Summit Aleza K, Kirby Destiney, Carvajal Diana N
Montefiore Medical Center, Bronx, NY.
New York Presbyterian Hospital/Columbia University Medical Center, New York, NY.
Fam Med. 2025 Mar;57(3):168-176. doi: 10.22454/FamMed.2024.484479. Epub 2024 Nov 11.
While workforce diversity helps mitigate health inequities, few initiatives support prospective abortion providers who are underrepresented in medicine (URiM). To address this issue, Reproductive Health Education in Family Medicine established the Resident Scholars Program for Workforce Diversity (RSPWD), a year-long program for URiM and other Black, Indigenous, People of Color (BIPOC) residents committed to sexual and reproductive health (SRH) provision. Program elements include: (a) mentorship by BIPOC family physicians; (b) virtual didactic sessions about SRH integration into primary care, advocacy, leadership, reproductive justice, and patient-centered care; (3) conference sponsorship; and (4) community-building among residents and mentors.
We conducted a qualitative study with the program's first cohort of residents and mentors to examine perspectives about program successes and needed improvements. We used a semistructured interview guide along with a direct contact analysis approach.
We interviewed eight scholars and four mentors. From the interviews, we gleaned data on three main themes: (a) value of mentorship, (b) importance of community, and (c) program improvement suggestions. Scholars expressed appreciation for SRH mentorship from BIPOC mentors who had lived experiences similar to their own, noted the mentorship's importance for career-building, and spoke positively of their sense of safe community among all program participants. Respondents shared suggestions for improved scheduling and requested better guidance for navigating the mentee-mentor relationship.
The RSPWD success is reflected in the enthusiasm and gratitude for the program and the resulting mentorship and community that fostered supportive personal and professional relationships, including career opportunities. When considering the importance yet dearth of workforce diversification in family medicine, this program offers a promising model for supporting a more diverse and representative future SRH workforce that may apply to other family medicine clinical niches.
虽然劳动力多元化有助于缓解健康不平等问题，但很少有举措支持医学领域代表性不足的未来堕胎提供者（URiM）。为解决这一问题，家庭医学中的生殖健康教育设立了劳动力多元化住院医师学者项目（RSPWD），这是一个为期一年的项目，面向致力于提供性与生殖健康（SRH）服务的URiM以及其他黑人、原住民、有色人种（BIPOC）住院医师。项目内容包括：（a）由BIPOC家庭医生提供指导；（b）关于将SRH融入初级保健、宣传、领导力、生殖正义和以患者为中心的护理的虚拟教学课程；（3）会议赞助；以及（4）住院医师与导师之间的社区建设。
我们对该项目的首批住院医师和导师进行了定性研究，以考察他们对项目成功之处和改进需求的看法。我们使用了半结构化访谈指南以及直接接触分析方法。
我们采访了八位学者和四位导师。通过访谈，我们收集了关于三个主要主题的数据：（a）指导的价值，（b）社区的重要性，以及（c）项目改进建议。学者们对来自与他们有相似生活经历的BIPOC导师的SRH指导表示赞赏，指出这种指导对职业发展的重要性，并对他们在所有项目参与者中感受到的安全社区氛围给予了积极评价。受访者分享了改进日程安排的建议，并要求在指导关系的建立方面获得更好的指导。
RSPWD的成功体现在对该项目的热情和感激之情，以及由此产生的指导和社区，它们促进了支持性的个人和职业关系，包括职业机会。考虑到家庭医学中劳动力多元化的重要性以及目前的匮乏状况，该项目为支持一个更加多样化和具有代表性的未来SRH劳动力队伍提供了一个有前景的模式，这一模式可能适用于其他家庭医学临床领域。
