居民种族和一般外科住院的操作经验:混合方法研究
Nicole Panzica1, Alexander R Cortez2, Chukwuma Eruchalu3
1University of Alabama at Birmingham, Birmingham, Alabama.
The Journal of surgical research
|November 3, 2024
概括
在医学 (URiM) 中代表性不足的整体外科住院医生在获得手术病例数方面面临重大障碍. 解决这些差异需要明确的参与标准和加强的指导,以确保公平的外科培训.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 健康上的不平等.
背景情况:
- 定量研究显示,黑人整形外科住院医生的手术病例数量存在差异.
- 解决医学中的代表性不足 (URiM) 需要了解外科培训的障碍.
- 混合方法研究对于识别和减轻居民经营经验中的不平等至关重要.
研究的目的:
- 探索阻碍整体外科住院医生进行手术的障碍.
- 找出潜在的解决方案,以改善操作经验,特别是URiM居民.
- 调查种族和民族对外科训练的影响.
主要方法:
- 电子调查带有开放式和利克尔特等级问题,分发给21个美国整体外科计划的居民.
- 三位独立审稿人对自由文本回复的定性分析.
- 对调查数据进行定量分析,以比较URiM和非URiM居民之间的经验.
主要成果:
- 乌里姆居民 (62%) 比非乌里姆居民 (13%) 更有可能报告获得病例数量的障碍.
- 床上工作和临床职责是所有住院医生的手术室时间的主要障碍.
- 种族偏见是URiM居民经常提到的障碍,影响了他们的培训质量.
- 建议解决方案是增加参加层面的指导和客观标准,以参与案例.
结论:
- 与非URiM同行相比,URiM居民在获得外科病例数方面遇到的障碍要大得多.
- 建立明确的操作参与基准和加强指导是促进公平外科培训的关键策略.
- 解决系统性障碍对于实现所有居民的外科教育平等至关重要.
相关概念视频
02:16Surveys
14.7K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.7K
02:55Stereotypes, Prejudice, and Discrimination
90.0K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.0K