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Ethnic minority GP trainees at risk for underperformance assessments: a quantitative cohort study
Nathanja Mariëtte van Moppes1,2, Sander Willems3, Mana Nasori4,2
1Department of General Practice, Amsterdam UMC, location AMC, Amsterdam, The Netherlands n.m.vanmoppes@amsterdamumc.nl.
BJGP Open
|November 7, 2022
Summary
Ethnic minority GP trainees face higher rates of underperformance assessments compared to their peers. This study highlights educational barriers for these trainees, emphasizing the need for further investigation.
Area of Science:
- Medical Education
- Health Workforce Diversity
- Primary Health Care Training
Background:
- Ethnic minority students, including postgraduate medical and General Practice (GP) trainees, show disparities in standardized assessments.
- This underperformance may impact the quality of primary health care due to the need for a diverse workforce.
Purpose of the Study:
- To assess the risk of underperformance in ethnic minority GP trainees compared to majority peers.
- To identify if underperformance is concentrated in specific competence areas.
- To explore differences between first- and second-generation ethnic minority trainees.
Main Methods:
- Quantitative retrospective cohort study of 1700 GP trainees in Dutch specialty training (2015-2017).
- Underperformance defined by preliminary dropout, extended training, or mandatory coaching.
- Logistic regression and chi-squared tests were used for analysis after anonymization and ethnic group data linkage.
Main Results:
- Ethnic minority GP trainees had a significantly higher likelihood of underperformance assessments (OR 2.41).
- Underperformance was not linked to specific competence areas.
- First-generation ethnic minority trainees appeared to be at greater risk than second-generation trainees.
Conclusions:
- Ethnic minority GP trainees encounter more educational barriers.
- Further qualitative research is crucial to understand the underlying factors contributing to these disparities.
Keywords:
DEI (diversity, equity, and inclusion)GP specialty trainingethnic and racial minoritiesethnic minority GP traineesgeneral practicestudentsMore Related Videos
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