国家研究的里程碑评价差异的性别和种族在麻醉师住院培训
Ting Sun1, Yoon Soo Park2, Fei Chen3
1From the Office of Surgical Education, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Anesthesia and analgesia
|February 4, 2026
概括
基线上的里程碑评级对于所有居民来说都是相似的. 然而,代表性不足的少数民族居民的增长速度较慢,导致毕业评级较低,而女性在某些领域的得分较低.
科学领域:
- 医学教育 医学教育
- 麻醉学培训 麻醉学培训
- 基于能力的医学教育
背景情况:
- 基于能力的医学教育 (CBME) 使用标准参考评估来评估居民的进展.
- 医学研究生教育认证委员会 (ACGME) 里程碑评估实习生的表现.
- 人们对Milestone评级中的人口差异存在担忧.
研究的目的:
- 为了检查麻醉医生在ACGME Milestone评级中的性别和种族差异.
- 分析基线评级和增长轨迹.
- 为了确定毕业时的最终里程碑分数的差异.
主要方法:
- 对4997名麻醉学住院医生的回顾性队列研究 (2017-2019).
- 链接ACGME里程碑数据与人口统计数据.
- 使用混合效应模型来分析评级差异和增长.
主要成果:
- 根据性别或种族的里程碑评级没有显著的基线差异.
- 医学中代表性不足的少数群体 (URiM) 居民的增长速度较慢,导致各次能力的毕业评级较低.
- 在毕业时,女性在7/25个子能力中获得了较低的评分,特别是医学知识-1 (MK-1).
结论:
- 可比较的基线里程碑评级掩盖了随时间的累积差异.
- 适度,累积差异影响毕业评级,特别是MK-1的URiM居民.
- 进一步调查居民评估中的差异是有必要的.
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