种族和民族歧视和医学学生的身份形成
Shruthi Venkataraman1, Mytien Nguyen2, Sarwat I Chaudhry3
1Department of Emergency Medicine, New York University Grossman School of Medicine, New York.
JAMA network open
|October 16, 2024
概括
医学院的种族和民族歧视对所有学生的个人和专业身份形成 (PPIF) 有负面影响. 非洲裔美国人或黑人学生最严重地经历了这一点,这凸显了医疗教育体系变革的必要性.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 健康的社会决定因素
背景情况:
- 医学教育中的种族和民族歧视是影响学生发展和促进医疗保健差异的关键问题.
- 了解歧视与个人和职业身份形成 (PPIF) 之间的关联对于创造包容性学习环境至关重要.
研究的目的:
- 调查医学院的种族和民族歧视与多元学生群体中PPIF之间的关系.
- 确定受歧视影响不成比例的特定种族和民族群体及其对身份发展的影响.
主要方法:
- 一项回顾性横截面研究分析了来自37610名在2016-2020年期间完成美国医学院协会毕业问卷 (GQ) 的医学学生的非身份化数据.
- 经历歧视的经验被测量使用GQ关于被拒绝的机会,冒犯性言论和较低的评估由于种族/民族的问题.
- 用利克特尺度对医学院对学生成长的支持进行评估,对个人和专业发展进行了评估,并进行了二分化分析.
主要成果:
- 与没有歧视的白人学生相比,种族和种族歧视与所有群体的PPIF相反地相关.
- 非洲裔美国人或黑人学生的个人和专业发展率最低,反复歧视率最高.
- 经历反复歧视的学生,无论种族或种族,PPIF的可能性显著降低.
结论:
- 医学院的种族和民族歧视与所有学生的个人和专业身份形成的减少有关,对非裔美国人或黑人学生的影响不成比例.
- 调查结果强调,迫切需要在医学教育中采取系统性干预措施,以解决歧视问题并促进学生的公平发展.
- 创造包容性的医学院环境对于促进所有未来医生的整体成长至关重要.
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