在使用可信任的专业活动框架评估儿科子专业研究员时探索性别,种族和种族差异
Melissa L Langhan1, Alan Schwartz2, Angela S Czaja3
1Yale School of Medicine, New Haven, CT.
Academic pediatrics
|December 28, 2025
概括
使用可信任专业活动 (EPA) 框架进行的儿科子专业学员的评估显示,没有性别偏见. 发现了一个单一的种族偏见,与白人相比,亚裔研究员在咨询中接受的监督水平较低.
科学领域:
- 医学教育 医学教育
- 卫生专业培训 卫生专业培训
- 儿科 儿科 儿科
背景情况:
- 医学专业的实习生评估可能会表现出性别和种族/民族偏见.
- 可信任专业活动 (EPA) 框架评估专业活动,并要求分配监督级别.
- 在儿科子专科研究员中,基于EPA的评估中的潜在偏见需要调查.
研究的目的:
- 分析临床能力委员会 (CCC) 分配的EPA监督水平,以了解性别和种族/民族差异.
- 调查儿科子专业培训中的基于EPA的评估中的潜在偏见.
主要方法:
- 来自儿科子专业研究员 (2018-2022) 的非识别数据集的二次分析.
- 中央医疗委员会为儿科子专业EPA分配了监督级别.
- 数据与其他人口统计数据 (性别,种族/族裔) 联系在一起,将种族/族裔归类为医学,亚洲或白人中的代表性不足.
- 普通混合效应模型分析了监管评级,对共变量进行调整和集群.
主要成果:
- 分析了561名研究员的数据.
- 与白人相比,亚裔研究员在咨询EPA的监督水平较低 (aOR 0.48,95%CI:0.31-0.77).
- 根据性别或其他种族/民族类别,没有观察到EPA监督水平的其他显著差异.
结论:
- 基于EPA对儿科子专业研究员的评估显示,没有性别偏见.
- 确定了一个种族偏见的单一实例,影响了亚洲研究员在咨询环保署.
- 调查结果表明,基于EPA的评估在很大程度上是公正的,这令人放心,因为它们在医学教育中越来越多地被使用.
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