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在EMS奖学员中的多样性

Johanna C Innes1, Susan J Burnett1, Lydia Hyla1

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概括

紧急医疗服务 (EMS) 领导层的多样性对于公平的护理至关重要. 这项研究发现,EMS奖学金缺乏性别和种族多样性,只有很少的女性和主要是白人奖学金,强调需要有针对性的招聘来改善医疗保健结果.

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科学领域:

  • 医学教育和培训 医学教育和培训
  • 紧急医疗服务 (EMS)
  • 健康 公平 卫生 公平

背景情况:

  • 确保紧急医疗服务 (EMS) 人员反映患者多样性对于公平的医疗保健至关重要.
  • 妇女和少数群体在EMS领导层的历史代表性不足可能会延续护理差异.
  • 增加EMS奖学金的多样性是推动EMS领导和患者护理公平性的关键策略.

研究的目的:

  • 在11年的时间内检查紧急医疗服务 (EMS) 奖学金的人口趋势.
  • 评估这些趋势对促进EMS护理提供公平性的影响.
  • 确定改善EMS领导层内部多样性的机会.

主要方法:

  • 对公开可用的医学研究生教育认证委员会 (ACGME) 数据资源书 (2012-2023) 的分析.
  • 人口统计数据 (性别,种族/族裔) 提取了EMS研究员,紧急医疗住院人员和所有住院人员/研究员的人口统计数据.
  • 奇平方测试和科克兰-阿米塔奇趋势测试用于分析人口比例和趋势.

主要成果:

  • 11年来,66%的EMS研究员是男性,34%是女性,女性代表性低于其他专业.
  • 大多数EMS研究员被认定为白人 (75%),与其他专业相比,白人研究员的比例更高.
  • 在研究期间,EMS研究员中没有观察到性别或种族/种族比例的显著趋势.

结论:

  • 在奖学金认证的第一个十年里,EMS研究员仍然主要是白人和男性.
  • 在EMS奖学金中,妇女和代表性不足的少数群体的代表性存在重大差异.
  • 包括奖学金主管在内的EMS领导层必须积极招募多样化的候选人,以促进医疗方向的公平.