耳鼻喉头颈外科学员的投票趋势

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY Laryngoscope Investigative Otolaryngology Pub Date : 2025-02-22 DOI:10.1002/lio2.70103

Alexandra T. Bourdillon, Osman Moneer, Kevin Y. Zhan, Jake J. Lee, Carla V. Valenzuela, Zainab Farzal

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引用次数: 0

摘要

卫生政策影响临床实践和结果，促进公民参与。耳鼻喉头颈外科（OHNS）受训者的投票参与特征不佳，可能受到特定培训的明显障碍的影响。这是第一次对OHNS学员的选民参与情况进行评估。方法：我们分析了2020年美国耳鼻喉科住院医师和研究员（AAO SRF）的调查数据，捕捉了学员的投票实践以及促进项目中选举参与的态度。采用Wilcoxon秩和检验评估投票实践的统计差异。结果在277名受访者中，有20.9%的人表示，自开始居住以来，他们的选举参与度有所下降。受训者对投票重要性的主观看法没有显著差异（p = 0.69, 95% CI =[−184,23]）。在2016年的选举中，有84.6%（267人中有226人）的合格学员参加了投票，而有资格不投票的人最常提到的原因是缺乏时间和缺乏影响力。此外，研修生在选举日投票的比例最高（42.6%），其次是邮寄或缺席投票（24.2%），最后是提前投票（14.8%）。学员报告了广泛的主治医师（71.5%回答≤2名主治医师）明确主张学员参与投票。更高的出席支持与学员的整体投票（p = 0.057, 95% CI =[- 6, 84]）和2016年选举投票（p = 0.042, 95%）一致。Ci =[−95,0])。10.5%的受访者表示，即使可以免除临床职责，他们也不会因为离开临床职责而感到内疚，27.8%的受访者表示不愿意这样做。受训者的这些不同做法与总体投票参与（p = 0.20, 95% CI =[−8,124]）或2016年选举参与（p = 0.20, 95% CI =[−136,1]）没有显著差异。结论OHNS实习生的投票参与率高于全国成人平均水平，但略低于其他医学专业。培训项目文化可以减少参与选举的障碍。证据水平NA。

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Voting Trends Among Otolaryngology–Head and Neck Surgery Trainees

Objective

Health policies affect clinical practice and outcomes, serving as an impetus for civic engagement. Voting participation among Otolaryngology–Head and Neck Surgery (OHNS) trainees is poorly characterized and may be afflicted by distinct barriers specific to training. This is the first study to evaluate voter participation among OHNS trainees.

Methods

We analyzed survey data from the 2020 American Academy of Otolaryngology Section for Residents and Fellows (AAO SRF), capturing voting practices among trainees as well as attitudes to promoting electoral participation among programs. Wilcoxon rank-sum test was used to assess statistical differences by voting practices.

Results

20.9% of 277 respondents experienced decreased electoral participation since starting residency. These rates did not vary significantly by trainees' subjective views on the importance of voting (p = 0.69, 95% CI = [−184, 23]). While 84.6% (226 out of 267) of eligible trainees voted in the 2016 election, eligible nonvoters most frequently cited reasons such as lack of time and perceived lack of impact. Additionally, the greatest proportion of trainees voted on election day (42.6%), followed by mail-in/absentee ballot (24.2%), and finally by early voting (14.8%). Trainees reported a wide range of attendings (71.5% responded ≤ 2 attendings) who explicitly advocated for trainee voting participation. Greater attending support was concordant with trainees' overall voting (p = 0.057, 95% CI = [−6, 84]) and voting in the 2016 election (p = 0.042, 95%. CI = [−95, 0]). Even if excused from clinical duties, 10.5% of respondents stated they would not leave work to vote due to guilt of being away from clinical duties, and 27.8% of respondents would do so reluctantly. These different practices among trainees did not significantly vary with overall voting participation (p = 0.20, 95% CI = [−8, 124]) or 2016 electoral participation (p = 0.20, 95% CI = [−136, 1]).

Conclusion

Voting participation among OHNS trainees is higher than the national average of adults but slightly lower than other medical specialties. Training program culture can mitigate barriers to electoral participation.