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最近的水平和趋势参与在学术医学中的磨损
Hong Ye1, Kimiya R Aframian2, Carina Shiau3
1Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
Journal of the National Medical Association
|February 13, 2026
概括
医学院的多样性收益在医生成为教师的时候就消失了. 从住院到教师的过渡是干预改善代表性不足的群体,特别是黑人和拉丁裔妇女和男性的重要点.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医生劳动力的多样性 医生劳动力的多样性
背景情况:
- 医学院越来越多地关注多样性和包容性,受到认证标准的推动.
- 医学院入学时在多样性方面的收益可能不会延伸到住院和学术教师职位.
- 了解整个学术医学途径的消耗对于解决代表性差距至关重要.
研究的目的:
- 检查医学中代表性不足的群体在整个学术途径 (学生,住院生,教师) 的代表性.
- 为了确定学术医学管道中的特定阶段,其中磨损是最重要的.
- 为改善学术医学中的多样性提供有针对性的干预信息.
主要方法:
- 利用美国医学院协会和研究生医学教育认证委员会 (2022-2024) 的公开数据.
- 在学生,居民和教师层面为女性和种族/族群 (黑人,拉丁裔,美洲印第安人/阿拉斯加本土人,夏威夷本土人/太平洋岛民) 计算的代表百分比.
- 进行了二次分析,比较医疗与外科住院计划中的代表性,并检查了性别和种族/种族类别的组合.
主要成果:
- 女性代表性从54.6% (学生) 降至44.4% (教师).
- 黑人和拉丁裔个人的代表性从学生到教师显著下降.
- 代表性最大的下降发生在黑人和拉丁裔女性和从居住到教师的男性中.
结论:
- 医学院入学时实现的多样性在学术教师职位上没有得到维护,突出了"漏洞管道".
- 居住到教师的过渡是招聘,指导和留住努力的关键干预点.
- 结构和制度的变化是必要的,以防止消耗,并确保医生劳动力反映患者的多样性.
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