眼科在培训和实践中的种族差异:系统性审查
Angel Gao1, Tasha Miller2, Arturo Ortin-Martinez3
1Department of Medicine, Queen's University, Kingston, ON, Canada..
American journal of ophthalmology
|January 16, 2026
概括
种族和民族少数群体在眼科培训和实践中面临重大障碍. 解决这些不平等问题对于改善现场多样性和患者护理至关重要.
科学领域:
- 医学专业 医学专业 医学专业
- 眼科 劳动力的多样性 眼科 劳动力的多样性
背景情况:
- 眼科在培训和实践中表现出持续存在的种族和民族差异.
- 代表性不足的种族少数群体 (URiM) 在眼科职业生涯中面临重大障碍.
研究的目的:
- 审查高收入国家的眼科URiM个人的经验.
- 确定代表性,歧视的障碍,并评估眼科中URIM的公平倡议.
主要方法:
- 对多个数据库 (MEDLINE,Embase等) 的系统文献审查. 从开始到2024年11月.
- 从2000年起,包括英语语言研究,重点是眼科中的种族/民族少数群体.
- 通过描述性和专题分析进行数据综合,并进行偏差风险评估.
主要成果:
- 41项涉及超过50万个响应的研究显示,在所有职业阶段,URiM的代表性不足和结构性障碍.
- URiM的个人报告说缺乏指导,歧视和负面的节目文化体验.
- 虽然亚洲人占比接近均等,但黑人,美洲原住民和太平洋岛民人数仍然严重不足;指导和结构化的招聘显示出希望.
结论:
- 普遍存在的种族和种族差异仍然存在于眼科,而进展集中在亚洲人群中.
- 系统性改革对于促进眼科更具代表性,包容性和支持性的专业环境至关重要.
- 解决这些不平等问题对于促进劳动力多样性,公平的患者护理和机构包容性至关重要.
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