将代表性不足的医学生与骨科手术资源及榜样联系起来：一场虚拟的多元化、公平、包容与无障碍峰会。
Connecting Underrepresented Medical Students to Resources and Role Models in Orthopaedic Surgery: A Virtual Diversity, Equity, Inclusion, and Accessibility Summit.
作者信息
Debopadhaya Shayom, Saker Christopher, van Niekerk Maike, Agarwal Amil R, Zhao Amy, Amin Sheena, Bonaddio Vincenzo, Bracey Lauren, Cho Elizabeth, Czerwonka Natalia, Dawes Alexander, Gu Alex, Hughes Isaiah, Kammire Maria, Phillips Tammy, Ranson Rachel, Stach Christina, Cannada Lisa K, Shea Kevin, Mulcahey Mary K
机构信息
From the Albany Medical College, Albany, NY (Debopadhaya), the Tulane University School of Medicine, New Orleans, LA (Saker), the Stanford University School of Medicine, Palo Alto, CA (van Niekerk), the George Washington University School of Medicine and Health Sciences, Washington, DC (Agarwal), the George Washington University School of Medicine and Health Sciences, Washington, DC (Zhao), the University of Missouri Kansas City, Kansas City, MO (Amin), the Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA (Bonaddio), the George Washington University School of Medicine and Health Sciences, Washington, DC (Bracey), the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL (Cho), the New York Presbyterian/Columbia University, New York, NY (Czerwonka), the Medical College of Wisconsin, Milwaukee, WI (Dawes), the Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC (Gu) Cooper Medical School of Rowan UniversityCamden, NJ (Hughes), the Atrium Health Musculoskeletal Institute, Department of Orthopaedic Surgery, Charlotte, NC (Kammire), the Department of Orthopaedic Surgery, University of Florida College of Medicine, Gainesville, FL (Phillips), the George Washington University Hospital, Washington, DC (Ranson), the Geisel School of Medicine at Dartmouth, Hanover, NH (Stach), the University of North Carolina, Department of Orthopaedics, Novant Health Orthopaedic Fracture Clinic, Chapel Hill, NC (Cannada), the Stanford University School of Medicine, Palo Alto, CA (Shea), and the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL (Mulcahey).
出版信息
J Am Acad Orthop Surg. 2025 May 15;33(10):e572-e582. doi: 10.5435/JAAOS-D-24-00949. Epub 2025 Mar 11.
INTRODUCTION
Limited access to resources and stereotypes about orthopaedic surgeons may contribute to the low percentage of women and people of underrepresented in medicine (URiM) backgrounds in orthopaedic surgery. Several organizations have created resources to address these barriers, but medical students are unlikely to be exposed to the initiatives through traditional curricula. The purpose of this study was to (1) evaluate the ability of a 1-day virtual Diversity, Equity, Inclusion, and Accessibility (DEIA) summit to effectively reach URiM medical students, (2) increase medical students' knowledge of DEIA resources, and (3) augment the perception of diverse backgrounds in orthopaedic surgery.
METHODS
A 1-day nationwide virtual summit was convened in October 2023. The summit invited residents and faculty leaders of diversity-focused orthopaedic organizations to speak with students in panel discussions and topic-focused breakout rooms. Pre- and postsummit surveys were used to determine whether the summit met the three goals.
RESULTS
One hundred ninety-six medical students attended the summit. One hundred seventy-four surveys were received presummit, 106 surveys were received postsummit, and 60 students completed both. Most of the participants were female (n = 109, 63.0%), and many represented URiM backgrounds (n = 70, 41.7%). Postsummit, a notable number of survey respondents increased their knowledge about diversity-related opportunities (3.3% to 40%, P < 0.001). Participants who felt that their identity was welcome in orthopaedics nearly quadrupled from presummit (16.7%) to postsummit (63.3%) ( P < 0.001), and the likelihood of recommending orthopaedic surgery to another medical student from an URiM demographic increased by 58.6% ( P < 0.001). Among the 135 students who did not initially feel that their identity was welcome in the field of orthopaedic surgery, 124 (91.9%) rated changing stereotypes of the field as important to their decision to pursue a career in orthopaedics.
CONCLUSIONS
This study supports the ability for virtual summits to reach URiM students, increase their knowledge of DEIA resources, and augment their perceptions of diversity in orthopaedics.
LEVEL OF EVIDENCE
IV.
引言
资源获取受限以及对骨科医生的刻板印象，可能导致女性和医学领域中代表性不足人群（URiM）背景的人在骨科手术领域所占比例较低。一些组织已创建资源来消除这些障碍，但医学生不太可能通过传统课程接触到这些举措。本研究的目的是：（1）评估为期1天的虚拟多元化、公平、包容与无障碍（DEIA）峰会有效覆盖URiM医学生的能力；（2）增加医学生对DEIA资源的了解；（3）增强对骨科手术领域多元化背景的认知。
方法
2023年10月召开了为期1天的全国性虚拟峰会。该峰会邀请了专注于多元化的骨科组织的住院医师和教员领袖，在小组讨论和主题分组讨论室中与学生交流。峰会前后均进行了调查，以确定峰会是否实现了这三个目标。
结果
196名医学生参加了峰会。峰会前收到174份调查问卷，峰会后收到106份调查问卷，60名学生完成了前后两份问卷。大多数参与者为女性（n = 109，63.0%），许多人具有URiM背景（n = 70，41.7%）。峰会后，相当数量的调查受访者增加了对与多元化相关机会的了解（从3.3%增至40%，P < 0.001）。认为自己的身份在骨科领域受到欢迎的参与者从峰会前的16.7%增至峰会后的63.3%，几乎翻了两番（P < 0.001），并且向另一名来自URiM人群的医学生推荐骨科手术的可能性增加了58.6%（P < 0.001）。在最初认为自己的身份在骨科手术领域不受欢迎的135名学生中，124名（91.9%）认为改变对该领域的刻板印象对他们决定从事骨科职业很重要。
结论
本研究支持虚拟峰会能够覆盖URiM学生、增加他们对DEIA资源的了解并增强他们对骨科领域多元化的认知这一观点。
证据级别
四级
Zotero 插件