探索机构分层:为少数群体服务的机构途径,在美国接受医学院
Amanda K Burbage1, Eushekia Y Hewitt2
1Macon & Joan Brock Virginia Health Sciences at Old Dominion University, School of Health Professions, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Medical education
|September 22, 2024
概括
来自少数民族服务机构 (MSI) 的学生面临较低的医学院录取率. 引入GPA和MCAT等学术因素提高了他们的几率,表明系统性障碍,而不是流行病影响.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医生劳动力的多样性 医生劳动力的多样性
背景情况:
- 招募多元化的医生对于科学进步和患者护理至关重要.
- 在医学 (URM) 中代表性不足的学生经常参加资金不足的少数民族服务机构 (MSI),面临医学院的独特障碍.
- COVID-19加剧了教育和健康成果的现有差异.
研究的目的:
- 调查医学院接受MSI学生的预测因素,与主要白人机构 (PWI) 相比.
- 了解COVID-19大流行对这些接受趋势的影响.
主要方法:
- 对超过328,000名MD计划申请人的层次逻辑回归分析 (2017-2023年).
- 基于MSI出席率与PWI出席率的接受率的比较.
- 间断时间序列分析以评估COVID-19前后的趋势.
主要成果:
- 最初,MSI出席率与医学院录取率显著降低 (42-52%与PWI相比).
- 包括MCAT分数和GPA在内,大大增加了MSI申请人的接受率.
- MSI出席率,MCAT,GPA和社会经济指标是重要的预测指标,该模型的预测能力提高了39%.
结论:
- 系统分层在医学院招生中不利于MSI学生,但学术指标可以减轻这一问题.
- 随着COVID-19的流行,这些招生趋势并没有发生重大变化.
- 加强MSI和医学院之间的途径和机构联系可以增强医生劳动力的多样性.
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