主要实践重点领域和董事会认证眼科医生的多样性
Karine Duarte Bojikian1, Zesemayat K Mekonnen1, Najma M Adan1
1From the Department of Ophthalmology (K.D.B., Z.K.M., N.M.A., S.F.), University of Washington, Seattle, Washington, USA.
American journal of ophthalmology
|December 16, 2023
概括
在医学中代表性不足 (URiM) 的眼科医生与非URiM同行相比,在实践领域表现出温和的差异. 尽管有多样性倡议,但URiM眼科医生的比例在过去二十年中一直在下降.
科学领域:
- 眼科医生 眼科 眼科
- 医学教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 眼科的多样性对于公平的患者护理至关重要.
- 了解医学中代表性不足 (URiM) 医生的实践模式对于有针对性的干预至关重要.
- 美国眼科医生协会 (ABO) 外交官数据库为分析医生人口统计和实践趋势提供了宝贵的资源.
研究的目的:
- 与非URiM同行相比,确定在医学 (URiM) 中代表性不足的医生中眼科医学的主要实践重点领域.
- 分析随着时间的推移,眼科工作人员中URiM代表性的趋势.
主要方法:
- 使用美国眼科协会 (ABO) 外交官数据库从1992年到2020年进行的回顾性队列研究.
- 数据包括人口统计,毕业和认证年份,实践地区和自我报告的初级实践重点领域.
- 统计分析包括Pearson χ2,Student t和Fisher精确测试,以比较URiM和非URiM外交官.
主要成果:
- 10.1%的眼科医生被确定为URiM (n=575) 与89.9%的非URiM (n=5132) 相比.
- 在获得证书时,URiM外交官更有可能是女性和年长者 (P < .001).
- 随着时间的推移,URiM外交官的百分比显著下降 (P < .001).
- 乌里姆眼科医生更有可能专门从事青光眼 (P = .039),而非乌里姆医生更倾向于瘤学,病理学,国际医学或遗传学 (P = .015).
结论:
- 在URiM和非URiM眼科医生之间的实践重点领域存在微小的差异.
- 尽管有多样性的努力,但在过去的二十年里,URiM医生在眼科中的代表性下降了.
- 需要进一步的战略来增强眼科工作人员的多样性和包容性.
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