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针对社会弱势学员的结构化指导与研究早期倡议,以增加临床医生科学家的多样性和包容性。

Early Initiative of Structured Mentoring and Research for Social Disadvantage Trainees to Increase Diversity and Inclusion among Clinician Scientists.

作者信息

Baquerizo Humberto X, Munoz Steven M, Sherman Lauren S, Petryna Andrew, Fitzhugh Valerie, Fraidenraich Diego, Tsiagbe Vincent, De Lorenzo Mariana S, Rameshwar Pranela

机构信息

Rutgers New Jersey Medical School, Newark, NJ, USA.

Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.

出版信息

J Community Med Public Health. 2024;8. doi: 10.29011/2577-2228.100409. Epub 2024 Feb 19.

Abstract

BACKGROUND

There is a significant lag in integrating ethnically diverse healthcare trainees as clinician scientists. Although this gap is acknowledged, it is mostly focused physician scientists with a marked lag in dental scientists and the other healthcare fields such as the physician assistant program. We report on the outcome of three cohorts of underserved and economically disadvantaged trainees from a National Institute of Health Heart and Lung Blood Institute R25 summer training program with participants from four Rutgers Health Science schools.

OBJECTIVE

The goal was to support inclusivity within clinician scientist workforce through career development and education.

METHODS

We tested the hypothesis that early formal training with structured mentoring, research, career development, and didactic lectures will inspire trainees towards careers as clinician scientists. Trainees learned from the integration of research within the four health profession schools. We used a survey to assess how mentorship, research and career/educational development influence trainees' attitude for careers as clinician scientists. Career development included science communication, mentoring, data reproducibility, authorship, ethics in research, and models of healthcare institutional leadership.

RESULTS

80% of the trainees continued their engagement in research with peer-reviewed publications, with confidence to engage in scientific discussion. Trainees developed a sense of belonging and a psychological safety net as they integrate with other groups of academic fields with confidence. Among 29 contacts, 87% responded. Less than 10% of incoming trainees indicated research in their career plans, which changed to >90% after one summer.

CONCLUSIONS

Overall, this training program could serve as a `blueprint' for other programs to enhance careers in research, and to narrow the diversity gap among clinician scientists. Diversity among clinician scientists will enhance healthcare and disparities, and scientific innovation. Success would narrow the diversity gap among clinician scientists.

摘要

背景

在将不同种族的医疗保健学员培养成为临床科学家方面存在显著滞后。尽管人们已经认识到这一差距,但主要关注的是医师科学家,而牙科科学家以及其他医疗保健领域(如医师助理项目)的滞后情况更为明显。我们报告了来自美国国立卫生研究院心肺血液研究所R25夏季培训项目的三组服务不足和经济弱势学员的成果,该项目的参与者来自罗格斯健康科学学院的四所学校。

目的

目标是通过职业发展和教育来支持临床科学家队伍中的包容性。

方法

我们检验了这样一个假设,即通过结构化指导、研究、职业发展和理论讲座进行早期正规培训将激励学员投身临床科学家职业。学员们从四所健康职业学校的研究整合中学习。我们通过一项调查来评估指导、研究以及职业/教育发展如何影响学员对临床科学家职业的态度。职业发展包括科学传播、指导、数据可重复性、作者身份、研究伦理以及医疗保健机构领导模式。

结果

超过80%的学员继续参与有同行评审出版物的研究,并自信地参与科学讨论。学员们在与其他学术领域的群体自信融合的过程中,产生了归属感和心理安全网。在29名联系人中,87%做出了回应。不到10%的入学学员在其职业规划中表明有研究意向,而在一个夏天后这一比例变为超过90%。

结论

总体而言,这个培训项目可以作为其他项目的“蓝图”,以促进研究职业发展,并缩小临床科学家之间的多样性差距。临床科学家的多样性将改善医疗保健状况、减少差异并推动科学创新。成功将缩小临床科学家之间的多样性差距。

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