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在外科住院教育中的多样性,公平性和包容性的差异:系统性审查
Mariana N Olivencia1, Natham B Lam1, Shai Stewart1
1Department of Surgery, Howard University Hospital, Washington, DC, USA.
代表性不足的少数群体在外科培训中面临重大障碍,影响招聘和留守. 应对这些挑战对于促进外科手术中的多样性和健康平等至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 健康 公平 卫生 公平
背景情况:
- 在外科培训中增加少数群体的代表性对于减少医疗保健差异至关重要.
- 代表性不足的少数群体 (URM) 在追求董事会认证外科医生的职业生涯中遇到独特的障碍.
研究的目的:
- 系统地审查和整合有关在整个外科培训过程中影响URM的差异的文献.
- 检查影响URM招聘,保留和在外科教育中取得成功的趋势.
主要方法:
- 在主要数据库 (PubMed/Ovid,Google Scholar,Elsevier) 进行了系统的文献搜索.
- 选的文章与美国的整体外科住院相关,重点是URM招聘,保留和绩效.
- 评估了42篇入选文章的质量,并总结了42篇入选文章的主题趋势.
主要成果:
- 专业管理人员的保留率较低,并面临着具有挑战性的机构气候.
- 无论是URM还是女性,都显示了申请,匹配和在外科住院取得成功的可能性降低.
- 确定了URM和妇女在导师,领导和教师多样性方面的重大缺陷.
结论:
- 少数民族的外科实习生在整个教育和职业生涯中都面临着巨大的障碍.
- 创造多元化和包容性的外科工作人员对于促进健康公平和获得护理至关重要.
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