Approaches to ensure an equitable and fair admissions process for medical training

IF 5.4 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Communications medicine Pub Date : 2024-12-20 DOI:10.1038/s43856-024-00697-3
Ngozi F. Anachebe, Leila Amiri, Kristen Goodell, Demondes Haynes, Remo Panaccione, Aaron Saguil, Carol A. Terregino, Mike Woodson, Kenneth Royal
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Abstract

There has been considerable discussion of how best to address racial and ethnic disparities in health outcomes, both globally and specifically in the United States. Increasing diversity among future clinicians and physician-scientists has been identified as a key strategy for addressing and correcting health disparities among underrepresented populations. Increasingly, medical schools, the institutions that train clinicians, have embraced the practice of holistic review for evaluating applicants and virtually all medical schools have reported contributing to a diverse physician workforce as an important aspect of their educational mission. Yet despite these goals and practices, relatively little progress has been made in diversifying the workforce and achieving equitable health outcomes. Here we present a framework for centering equity in medical school admissions that focuses on equity-based recruiting, admissions standards, selection and support and present a number of promising examples and universally applicable strategies that medical schools can potentially implement given their unique missions, goals, priorities, and resources. Anachebe et al. discuss how to center equity in medical school admissions by presenting an equity-based framework that focuses on recruiting, standards, selection and support. Their recommended strategies are universally applicable across training programs and are accompanied by a number of promising examples.
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确保医疗培训录取过程公平公正的办法
在全球范围内,特别是在美国,对如何最好地解决健康结果中的种族和民族差异进行了相当多的讨论。增加未来临床医生和医师科学家之间的多样性已被确定为解决和纠正代表性不足人群中健康差距的关键战略。越来越多的医学院校,即培养临床医生的机构,已经接受了对申请人进行全面审查的做法,几乎所有的医学院都报告说,培养多样化的医生队伍是他们教育使命的一个重要方面。然而,尽管有这些目标和做法,在劳动力多样化和实现公平的健康结果方面取得的进展相对较少。在这里,我们提出了一个以医学院招生公平为中心的框架,重点关注以公平为基础的招聘、录取标准、选择和支持,并提出了一些有希望的例子和普遍适用的策略,医学院可以在其独特的使命、目标、优先事项和资源的情况下实施。Anachebe等人通过提出一个以公平为基础的框架,着重于招聘、标准、选择和支持,讨论了如何在医学院招生中以公平为中心。他们推荐的策略普遍适用于所有培训项目,并附有许多有前途的例子。
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