第一代和低收入学生在国家医学学生机构的学生
Sophia C Kamran1,2, Isabella R Pompa1, Hillary Brenda Nguyen2
1Department of Radiation Oncology, Massachusetts General Hospital, Boston.
JAMA network open
|May 12, 2025
概括
从2002年到2015年,第一代医学学生的比例下降了. 第一代,低收入和医学的代表不足 (URIM) 的学生面临着更高的退学风险,突出了有针对性的招聘和留学生战略的需要.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 医学社会学 医学社会学
背景情况:
- 美国医生劳动力中的多元化代表性对于解决医疗保健差异至关重要.
- 了解代表性不足的医学学生群体所面临的趋势和挑战,对于提高公平性至关重要.
研究的目的:
- 分析2002年至2015年期间第一代和低收入医学生入学的趋势.
- 检查社会经济地位,种族/种族和医学院退学的交叉性.
主要方法:
- 使用美国医学院院校协会招生学生问卷 (2002-2015) 的非身份化数据进行的横截面研究.
- 分析的重点是人口统计数据,包括第一代身份,低收入身份和医学 (URIM) 代表性不足的身份.
- 用多变量逻辑回归来评估与医学院退学相关的因素.
主要成果:
- 第一代学生的比例从2002年的8.7%下降到2015年的7.1%.
- 第一代学生的家长收入代表性更符合一般人群,而非第一代学生在高收入中占有过多的比例.
- 第一代学生的毕业率较低2.1%. 低收入 (OR,1.71),URIM (OR,2.07) 和第一代 (OR,1.56) 的学生更有可能没有毕业.
结论:
- 观察到第一代医学学生入学率下降.
- 第一代,低收入和URIM学生面临着显著的磨损风险,特别是当这些身份交叉时.
- 迫切需要加强招聘和留住员工的举措,以确保医生劳动力反映服务的多元患者群体.
相关概念视频
National Nursing Organizations II
1.1K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
1.1K
Introduction To Health Care Delivery System
2.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.5K
Health Literacy
3.9K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
3.9K
National Nursing Organizations I
2.3K
Nursing organizations assume a significant role in consistently developing the nursing profession through education, research studies, establishing practice standards, and reforming health policies. Typically, nursing organizations operate at the regional, national, and international levels. For example, the International Council of Nurses (ICN) represents more than 28 million nurses worldwide. In contrast, the American Nurses Association (ANA) is a membership organization representing nurses...
2.3K
Standards of Care I
661
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
661
Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K


