在紧急医疗中用于描述种族群体的语言差异标准化评估信
Felisha Gonzalez1, Laura Welsh2, Johanna Caicedo1
1Department of Emergency Medicine Boston Medical Center, and Boston University Chobanian and Avedisian School of Medicine Boston Massachusetts USA.
在紧急医疗 (EM) 住院计划中,黑人和代表性不足的少数民族 (URM) 申请者在他们的标准化评估信 (SLOE) 中获得了更多的社区语言. 这种语言往往与STEM领域的可聘用性降低有关,可能会阻碍URM并影响EM的多样性.
科学领域:
- 医学教育 医学教育
- 住院招生 住院招生
- 语言分析语言分析
背景情况:
- 标准化评估信 (SLOE) 对于紧急医疗 (EM) 住院申请至关重要.
- 以前的研究表明,在评估中存在基于性别的语言偏见.
- 有限的研究已经在SLOE叙述中探索了种族偏见.
研究的目的:
- 调查基于种族的申请者SLOEs的叙事语言差异.
- 确定影响医学中代表性不足的少数群体 (URiM) 的评估语言中的潜在偏见.
主要方法:
- 来自2022年申请周期的美国MD和DO SLOEs的叙事分析.
- 使用的语言调查和词数 (LIWC) 用于单词频率和二分式关键词分析.
- 采用线性混合模型来评估URiM地位,种族和语言结果之间的关联.
主要成果:
- 与白人申请人相比,黑人申请人在SLOE中获得的社区词语明显更多.
- 代表性不足的少数民族 (URiM) 申请者在他们的SLOE中比非URiM申请者有更多的共同词.
- 申请URiM的申请者表现出一种倾向于使用更有同情心的语言,尽管这在统计学上并不显著.
结论:
- 乌里姆和黑人申请人更有可能使用公共语言来描述.
- 这种语言,与STEM中较低的可聘用性相关,可能使URIM申请人处于不利地位.
- 调查结果强调了对评估语言的批判性审查的必要性,以确保公平的EM居住选择.
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