Department of Public Health, University of Copenhagen, Oester Farimagsgade 5A, Copenhagen, DK- 1353, Denmark.
Center for Health Research, Rigshospitalet, Ryesgade 27, Copenhagen, DK-2200, Denmark.
BMC Med Educ. 2024 Nov 26;24(1):1366. doi: 10.1186/s12909-024-06371-5.
Migrant and ethnic minority populations in Europe are growing, leading to a demand for health systems and health educations to accommodate the growing diversity. Research indicates that health professionals feel inadequately prepared to care for diverse populations, and medical education has gaps in addressing these issues. The aim of the study is to explore whether Danish medical students and newly graduated physicians feel prepared to meet the needs of the increasingly diverse populations.
An online survey was emailed to students in the four medical Master's programs in Denmark and to newly graduated physicians in clinical internships. Data was collected spring 2023. Descriptive statistics reported overall numbers, and multivariate logistic regression was used to model the association between survey answers and the background variables: semester, gender/sex, parent's education, self-identified ethnicity.
Many medical students and newly graduated physicians feel unprepared to care for patients of backgrounds different from their own. For all items women reported feeling more unprepared than men. Among the medical students and newly graduated physicians with enough clinical experience to answer the question, 34.2% reported feeling helpless at times or often in the past year when treating culturally different patients. Men were less likely than women to report feeling helpless (OR = 0.42; 95% CI 0.28 to 0.64); and self-identified ethnic minorities were 2.59 times more likely than Danish/European medical students and newly graduated physicians to report feeling helpless (95% CI 1.32-5.07).
Our findings indicate shortcomings in medical students and newly graduated physicians feeling of preparedness to provide care to patients of backgrounds different from their own. These findings can assist medical education management with identifying curriculum gaps.
欧洲的移民和少数族裔人口不断增加，这导致人们对医疗系统和健康教育提出了更多的需求，以适应日益多样化的人群。研究表明，医疗专业人员觉得自己没有充分准备好为多样化的人群提供护理，而医学教育在解决这些问题方面存在差距。本研究旨在探讨丹麦医学生和刚毕业的医生是否觉得自己有能力满足日益多样化人群的需求。
我们向丹麦四个医学硕士项目的学生以及正在接受临床实习培训的新毕业医生发送了在线调查。数据于 2023 年春季收集。描述性统计数据报告了总体数量，多变量逻辑回归用于分析调查回答与背景变量（学期、性别/性别、父母的教育程度、自我认同的种族）之间的关联。
许多医学生和刚毕业的医生觉得自己没有准备好照顾与自己背景不同的患者。在所有项目中，女性报告的准备不足程度都高于男性。在有足够临床经验回答这个问题的医学生和刚毕业的医生中，34.2%的人在过去一年中治疗文化背景不同的患者时感到无助。男性比女性更不可能感到无助（OR=0.42；95% CI 0.28 至 0.64）；与丹麦/欧洲医学生和刚毕业的医生相比，自我认同为少数民族的医生更有可能感到无助（95% CI 1.32 至 5.07）。
我们的研究结果表明，医学生和刚毕业的医生在为背景不同的患者提供护理方面感到准备不足。这些发现可以帮助医学教育管理部门发现课程差距。
