Kandahari Nazineen, Kayhani Nilufar, Moulana Zada Fareha, Chandy Anisha
Department of Otolaryngology-Head and Neck Surgery, University of North Carolina Chapel Hill, Chapel Hill, North Carolina; Afghan Clinic, San Francisco, California.
Afghan Clinic, San Francisco, California; Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
J Surg Educ. 2025 May;82(5):103474. doi: 10.1016/j.jsurg.2025.103474. Epub 2025 Mar 15.
To develop an intervention addressing the unique needs of Afghan premedical students in successfully applying to and preparing for medical school in the U.S.
A year-long virtual mentorship program was developed using the principles of community-based participatory research and cultural humility. Mentees were self-identified Afghan premedical students and Mentors were self-identified Afghan medical students, residents, and attendings. Mentees committed to attending monthly group workshops organized by Mentors, and having individual meetings with their assigned Mentors for a year. A workshop curriculum was developed based on findings from separate focus groups conducted with Mentees and Mentors. Participants completed a survey before and after the year-long program to assess barriers in applying to medical school, confidence, self-efficacy, resilience, and mentorship experience.
The program was organized by Afghan Clinic, a refugee-founded nonprofit organization dedicated to promoting agency among marginalized communities. Program activities were conducted virtually to accommodate participants from across the United States (U.S.).
Afghan undergraduate students or graduates interested in becoming physicians (Mentees), and medical students and physicians who trained in the U.S. (Mentors).
Forty Afghan premedical students and 26 medical students and physicians applied for the first cohort. Thirty-two Mentees (6 male, 26 female) and 26 Mentors (13 male, 13 female) were selected to participate. After a year-long virtual mentorship program created with community input and led by Afghan medical professionals, Afghan premedical students reported positive mentor relationships, effective mentorship, and decreased sense of barriers to getting into medical school.
A community-based mentorship program for Afghan students can be effective in decreasing barriers to careers in medicine. Further exploration of the unique needs of immigrant premedical students, and creation, evaluation, and support of novel programs led by immigrant communities is needed. Our culturally concordant approach to premedical mentorship can be expanded to other immigrant communities in the U.S.
制定一项干预措施,以满足阿富汗医学预科学生在美国成功申请医学院并为医学院学习做准备的独特需求。
利用基于社区的参与性研究原则和文化谦逊理念,制定了一项为期一年的虚拟指导计划。学员为自我认定的阿富汗医学预科学生,导师为自我认定的阿富汗医学生、住院医师和主治医师。学员承诺参加由导师组织的每月小组研讨会,并与指定导师进行为期一年的个人会面。根据与学员和导师分别进行的焦点小组讨论结果,制定了研讨会课程。参与者在为期一年的项目前后完成了一项调查,以评估申请医学院的障碍、信心、自我效能感、恢复力和指导体验。
该项目由阿富汗诊所组织,这是一个由难民创立的非营利组织,致力于在边缘化社区中促进自主性。项目活动以虚拟方式进行,以方便来自美国各地的参与者。
有兴趣成为医生的阿富汗本科生或毕业生(学员),以及在美国接受培训的医学生和医生(导师)。
首批有40名阿富汗医学预科学生以及26名医学生和医生申请参加。32名学员(6名男性,26名女性)和26名导师(13名男性,13名女性)被选中参加。在由社区参与并由阿富汗医学专业人员主导创建的为期一年的虚拟指导计划之后,阿富汗医学预科学生报告称与导师关系良好、指导有效,并且进入医学院的障碍感有所降低。
针对阿富汗学生的基于社区的指导计划可以有效减少医学职业道路上的障碍。需要进一步探索移民医学预科学生的独特需求,并创建、评估和支持由移民社区主导的新项目。我们在医学预科指导方面与文化相契合的方法可以扩展到美国的其他移民社区。