隐含偏见对妇产科医生住院申请流程的影响
Thammatat Vorawandthanachai1, Calvin Lambert2, Nicola Tavella3
1is a PGY-2 Resident, Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USA.
Journal of graduate medical education
|October 17, 2024
概括
在产科和妇科 (OB / GYN) 住院申请中,白人申请者比黑人和亚洲申请者更受青,尽管他们的资格相同. 这项研究强调了医学教育评估中的潜在隐性偏见.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 隐含偏见研究研究研究
背景情况:
- 来自少数种族背景的医学学生往往面临更多的负面评价.
- 隐性偏见可能会导致学术医学环境中的差异.
- 之前的研究表明,医生评估中存在潜在的偏见.
研究的目的:
- 调查在产科和妇科 (OB / GYN) 住院申请审查中的种族偏见.
- 为了确定是否白人申请人比亚裔和黑人申请人更受审查者的青.
- 根据同样的申请人资格来评估审查员的偏好.
主要方法:
- 学术性妇产科医生审查模拟的住院申请 (电子住院申请服务档案).
- 申请按资格 (USMLE分数,机构,字母) 和种族 (白人,亚洲人,黑人) 分层.
- 评审人员对申请人进行了排名,统计分析 (一般化估计方程) 确定了偏好模式.
主要成果:
- 在黑人和亚裔申请人之间,观察到对白人申请人的明显偏好.
- 这种偏好仍然存在,即使申请人的资格相同.
- 在对申请人进行排名的103名参与者中,没有发现显著的人口差异.
结论:
- 隐性偏见可能会影响OB/GYN住院申请审查,有利于白人候选人.
- 同样的资格并没有消除审查者之间的种族偏好.
- 调查结果强调了在医学教育和招聘中需要采取缓解偏见的战略.
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