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USMLE第二步CK分数和放射学实习生申请:它是否会影响实习生选择的多样性?

Usha K Trivedi¹, Pierre D Maldjian²

¹Zucker School of Medicine/Northwell Health at Mather Hospital Transitional Year Residency Program (U.K.T.), San Diego, California, USA.

Academic radiology

|July 6, 2023

概括

诊断放射学实习课程可能不公平地不利于代表性不足的少数民族 (URM) 申请人,因为他们依赖美国医学执照考试 (USMLE) 第二步临床知识 (CK) 成绩. 女性申请人没有受到这一评分指标的不利影响.

科学领域:

医学教育医学教育
放射学住院招生放射学住院招生
医学中的多样性医学中的多样性

背景情况:

诊断放射学实习计划旨在增加实习生多样性.
转向通过/失败美国医学执照考试 (USMLE) 一步成绩的转变可能会导致项目强调USMLE二步临床知识 (CK) 成绩.
本研究研究了第二步CK评分对代表性不足的少数民族 (URM) 和女性候选人的选择的影响.

研究的目的:

评估USMLE Step 2 CK分数对URM和诊断放射学住院女性候选人的选择的影响.
为了确定数字化第二步CK分数是否会对申请人群产生不同的影响.

主要方法:

从美国高级全方位医学学生到放射学实习计划 (2021-2023年NRMP周期) 的应用程序的分析.
根据性别 (男性/女性) 和URM状态 (URM/非URM) 的受试者分类.
对第二阶段的CK分数进行比较,并检查截止分数的不同影响.

主要成果:

总共分析了1017个申请 (721个男性,296个女性;164个URM,853个非URM).
在男性和女性候选人之间没有发现平均第二步CK分数或切断分数的差异效应的显著差异.
在URM和非URM候选人之间观察到2步CK平均得分的显著八分差异 (p < 0.00011).
第二步CK截止分数为250排除了71%的URM候选人,而非URM候选人的比例为46%,这表明效果不同.

结论:

仅仅依赖USMLE Step 2 CK分数进行查放射学住院申请可能会使URM候选人处于不利地位.
女候选人似乎不会受到第二步CK分数的不利影响.
居住计划应考虑在使用数值第二步CK分数作为主要选择标准时可能存在偏见.

关键词:

申请放射学专业的申请.多样性多样性多样性多样性性别性别性别性别代表性不足的少数民族.

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