Calling for a Broader Conceptualization of Diversity: Surface and Deep Diversity in Four Canadian Medical Schools
Calling for a Broader Conceptualization of Diversity: Surface and Deep Diversity in Four Canadian Medical Schools
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呼吁更广泛的多样性概念：加拿大四所医学院的表面和深层多样性
DOI：
10.1097/acm.0b013e31826daf74
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发表时间：
2012
影响因子：
7.4
通讯作者：
David J. McKnight
中科院分区：
文献类型：
--
作者：
M. Young;S. Razack;M. Hanson;S. Slade;L. Varpio;K. Dore;David J. McKnight
政策团体建议监测和支持医学生和医务人员之间的更多多样性。在加拿大，关于医科学生多样性的数据很少，这给政策制定和评价带来了挑战。作者研究多样性，通过一个框架的表面（可见）和深（不太明显）的尺寸和目前的数据关于加拿大医学生的样本。方法2009年至2011年期间，9个队列从加拿大4所医学院完成了健康教育学生多样性调查（HPSDS）无论是在纸上或网上。项目询问每个参与者的年龄，性别，性别认同，性认同，婚姻状况，种族，农村状况，父母收入和残疾。对数据进行了连续分析，并在有数据时与国家数据进行了比较。结果在1,892名学生中，1,552名（82.0%）完成了HPSDS。学生的年龄倾向于21至25岁（68.3%; 1，048/1，534），女性（59.0%; 902/1，529），异性恋（94.6%; 1，422/1，503），单身（90.1%; 1，369/1，520），不太可能报告任何残疾（96.5%; 1，463/1，516）。大多数学生认同出生证明上的性别（99.8%; 1，512/1，515）。大约一半的人（46.7%; 711/1，521）在城市环境中度过了他们的大部分生活，大多数人报告父母家庭收入超过10万美元/年（57.6%; 791/1，373）。总体而言，他们在加拿大高收入群体中的代表性过高，而在土著、黑人或菲律宾族裔中的代表性不足。结论-作者提出了一个国家学生多样性数据库的发展，以支持当地相关的政策，管道计划和审查目前的应用程序和选择程序，以确定潜在的障碍，代表性不足的学生。
Purpose Policy groups recommend monitoring and supporting more diversity among medical students and the medical workforce. In Canada, few data are available regarding the diversity of medical students, which poses challenges for policy development and evaluation. The authors examine diversity through a framework of surface (visible) and deep (less visible) dimensions and present data regarding a sample of Canadian medical students. Method Between 2009 and 2011, nine cohorts from four Canadian medical schools completed the Health Professions Student Diversity Survey (HPSDS) either on paper or online. Items asked each participant’s age, gender, gender identity, sexual identity, marital status, ethnicity, rural status, parental income, and disability. Data were analyzed descriptively and compared, when available, with national data. Results Of 1,892 students invited, 1,552 (82.0%) completed the HPSDS. Students tended to be 21 to 25 years old (68.3%; 1,048/1,534), female (59.0%; 902/1,529), heterosexual (94.6%; 1,422/1,503), single (90.1%; 1,369/1,520), and unlikely to report any disability (96.5%; 1,463/1,516). The majority of students identified with the gender on their birth certificate (99.8%; 1,512/1,515). About half had spent the majority of their lives in urban environments (46.7%; 711/1,521), and most reported parental household incomes of over $100,000/year (57.6%; 791/1,373). Overall, they were overrepresentative of higher-income groups and underrepresentative of populations of Aboriginal, black, or Filipino ethnicities in Canada. Conclusions The authors propose the development of a National Student Diversity Database to support both locally relevant policies regarding pipeline programs and an examination of current application and selection procedures to identify potential barriers for underrepresented students.