医学学生对平等,多样性和包容性的经验:使用Bronfenbrenner的生态系统理论对学生反的内容分析
Helen Anne Nolan1, Katherine Owen2
1University of Warwick, Coventry, CV4 7AL, UK. h.nolan@warwick.ac.uk.
BMC medical education
|January 3, 2024
概括
医学学生面临的平等,多样性和包容 (EDI) 挑战影响他们的学习. 解决这些问题需要进行多层次的制度变革,并重视学生的观点,以创造一个更公平的教育环境.
科学领域:
- 医学教育 医学教育
- 医学中的社会科学.
- 定性研究方法 定性研究方法
背景情况:
- 平等,多样性和包容 (EDI) 问题显著影响医学学生的成绩和福祉.
- 尽管有干预措施,但在医疗教育中解决EDI方面的进展仍然有限.
- 有效评估EDI干预需要了解学生在学习环境中的经验.
研究的目的:
- 探索医学学生在课程中的平等,多样性和包容 (EDI) 的经验.
- 了解学生之间的复杂互动,他们的学习环境和EDI问题.
- 利用生态系统理论来框架学生EDI经验的分析.
主要方法:
- 在20个月的时间里,从所有医疗课程年 (n=760) 中收集了关于EDI经验的匿名,自由文本响应.
- 计算过程分类报告的EDI问题,然后对定性数据进行内容分析.
- 布朗芬布伦纳的生态系统理论被应用于分析学生经验和他们的环境之间的相互依赖.
主要成果:
- 376个回复详细介绍了广泛的EDI问题,主要与性别和种族有关.
- 学生的经验映射到生态系统模型的所有层面,揭示了复杂的相互依存关系.
- 经常报道了诸如人际排斥,学术和临床环境之间的差异经验以及领导力和社会规范的影响等问题.
结论:
- 定期的匿名反有效地捕捉了学生在不同课程阶段使用EDI的经验.
- 学生对EDI的体验是多层次的,与环境和机构因素相交,影响学习.
- 促进公平需要多层次的干预,系统文化变化,并将学生的声音纳入塑造教育改进.
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