绘制虚空地图:了解多样性,公平性和包容性医学培训
Chelsea A Harris1, Andrew Vastardis2, Chad Jobin3
1Division of Plastic Surgery, University of Utah, Salt Lake City, UT.
Annals of surgery
|December 9, 2024
概括
卫生保健工作者的偏见暴露和响应需求因身份和背景而异,而不仅仅是等级. 当前的多样性,公平性和包容性 (DEI) 教育往往缺乏实际策略,从而降低了其对临床医生的有效性.
科学领域:
- 医疗保健的专业发展
- 医学教育 医学教育
- 工作场所的偏见和歧视.
背景情况:
- 多样性,公平性和包容性 (DEI) 培训是医疗保健工作人员的标准.
- 关于临床医生在职业生涯中对DEI教育的需求如何变化的研究有限.
- 环境对应偏见的影响以及当前DEI计划的适应性尚未得到充分理解.
研究的目的:
- 检查基于身份的偏见暴露如何随着医疗保健工作者的等级和背景而变化.
- 评估医疗保健工作者对现有的多样性,平等和包容 (DEI) 教育的看法.
- 确定如何改善DEI培训以满足临床医生的需求.
主要方法:
- 对医疗保健工作者进行了一项电子调查,包含54个问题.
- 数据收集是在2020年12月开始的发病率和死亡率会议期间进行的.
- 描述性统计分析了根据等级,培训有效性和响应策略实用性的偏见暴露.
主要成果:
- 在648名受访者中,近一半的受访者报告了每月的偏见暴露;对于有色人种,特别是有色女性来说,这一数字随着排名而下降.
- 在处理患者或上级的微妙偏见时的不适,无论长度如何,都持续存在.
- 超过一半的受访者认为在线DEI模块的实用性很小,理由是缺乏对结构性问题和实际应对策略的关注.
结论:
- 临床医生对偏见的经验和对偏见的反应能力在很大程度上取决于身份和医院背景,而不论年长.
- 当前的DEI培训往往未能解决医疗保健工作者所面临的细微现实.
- 由于无法纳入个人背景并提供可操作的应对策略,DEI教育的实用性下降.
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