精简居住选择:实施系统的整体申请审查流程
概括
一个新的系统的整体申请审查程序 (SHARP) 显著增加了医学 (URiM) 代表性不足的住院人员的招聘. SHARP为居住计划提供了一个有前途的工具,以减轻偏见和增强多样性.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 居住地招聘工作人员
背景情况:
- 传统的居留申请指标表现出对医学 (URiM) 申请人代表性不足的系统偏见.
- 这种偏见会对URiM候选人,住院计划和患者护理产生负面影响.
- 现有的整体审查工具在学术医学环境中的适应性有限.
研究的目的:
- 描述一种新的系统整体应用审查流程 (SHARP) 的开发和实施.
- 评估SHARP在改善在家庭医疗住院计划内招聘URiM住院生的有效性.
- 解决适应性工具的需求,以减轻在居住选择中的偏见.
主要方法:
- 一个使用A3框架的纵向质量改进项目.
- 开发SHARP工具,包括细节提炼和计划领导讨论,从2019年8月开始.
- 采用SHARP用于2021年申请周期审查,在代改进之后.
主要成果:
- 在SHARP实施后 (2021-2022年),接受采访的URiM候选人的比例从23%增加到38% (P < .001).
- 匹配的URiM候选人的比例显著从27%上升到62% (P = .004).
- 应用程序审查人员的数量和多样性的增加都被观察到.
结论:
- SHARP展示了作为有效的工具来抵消种族主义和偏见在居住计划录取的潜力.
- SHARP流程可以通过各种专业的居住计划来适应,以满足其特定的多样性和招聘目标.
- 实施SHARP可以为更公平和多样化的医生劳动力做出贡献.
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