"一个榜样就像一个马赛克":重新想象URiM学生在医学院的榜样
Isabella Spaans1, Renske de Kleijn2, Conny Seeleman2
1Educational Center, University Medical Center Utrecht, Postbus 85500 (HP: HB 4.05), Utrecht, 3508, GA, The Netherlands. i.m.spaans@umcutrecht.nl.
BMC medical education
|June 1, 2023
概括
种族和少数民族医学学生 (URiM) 往往缺乏代表性的榜样,通过个人马赛克而不是一个原型来找到他们. 这凸显了需要在医学教育中重新想象角色模型,以实现更大的包容性.
科学领域:
- 医学教育 医学教育
- 医学社会学 医学社会学
- 专业身份发展 专业身份发展
背景情况:
- 在医学教育中,角色建模对于专业认同和归属至关重要.
- 由于缺乏共同的背景,在医学 (URiM) 中种族和种族代表性不足的学生可能难以与榜样认同.
- 现有的文献往往忽略了URiM学生在寻找可联系的榜样方面所面临的独特挑战.
研究的目的:
- 探索URiM校友在医学院期间与榜样的经验.
- 了解URiM学生代表性角色模型的感知价值.
- 确定URiM学生如何在医疗培训中导航角色模范识别.
主要方法:
- 采用概念指导方法的定性研究.
- 与十名URiM校友进行的半结构化采访.
- 感知用于指导面试问题和编码的概念.
主要成果:
- 参与者最初发现定义角色模范具有挑战性,并犹不决地讨论代表性的角色.
- 乌里姆校友确定了多个榜样,而不是一个原型.
- 角色模型包括动机的非临床数字 (例如父母) 和专业行为的临床数字,认为缺乏代表性是关键.
结论:
- 医学教育中的榜样应该被视为文化内嵌,承认不同的背景.
- 角色模型作为认知构造,学生选择性地模仿各种个体的元素.
- 榜样的象征价值对URiM学生来说尤为重要,强调社会比较和代表性.
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