BIPOC遗传咨询师与专业认证考试的经验:从纵向定性研究的见解
Nikkola Carmichael1, Kimberly Zayhowski1, Joselyn Saenz Diaz2
1Medical Sciences and Education, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Journal of genetic counseling
|March 4, 2026
概括
遗传咨询委员会考试可能无法准确评估准备就业的情况. 社会经济地位,焦虑和考试格式不平等等因素影响BIPOC候选人的表现和通过率.
科学领域:
- 遗传咨询 遗传咨询
- 医学教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 遗传咨询认证考试是专业实践的关键门户.
- 最近的合格率表明存在重大挑战,特别是在某些候选人群体.
- 了解不同候选人的经验对于考试公平性至关重要.
研究的目的:
- 在认证考试期间探索黑人,土著和有色人种 (BIPOC) 遗传咨询学生的经验.
- 确定影响考试成绩和BIPOC考生合格率的因素.
- 评估考试与现实世界遗传咨询实践的一致性.
主要方法:
- 纵向的建构主义立足理论研究,涉及25名BIPOC遗传咨询学生.
- 在2024年8月和2025年2月的董事会考试之前和之后进行的面试.
- 使用恒定比较方法进行定性分析.
主要成果:
- BIPOC候选人通过率为69% (2024年8月) 和56% (2025年2月首次),低于一般报告的比率.
- 出现的关键主题是:考试与实践的脱节,社会经济影响,焦虑的影响,住宿准入问题和运气的感知作用.
- 考试被认为是强调记忆而不是实践技能,并受到外部因素的影响.
结论:
- 董事会考试可能是初级遗传咨询能力的不充分衡量.
- 社会经济差异,心理健康,住宿机会和考试结构都有助于不平等.
- 建议包括改变考试格式和提供官方学习材料,以提高公平性.
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