医学学生不可修改的风险因素和USMLE第一步考试成绩
Jenna M Davison1, Margot B Taylor2, Tracy N Bumsted3
1Internal Medicine, The Mayo Clinic, Rochester, MN, USA.
Medical education online
|March 14, 2024
概括
不良的童年经历 (ACE) 与较低的USMLE第一步分数有关,影响了居住面试资格. 在医学 (URiM) 中代表性不足的学生,女性和那些面临歧视的人报告了更高的ACE,影响了医学中的多样性.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医学中的心理社会因素
背景情况:
- 医学毕业生劳动力中的公平机会对于多样性至关重要.
- 传统上,USMLE第一步的分数是入住选的门.
- 非可修改的风险因素可能会影响申请人的成功.
研究的目的:
- 调查USMLE第一步分数与不可修改的风险因素之间的关系.
- 探索医学学生中不良童年经历 (ACE) 的流行情况.
- 评估ACEs对满足居留面试得分值的影响.
主要方法:
- 在2021年OHSU SOM班的自愿调查中,评估了第一步的分数和风险因素.
- 非可修改因素包括ACE,URiM状态,性别,性别,家庭收入,监护人教育,歧视和家庭环境.
- 描述性统计数据和未经调整的风险比率用于分析.
主要成果:
- 平均第一步得分为230. 28.2%的人报告ACE≥3,13.6%是URiM,65.4%是女性.
- 在URiM,女性和经历过歧视的学生中,ACE ≥3的可能性更高.
- 具有ACE≥3的学生不太可能达到面试的第一步220的门.
结论:
- 这项研究是第一个将USMLE第一步成绩与ACE联系在一起的研究.
- URiM地位,女性性别和经历歧视与更高的ACE相关.
- 调查结果为第2阶段CK分数和第1阶段通过/失败过渡后的居住面试提供了公平考虑的信息.
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