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在产科培训中的教育公平:在妇产科医生职位的程序差异
Melissa R Rosen1, Brooke E Schroeder2, Katherine A Lambert3
1Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
医学学生的种族和性别没有影响整体产科手术经验. 然而,男性学生,特别是代表性不足的少数群体,参与的阴道分娩比非代表性不足的少数群体女性同龄人少.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 健康差异 在健康上的差异
背景情况:
- 医学院的职工实习对于发展程序技能至关重要.
- 了解临床经验的差异对于公平的医学培训至关重要.
- 产科医生和妇科医生 (OB/GYN) 职位提供了必要的产科程序暴露.
研究的目的:
- 评估在妇产科医生职位期间产科程序经验的差异.
- 评估医学学生种族和性别对临床暴露的影响.
- 识别实际学习机会中的潜在差异.
主要方法:
- 回顾性队列研究分析了2014-2022年医学学生病例日志.
- 包括来自美国一所全方位医学院的869名学生.
- 对学年和职工时间进行控制的分析.
主要成果:
- 根据种族或性别,总体阴道或剖腹产参与率没有显著差异.
- 代表性不足的少数民族 (URM) 男学生参与的阴道分娩比非URM女学生少.
- 与非URM女性同龄人相比,非URM男性学生也参与了较少的阴道分娩.
结论:
- 虽然整体交付经验相似,但子组分析显示存在差异.
- 男性学生,包括URM男性,与非URM女性相比,参与阴道分娩的比例较低.
- 这些发现表明临床暴露的潜在不平等,需要进一步的调查和干预,以确保公平的学习体验.
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