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探索骨科和全科医生医学学生之间的成本和获取差距,当申请整体外科第四年离校轮换时
Marc M Moza1, Briley D Guarneri1, Logan Morrison1
1School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA.
Cureus
|April 11, 2025
概括
整形外科住院计划显示出远程轮换申请的差异,骨科医生 (DO) 学生面临的障碍比全科医生 (MD) 学生更多. 这些发现凸显了单次认证后申请过程中存在的持续问题.
科学领域:
- 医学教育 医学教育
- 外科住院招生入学情况
- 研究生医学教育认证认证
背景情况:
- 远程轮换对于全国的整体外科住院选择至关重要.
- 统一的认证系统合并了AOA和ACGME,增加了MD和DO申请人的竞争.
- 这项研究调查了在远程轮换应用程序中的潜在歧视.
研究的目的:
- 确定ACGME普通外科住院机构是否在远程轮换期间歧视DO或MD学生.
- 在远程旋转应用过程中识别特定障碍.
主要方法:
- 在2023-2024年周期内审查了336个ACGME认可的普通外科住院项目.
- 评估了符合资格标准,费用和特定语言的网站和申请门户.
- 基于歧视性做法得分的课程,包括接受USMLE/COMLEX和财务公平.
主要成果:
- 在284个审查的项目中,17.3%显示限制性标准.
- 40.4%的这些限制性课程排除了骨科医生学生,59.6%的人更喜欢USMLE而不是COMLEX成绩.
- 不平等不成比例地影响了DO申请人,没有针对MD申请人的歧视标准.
结论:
- 在一般外科外围轮换申请过程中存在持续的障碍,影响MD和DO候选人.
- 歧视主要针对骨科医生医学学生.
- 需要进一步的研究,以确保对所有申请人的公平评估.
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