招募多样化的紧急医疗人员:社区多样性的影响
Brooke L Watanabe1,2, Robert A Weston1,2, Christopher R Wyatt1,2
1Division of Emergency Medicine, Department of Surgery and Perioperative Care Dell Medical School at the University of Texas-Austin Austin Texas USA.
AEM education and training
|April 9, 2025
概括
在不那么多样化的县里,紧急医疗住院计划在医学 (URM) 居民中代表性较少. 社区的多样性与居民的多样性有关,这表明需要有针对性的战略来加强在EM的URM招聘.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 对于影响在医学 (URM) 中代表性不足的种族和民族群体中招募紧急医疗 (EM) 居民的因素的理解有限.
- 识别与EM居住计划中URM代表性相关的社区层面因素对于开发有效的多样性倡议至关重要.
- 之前的研究还没有广泛探讨项目周围社区的多样性与其居民人口的多样性之间的相关性.
研究的目的:
- 调查紧急医疗住院课程多样性与它们所在县的种族/民族多样性之间的联系.
- 确定EM居民在计划层面的多样性是否与县级社区多样性相关.
- 提供数据,可以为提高在EM中URM代表性的策略提供信息.
主要方法:
- 利用美国医学院协会 (AAMC) 的2023-2024学年数据来确定URM居民在EM课程中的比例.
- 根据美国人口普查数据对县级多样性进行了分类,定义了较低 (<30%),中等 (≥30%至<49%) 和较高 (≥49%) 的URM人口比例.
- 使用Kruskal-Wallis测试与Dunn的程序来分析县的多样性水平和URM EM居民的比例之间的关联.
主要成果:
- 在247个EM项目中,URM居民在低多样性县占10%的中位数,而在中等多样性县占14%和高多样性县占15% (p<0.001).
- 黑人人口较多的县的计划中,黑人EM居民的比例更高,西班牙裔居民在西班牙裔人口较多的县也相似.
- 观察到显著的差异,较不多样化的县的课程表现出较低的URM居民代表性.
结论:
- 位于较低多样性县的紧急医疗住院项目中,医疗居民中代表性不足的比例明显较低.
- 社区的多样性似乎是一个关键因素,与居民多样性在EM计划.
- 针对性和独特的策略可能是必要的EM项目在较少多样化的社区有效地增加居民多样性.
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