在参观轮换中对产科和妇科学生进行横截面研究
Melody Y Hou1, Tiffany M Hodgens2, Mytien Nguyen3
1Department of Obstetrics and Gynecology, University of California, Davis, 4860 Y Street, Suite 2500, Sacramento, CA, 95817, USA. myhou@health.ucdavis.edu.
BMC medical education
|July 30, 2025
概括
医疗教育债务影响了有抱负的产科医生/妇科医生医生的访问轮换. 黑人学生完成更多的轮换比白人学生,潜在地改善匹配尽管债务.
科学领域:
- 医疗教育 医学教育
- 医疗卫生工作人员多样性多样性
- 医学中的社会经济因素
背景情况:
- 多样化的妇产科和妇产科 (OB / GYN) 工作人员对于改善患者的治疗结果至关重要,特别是对于有色人种妇女来说.
- 参观轮换是OB/GYN住院申请的关键组成部分,但他们的成本可能会成为一些学生的障碍.
- 这项研究考察了申请OB/GYN住院计划的医学学生之间的社会经济和人口差异,涉及到参观轮换的参与.
研究的目的:
- 为了评估美国医学学生参与参观轮换的妇产科医生住院与那些不参加的学生之间的社会经济和人口差异.
- 为了确定影响参与昂贵的访问轮换在妇产科医生专业内的因素.
主要方法:
- 利用了来自美国医学院协会的2019-2020年美国医学院毕业生的非身份化数据.
- 分析了关于财政援助,医疗教育债务,性别,种族和种族的自我报告数据.
- 雇员千平方,ANOVA和后勤回归分析以评估人口和社会经济变化.
主要成果:
- 在1978年的妇产科医生学生中,56.1%完成了至少一个拜访轮换.
- 负有中等医疗教育债务的学生不太可能完成任何访问轮换 (aOR 0.68).
- 黑人学生比白人学生更有可能完成两个或更多轮换 (aOR 1.48),即使在调整债务和性别后.
结论:
- 适度的医疗教育债务与参加妇产科医生拜访轮流的减少有关.
- 黑人学生完成多次轮换的可能性更高,可能反映出努力克服较低的匹配率,尽管债务恶化.
- 建议包括增加财政支持或减少对访问轮换的重视,以加强劳动力的多样性.
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