消除耳鼻喉科住院申请选择中的差异
Emily E K Bukowski1, Susan E Bisco1, Linda X Yin1
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Rochester, MN, USA.
The Annals of otology, rhinology, and laryngology
|September 11, 2025
概括
一个新的住院申请审查流程成功增加了耳鼻喉学课程的多样性. 这种整体审查方法,不重视传统指标,导致了更具代表性的居民队列.
科学领域:
- 医学教育 医学教育
- 外科住院招生入学情况
- 医学中的多样性和包容性
背景情况:
- 传统的耳鼻喉科住院选择指标,如USMLE分数和出版物计数,在历史上具有有限的多样性.
- 边缘化群体,妇女和来自地理区域以外的个人在耳鼻喉学培训计划中的代表性仍然不足.
研究的目的:
- 开发和实施一种旨在减轻偏见的新型居留申请审查流程.
- 增加在耳鼻喉科计划中接受采访和匹配的住户的多样性.
主要方法:
- 创建了一个标准化标题,不再强调USMLE分数,荣誉社团和出版物号码.
- 由人工智能驱动的预排序促进了整体审查,优先考虑个人陈述,生活经验,社区成就,领导力和推信.
- 申请人人口统计数据在实施前和实施后进行了比较.
主要成果:
- 耳鼻喉科项目在2019年至2022年期间在其居民队列中出现了显著的多样化.
- 从历史上被边缘化的居民的百分比从4%增加到24%.
- 女性居民的代表性从28%上升到44%,而来自地理区域以外的居民从33%上升到66%.
结论:
- 整体审查过程可以有效地增加耳鼻喉科住院选择的多样性.
- 减少对USMLE第一步等传统指标的重视对于培养更具包容性的培训环境至关重要.
- 在申请审查中进行有目的的变化可以导致更多样化和更具代表性的居民队列.
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