评估在美国居住培训计划中增加多样性的方法:一个范围审查
Lauren Boeckermann1, Dennis Menjivar2, Emily E Hagn3
1is a PGY-4 Resident, Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.
Journal of graduate medical education
|October 17, 2025
概括
增加医疗住院计划的多样性需要有效的策略. 这次审查发现了像整体审查这样的常见干预措施,但指出缺乏对其对医学代表人数不足 (URiM) 的影响的一致评估.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 研究生医学教育研究生医学教育
背景情况:
- 在居住计划中对有效的多样性,公平和包容 (DEI) 策略的理解有限.
- 需要全面审查目前的干预措施,以增加医学中代表性不足的人群的代表性 (URiM).
研究的目的:
- 综合有关干预措施的文献,以增加URiM在美国居住计划中的代表性.
- 识别和分类针对研究生医学教育中的DEI的干预措施.
主要方法:
- 从2000年1月到2023年7月的研究范围审查.
- 从PubMed,Embase,Cochrane图书馆和Scopus中提取数据.
- 干预措施的分类为申请人因素,选择,选,面试和面试后的沟通.
主要成果:
- 从2683个初始标题/摘要中确定了27个符合条件的文章.
- 干预侧重于申请人因素 (44%),选择 (30%),选 (63%),面试 (30%) 和面试后的沟通 (15%).
- 常见的有效干预措施包括整体审查,职员和标准化面试,尽管孤立个人的影响是具有挑战性的.
结论:
- 增加居住计划多样性的干预措施各不相同.
- 目前的文献缺乏对许多DEI策略的一致评估和有效性的证据.
- 需要进一步的研究来验证和完善URIM代表性的干预措施.
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