非母语英语的申请人,以及医生助理课程入学的可能性
Shahpar Najmabadi1, Virginia Valentin2, Joanne Rolls1
1Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, USA.
Medical education online
|February 7, 2024
概括
讲英语作为第二语言 (ESL) 的医生助理 (PA) 计划申请人入学几率较低. 这些发现表明,非母语英语的人在PA录取中存在潜在的缺点,这会影响多样化的患者群体获得医疗保健.
科学领域:
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在患者护理中,有效的沟通至关重要.
- 多语言医疗保健提供者可以改善对英语水平有限的患者的护理.
- 招收多语言提供者对于公平获得医疗保健至关重要.
研究的目的:
- 调查潜在的医生助理 (PA) 计划申请人的英语作为第二语言 (ESL) 状态及其入学概率之间的关联.
- 为了确定非母语英语的人在PA课程录取中是否面临劣势.
主要方法:
- 从2012年至2020年医生助理集中申请服务 (CASPA) 的申请人数据分析.
- 后勤回归模型 (双变量和多变量) 来评估ESL状态和PA课程入学之间的关联.
- 模型根据人口统计,国籍,GPA,患者护理时间和其他因素进行调整.
主要成果:
- 在所有学习年份中,ESL地位与PA课程入学率较低显著相关.
- 在调整后的模型中,ESL申请人的入学几率降低了35% (OR为0.65).
- 结果在敏感性分析中保持一致,包括那些TOEFL分数高的人.
结论:
- 非母语英语的申请人面临着在PA课程中注册入学的几率显著降低.
- 在PA课程的招生过程中,ESL申请人可能处于不利地位.
- 解决这些差异对于培养多元化的PA工作人员至关重要,这些工作人员可以有效地为所有患者群体提供服务.
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