多样性的最新趋势、URiM 的招聘策略，并确定了 URiM 住院医师公平、多样性和包容性（EDI）方面的研究空白。
方法
在 MEDLINE、EMBASE、Web of Science 和 ERIC 数据库中搜索了 2017 年至 2022 年发表的关于 URiM 住院医师患病率和招聘计划的研究。
结果
共审查了 3634 篇摘要，纳入了 52 篇文章。35 项（67%）研究报告了 URiM 住院医师的患病率，表明 URiM 住院医师的构成比例低于住院医师申请人的人口统计学特征，特别是在外科。17 项（33%）研究报告了 URiM 招聘干预措施，如访问实习计划、整体审查和有针对性的外展，并表明这些措施在增加 URiM 候选人进入项目方面取得了成功。
结论
URiM 住院医师的代表性仍然严重不足，尤其是在外科住院医师培训项目中。进一步的研究应集中在外科实施 EDI 干预措施，并评估 URiM 住院医师入学后的流失情况。
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