Racial Disparities in Medical Student Membership in the Alpha Omega Alpha Honor Society
Racial Disparities in Medical Student Membership in the Alpha Omega Alpha Honor Society
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DOI：
10.1001/jamainternmed.2016.9623
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发表时间：
2017-05-01
影响因子：
39
通讯作者：
Nunez-Smith, Marcella
中科院分区：
文献类型：
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作者：
Boatright, Dowin;Ross, David;Nunez-Smith, Marcella
以前的研究发现，在学术医学中心的教师中，种族和民族在获得学术奖项方面存在不平等，例如晋升和国立卫生研究院的研究资金。几乎没有数据存在类似的种族/民族差异在本科医学教育的水平。EQUITIVETo研究医学院学生种族/民族和感应到阿尔法欧米茄阿尔法（AOA）荣誉society.DESIGN，设置，和participantsThis研究分析了数据从电子居住申请服务，美国医学生申请居住计划使用的官方服务。在2014至2015学年，共有来自123所对抗疗法美国医学院的4655名美国医学生申请了与一个学术健康中心相关的12个不同的住院医师项目。主要结果和测量黑人，白色，西班牙裔，在研究中，分析了CITTSA总共4655个独特的应用程序（中位年龄，26岁; 2133名女性[45.8%]）。总体而言，我们样本中自我报告的人种/种族为2605（56.0%）白色（691 [71.5%] AOA申请者为白色）、276（5.9%）黑人（7 [0.7%] AOA）、186（4.0%）西班牙裔（27 [2.8%] AOA）和1170（25.1%）亚裔（168 [17.4%] AOA）。在控制了美国医师执照考试第一步的分数、研究生产力、社区服务、领导活动和黄金人文主义成员资格后，研究发现，（校正比值比[aOR]，0.16; 95% CI，0.07-0.37）和亚裔（aOR，0.52; 95% CI，0.42-0.65）医学生成为AOA成员的可能性仍然低于白色医学生。AOA成员之间的白色和西班牙裔医学生（aOR，0.79; 99%CI，0.45-1.37）在调整model.CONCLUSIONS和RELEVANCEBlack和亚洲医学生不太可能比他们的白色同行的成员AOA，这可能反映了偏见的选择。反过来，AOA成员的选择可能会影响少数民族医学生未来的机会。
IMPORTANCEPrevious studies have found racial and ethnic inequities in the receipt of academic awards, such as promotions and National Institutes of Health research funding, among academic medical center faculty. Few data exist about similar racial/ethnic disparities at the level of undergraduate medical education.OBJECTIVETo examine the association between medical student race/ethnicity and induction into the Alpha Omega Alpha (AOA) honor society.DESIGN, SETTING, AND PARTICIPANTSThis study analyzed data from the Electronic Residency Application Service, the official service used by US medical students to apply to residency programs. A total of 4655 US medical students from 123 allopathic US medical schools who applied to 12 distinct residency programs associated with one academic health center in the 2014 to 2015 academic year were studied.MAIN OUTCOMES AND MEASURESMembership in the AOA society among black, white, Hispanic, and Asian medical students.RESULTSA total of 4655 unique applications were analyzed in the study (median age, 26 years; 2133 women [45.8%]). Overall, self-reported race/ethnicity in our sample was 2605 (56.0%) white (691 [71.5%] of AOA applicants were white), 276 (5.9%) black (7 [0.7%] AOA), 186 (4.0%) Hispanic (27 [2.8%] AOA), and 1170 (25.1%) Asian (168 [17.4%] AOA). After controlling for US Medical Licensing Examination Step 1 scores, research productivity, community service, leadership activity, and Gold Humanism membership, the study found that black (adjusted odds ratio [aOR], 0.16; 95% CI, 0.07-0.37) and Asian (aOR, 0.52; 95% CI, 0.42-0.65) medical students remained less likely to be AOA members than white medical students. No statistically significant difference was found in AOA membership between white and Hispanic medical students (aOR, 0.79; 99% CI, 0.45-1.37) in the adjusted model.CONCLUSIONS AND RELEVANCEBlack and Asian medical students were less likely than their white counterparts to be members of AOA, which may reflect bias in selection. In turn, AOA membership selection may affect future opportunities for minority medical students.