Cross-sectional study of obstetrics and gynecology-bound students in visiting rotations
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View abstract on PubMed
Summary
This summary is machine-generated.Medical education debt impacts visiting rotations for aspiring OB/GYN physicians. Black students complete more rotations than white students, potentially to improve matching despite debt.
Area Of Science
- Medical Education
- Health Workforce Diversity
- Socioeconomic Factors in Medicine
Background
- A diverse obstetrics and gynecology (OB/GYN) workforce is crucial for improving patient outcomes, especially for women of color.
- Visiting rotations are a key component of OB/GYN residency applications, but their cost can be a barrier for some students.
- This study examines socioeconomic and demographic disparities among medical students applying to OB/GYN residency programs concerning participation in visiting rotations.
Purpose Of The Study
- To evaluate socioeconomic and demographic differences between US medical students participating in visiting rotations for OB/GYN residency versus those who do not.
- To identify factors influencing participation in costly visiting rotations within the OB/GYN specialty.
Main Methods
- Utilized de-identified data from the Association of American Medical Colleges for 2019-2020 US medical school graduates.
- Analyzed self-reported data on financial assistance, medical education debt, sex, race, and ethnicity.
- Employed chi-square, ANOVA, and logistic regression analyses to assess demographic and socioeconomic variations.
Main Results
- Of 1978 OB/GYN-bound students, 56.1% completed at least one visiting rotation.
- Students with moderate medical education debt were less likely to complete any visiting rotation (aOR 0.68).
- Black students were more likely to complete two or more rotations than white students (aOR 1.48), even after adjusting for debt and sex.
Conclusions
- Moderate medical education debt is linked to decreased participation in OB/GYN visiting rotations.
- Black students' higher likelihood of completing multiple rotations may reflect efforts to overcome lower match rates, despite exacerbating debt.
- Recommendations include increased financial support or reduced emphasis on visiting rotations to enhance workforce diversity.
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