Ngankam Deklerk, Bump Gregory M, Adjei Joshua, Mihalyi Ruth M, Riccardi Aaliyah C, Tripp Rickquel
Department of Physical Medicine & Rehabilitation, Metro Health Rehabilitation Institute, 4229 Pearl Road, Cleveland, OH, 44109, USA.
University of Pittsburgh Medical Center, Pittsburgh, USA.
BMC Med Educ. 2025 Jul 17;25(1):1074. doi: 10.1186/s12909-025-07670-1.
Despite growing efforts to address diversity in healthcare, underrepresentation persists. While many studies about diversity focus on medical students, residents occupy a unique position as both learners and educators, influencing institutional culture from multiple levels.
To characterize resident physician perceptions of diversity in medical training, identify differences in perceived importance of various diversity attributes, and examine how these perceptions and preferences differ between Underrepresented in Medicine (URiM) residents and non-URiM residents.
We conducted a cross-sectional survey (October 2023-January 2024) via an anonymous online questionnaire distributed to residents across 55 ACGME-accredited programs within a multisite institution. Demographic and Likert-scale data on perceptions of diversity and various diversity categories (age, race, gender identity, socioeconomic status, etc.) were collected.
Of 1468 resident physicians surveyed, 520 responded (35.4% response rate). The majority were between the ages of 26 and 30 (n = 289, 55.6%). Women and individuals of the white or Caucasian race were more represented (n = 309, 59.4%, and n = 283, 54.4%, respectively). Most residents agreed on the importance of diversity across various dimensions, including race, age, socioeconomic background, geographic origin, gender identity, and sexual orientation. Religious identity, disability status, and premedical employment history were seen as less important. No diversity, equity, or inclusion (DEI) initiative was universally supported by URiM participants. URiM residents perceived less racial diversity than non-URiM residents (p = 0.04).
Residents value diversity across multiple dimensions but differ in perceptions and support needs based on identity. The variation in preferences and perceptions, particularly among URiM residents, highlights the limitations of uniform diversity interventions. Academic institutions should offer flexible, resident-informed support and address the daily experiences of exclusion that shape specialty-specific culture and career trajectories.
尽管在医疗保健领域为解决多样性问题付出了越来越多的努力，但代表性不足的情况仍然存在。虽然许多关于多样性的研究关注医学生，但住院医师作为学习者和教育者占据着独特的地位，从多个层面影响机构文化。
描述住院医师对医学培训中多样性的看法，确定各种多样性属性在重要性认知上的差异，并研究这些看法和偏好在医学领域代表性不足（URiM）的住院医师和非URiM住院医师之间有何不同。
我们于2023年10月至2024年1月通过匿名在线问卷进行了一项横断面调查，该问卷分发给了多机构中55个经美国研究生医学教育认证委员会（ACGME）认证项目的住院医师。收集了关于多样性认知以及各种多样性类别（年龄、种族、性别认同、社会经济地位等）的人口统计学和李克特量表数据。
在接受调查的1468名住院医师中，有520人回复（回复率35.4%）。大多数人的年龄在26岁至30岁之间（n = 289，55.6%）。女性以及白人或高加索人种的个体占比更高（分别为n = 309，59.4%，和n = 283，54.4%）。大多数住院医师认同各个维度多样性的重要性，包括种族、年龄、社会经济背景、地理来源、性别认同和性取向。宗教认同、残疾状况和医学预科就业经历被认为不太重要。没有一项多样性、公平或包容（DEI）倡议得到URiM参与者的普遍支持。URiM住院医师感知到的种族多样性低于非URiM住院医师（p = 0.04）。
住院医师重视多个维度的多样性，但基于身份的看法和支持需求存在差异。偏好和看法的差异，尤其是在URiM住院医师中，凸显了统一多样性干预措施的局限性。学术机构应提供灵活的、基于住院医师反馈的支持，并解决那些塑造特定专业文化和职业轨迹的日常被排斥经历。
