我如何教导种族分类在参考方程中,用于解释螺旋计
Aaron D Baugh1, Nirav R Bhakta1, Rosemary Adamson2,3
1Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Francisco, San Francisco, California.
美国胸腔学会现在推种族中立的螺旋测量方程,远离过时的基于种族的假设. 这一转变解决了健康差异,并促进了所有患者公平的肺功能评估.
科学领域:
- 肺部医学 肺部医学
- 健康 公平 卫生 公平
- 医学教育 医学教育
背景情况:
- 从历史上看,种族一直被纳入螺旋计参考方程,基于肺功能感知到的生物学差异.
- 这种做法,特别是对于黑人美国人和亚洲人群,表现出较低的肺功能 (1秒内强制呼气体积和强制生命能力) 与白人人口相比,越来越受到审查.
- 基于种族的算法的使用被认为是健康差异的潜在贡献者.
研究的目的:
- 提出一种教学方法,用于教导螺旋测量解释.
- 突出基于种族的与种族中立的参考方程对肺功能评估的影响.
- 将种族定义为一种社会构造,并探索其对肺功能差异的影响.
主要方法:
- 采用交互式,基于案例的教学方法.
- 该课程明确定义了种族作为一种社会构造.
- 培养心理安全的策略被整合到学习环境中,对于讨论种族和健康不平等等敏感话题至关重要.
- 该方法是为小组的研究生医学学习者而设计的.
主要成果:
- 这篇文章详细介绍了解释螺旋计的教育策略.
- 它对比了使用基于种族的与种族中立的参考方程的结果.
- 该方法强调了解影响肺功能的因素以及不同算法基础的含义.
结论:
- 该研究主张在螺旋测量中采用种族中立的参考方程,与2023年美国胸部协会的建议保持一致.
- 这种教育方法旨在为医学学习者提供对肺功能评估的细微理解,免受潜在的歧视性基于种族的假设.
- 促进心理安全是有效教育学习者关于医学中种族和健康平等的复杂问题的关键.
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