Gendreau Julian L, Bauman Megan M J, Brown Nolan J, Alfonzo Horowitz Melanie, Chakravarti Sachiv, Mehkri Yusuf, Grovey Brittany, Lee Eric, Lee Gemayel, Cornidez Eric, Bhandal Harjot S, Pope Jason E
Whiting School of Engineering, Johns Hopkins, Baltimore, MD, USA.
School of Medicine, Mayo Clinic, Phoenix, AZ, USA.
J Pain Res. 2025 May 27;18:2739-2750. doi: 10.2147/JPR.S512263. eCollection 2025.
Recently, increasing research has shown inferior outcomes in patients with respect to specific social determinants of health. Therefore, optimizing diversity training given to pain management providers is imperative for physicians to provide culturally competent healthcare and to improve patient outcomes. In this paper, we attempt to describe trends in the Pacific Spine and Pain Society (PSPS) membership to help discover optimal diversity education paradigms for pain management providers by performing a survey on behalf PSPS.
A survey was disseminated to all members of the PSPS at the 2022 annual meeting. Opinions were solicited with respect to respondents' demographics, diversity training type, diversity training timing, and how this correlates with a respondent's self-reported confidence in navigating diversity issues in the workplace. Cronbach's alpha test was used to rate internal consistency while logistic regression models were used for statistical analysis.
Cronbach's alpha produced a rating of 0.91. A total of 164 individuals responded to the survey, with 115 (70%) being male and 98 (60%) did not consider themselves to be under-represented in medicine. Survey respondents who obtained diversity training post-fellowship (p = 0.004) and with interactive training type (p = 0.010) self-reported to be more confident in handling matters of diversity in the workplace. Respondents who were underrepresented (p = 0.018), females (p = 0.033), practice in the west coast (p = 0.036), academic practice (p=0.031), and non-rural areas (p = 0.033) were also found to be more confident in handling matters of diversity.
Practitioners who received diversity training post-fellowship and with interactive and role model formats felt most confident to handle matters of diversity. Underrepresented groups, females, individuals from non-rural practices and individuals from academic practices appear to feel more confident in handling these issues.
最近，越来越多的研究表明，在特定的健康社会决定因素方面，患者的治疗结果较差。因此，优化针对疼痛管理提供者的多元化培训，对于医生提供具有文化胜任力的医疗服务并改善患者治疗结果而言至关重要。在本文中，我们试图描述太平洋脊柱与疼痛协会（PSPS）成员的趋势，通过代表PSPS进行一项调查，以帮助发现针对疼痛管理提供者的最佳多元化教育模式。
在2022年年会期间，向PSPS的所有成员发放了一份调查问卷。征求了受访者关于其人口统计学特征、多元化培训类型、多元化培训时间，以及这与受访者自我报告的在工作场所应对多元化问题的信心之间的关系的意见。使用克朗巴哈系数检验来评估内部一致性，同时使用逻辑回归模型进行统计分析。
克朗巴哈系数评分为0.91。共有164人回复了调查问卷，其中115人（70%）为男性，98人（60%）认为自己在医学领域中未被边缘化。接受过 fellowship 后多元化培训（p = 0.004）和互动式培训类型（p = 0.010）的调查受访者自我报告称，在工作场所处理多元化事务时更有信心。还发现，那些被边缘化的群体（p = 0.018）、女性（p = 0.033）、在西海岸执业的人员（p = 0.036）、学术机构从业者（p = 0.031）以及非农村地区的人员（p = 0.033）在处理多元化事务时也更有信心。
接受过 fellowship 后多元化培训且培训形式为互动式和榜样式的从业者，在处理多元化事务时最有信心。未被充分代表的群体、女性、非农村地区的从业者以及学术机构的从业者，在处理这些问题时似乎更有信心。
