评估儿科住院医师培训项目的多样性、公平性和包容性课程。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Southern Medical Journal Pub Date : 2024-02-01 DOI:10.14423/SMJ.0000000000001651
Matthew S Hazle, Monica L Hoff, Claudia Mosquera Vasquez, Elizabeth M Bonachea, Stephanie M Lauden, Jason Benedict, Michael F Perry
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引用次数: 0

摘要

目的:多样性、公平性和包容性(DEI)培训对医学研究生教育至关重要,但缺乏标准化。尽管医疗服务提供者的偏见和文化能力对患者治疗效果的影响已被充分记录,但儿科住院医师培训项目中的 "多元化、公平与包容 "课程的价值和满意度却没有得到很好的研究。本研究旨在完成对一家以儿科为重点的大型学术机构的现行DEI课程的横向评估,并找出儿科受训者认为不足的方面:2020年,住院医师和住院医师培训项目主任完成了问卷调查。受访者对项目的DEI课程以及住院医师完成与特定DEI导向行动相关的患者护理的能力进行了评估。我们的分析采用了描述性统计:共有 137 名住院医师学员中的 48 人(35%)和 9 名项目负责人中的 7 人(78%)完成了调查。受访者最不满意的是目前与隐性偏见、难民/移民健康以及女同性恋、男同性恋、双性恋、变性人、同性恋、双性人、无性人和其他健康主题相关的教育。受访者表示,住院医师在以 "促进种族融合 "为重点的患者护理任务方面能力较低,并且认为住院医师没有能力满足遭受种族主义的患者和家庭的医疗保健需求:结论:儿科住院医师和项目主任认为DEI主题很重要,并表示需要更强大的DEI课程。
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Evaluation of the Diversity, Equity, and Inclusion Curriculum of a Pediatrics Residency Program.

Objectives: Diversity, equity, and inclusion (DEI) training is essential to graduate medical education, but it lacks standardization. Although the impact of providers' biases and cultural competency on patient outcomes is well documented, the value of and satisfaction with DEI curricula in Pediatrics residency training programs is not well studied. This study aimed to complete a cross-sectional evaluation of the current DEI curriculum at a large Pediatrics-focused academic institution and identify areas of perceived deficiency among Pediatrics trainees.

Methods: Residents and residency program directors completed surveys in 2020. Respondents evaluated the DEI curriculum of the program and the competency of residents to complete patient care related to specific DEI-oriented actions. Our analysis used descriptive statistics.

Results: In total, 48 of 137 resident trainees (35%) and 7 of 9 program leaders (78%) completed the survey. Respondents were most dissatisfied with current education related to implicit bias, refugee/immigrant health, and lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other health topics. Respondents reported low resident competency in DEI-focused patient care tasks and did not view residents as competent to address the healthcare needs of patients and families experiencing racism.

Conclusions: Pediatrics residents and program directors consider DEI topics important and express a need for more robust DEI curricula.

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来源期刊
Southern Medical Journal
Southern Medical Journal 医学-医学:内科
CiteScore
1.40
自引率
9.10%
发文量
222
审稿时长
4-8 weeks
期刊介绍: As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.
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