检查异常值:在整形外科中最多样和最不多样方案的特点
Akinola Oladimeji1, Monique Chambers, Tyler N Kelly
1From the Department of Orthopaedic Surgery, University of Miami, Miami, FL (Oladimeji), the Department of Orthopaedic Surgery, Mercy Medical Center, Baltimore, MD (Chambers), the Department of Orthopaedic Surgery, University of Alabama at Birmingham Birmingham, AL (Kelly), the HSS Research Institute, Hospital for Special Surgery, New York, NY (Hidaka), and the Sports Medicine Institute; Hospital for Special Surgery, New York, NY (Ode).
在骨科手术项目中,女性和医学中代表性较低的少数群体 (URiM) 实习生比例较高,经常有更多样化的教师. 居住计划中的多样性与居民的USMLE成绩或董事会通过率没有相关性.
科学领域:
- 整形外科手术 整形外科手术
- 医学教育 医学教育
- 医学中的多样性 医学中的多样性
背景情况:
- 美国骨科协会 (AOA) 骨科研究信息网络 (ORIN) 数据库于2021年建立.
- 这项研究分析了ORIN数据,以检查骨科外科住院计划.
- 重点是实习生人口统计,特别是女性和医学中代表性不足的少数民族 (URiM) 的代表性.
研究的目的:
- 为了研究骨科外科住院计划的特点.
- 确定程序特征与女性和URiM实习生的比例之间的关系.
- 为了比较在实习生代表性方面多样性高与低的课程.
主要方法:
- 对2020-2023学年172-179个整形外科住院计划的数据进行了分析.
- 根据URiM和女性居民的比例排名程序,分为五分位数和十分位数.
- 包括机构类型,教师多样性,USMLE分数和ABOS Part I合格率在内的课程特征在顶部和底部分数/五分位数之间进行了比较.
主要成果:
- 对于URiM代表的顶部十进制程序,代表率为35%,而在底部十进制中则为0-7%.
- 对于女性代表的顶级十位数计划,女性居民的比例在35-40%之间,而在底层十位数中则为0-7%.
- 拥有较高URiM或女性实习生代表性的课程也分别具有较高比例的URiM或女性教师. 只有四个项目在两种多样性指标上都排在前十位. 标准化测试成绩 (USMLE,ABOS Part I) 在顶部和底部多样性组之间显示出最小的差异.
结论:
- 招聘和留守策略可能在女性和URiM实习生比例较高的项目之间有所不同.
- 更大的教师多样性似乎与更多样化的住所课程有关.
- 高多样性和低多样性项目在居民标准化测试表现上没有显著差异.
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