房间里的大象:在外科培训中种族微侵略和隐含偏见
Yewande Alimi1, Lisa A Bevilacqua2, Rebecca A Snyder3
1Department of Surgery, Medstar Georgetown University Hospital, Washington, DC.
Annals of surgery
|August 11, 2023
概括
种族和少数民族的外科住院医生在更高的比例上经历了微型攻击. 解决外科培训中的偏见对于住院人员的福祉和外科手术的未来至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 健康 公平 卫生 公平
背景情况:
- 种族和种族群体在外科手术中的代表性仍然不足.
- 之前的研究表明,在微型侵略经历中,性别差异很大.
- 关于手术学员的种族,微型攻击和隐含偏见的数据有限.
研究的目的:
- 检查种族,微型攻击和外科训练中的隐性偏见之间的关联.
- 根据种族来确定外科住院医生经历的微攻击的流行率.
- 在外科培训中识别微攻击的预测因素和不良影响.
主要方法:
- 一项46项调查分发给整体外科和子专业的住院医生.
- 调查数据包括人口统计数据和微型攻击的经验.
- 分析了微型攻击的流行,预测因素和影响.
主要成果:
- 1624名居民回答;63.4%的人被认定为非西班牙裔白人.
- 91.9%的非西班牙裔黑人居民报告了微型攻击.
- 与非西班牙裔白人居民相比,非西班牙裔黑人,亚洲/太平洋岛民和西班牙裔居民遭受微型攻击的几率更高.
结论:
- 种族显著影响了微侵略的经验和外科培训中的隐含偏见.
- 培训计划必须主动解决偏见,以支持居民的福祉.
- 解决这些差异对于未来的外科手术劳动力管道至关重要.
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