与歧视作斗争:为什么不平等的社会关系在居留培训计划中持续存在的交叉探索
Justin T H Lam1,2,3,4, Ryan J Giroux5,6, Han Yan7
1Department of Paediatrics, University of Western Ontario, Toronto, ON, CA.
Perspectives on medical education
|February 16, 2026
概括
医学教育的学习环境显示,由于系统性和厌恶性种族主义,持续存在的不平等现象,影响来自边缘群体的学员. 解决这些歧视机制对于创造更公平的教育环境至关重要.
科学领域:
- 医学教育 医学教育
- 社会科学 社会科学 社会科学
- 定性研究是指质量研究.
背景情况:
- 研究生医学教育计划旨在解决公平,多样性和包容 (EDI).
- 尽管有这些承诺,但在学习环境中仍然存在不平等现象,这会对学员的成绩产生负面影响.
- 了解持续歧视背后的机制至关重要.
研究的目的:
- 确定导致在医学研究生教育中持续存在歧视经验的机制.
- 探索不平等的社会关系如何表现并影响具有边缘化身份的学员.
主要方法:
- 进行了一项探索性定性研究,采用了跨类别的交叉方法.
- 对13名来自儿科,神经外科和整形外科住院计划的参与者进行了半结构面试的定性主题分析.
- 利用多层次的诱导和演编码,由交叉性,系统性和厌恶性种族主义框架告知.
主要成果:
- 参与者报告了基于边缘化的社会身份的交叉排斥经历,导致不利的情况.
- 排斥性歧视表现为表现性EDI,微型攻击和社会排斥.
- 系统性歧视源于操作化的文化规范 (安排,社交活动,话题审查),导致排斥.
- 参与者使用补偿策略来应对边缘化.
结论:
- 系统性和厌恶性种族主义使医学学习环境中不平等的社会关系延续.
- 基于证据的战略可以解决这些歧视机制.
- 创造更公平,更公平的医学学习环境需要有针对性的干预措施.
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