Experiences with Racism Among Asian American Medical Students.

Experiences with Racism Among Asian American Medical Students.
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DOI:
10.1001/jamanetworkopen.2023.33067
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发表时间:
2023-09-05
期刊:
影响因子:
13.8
通讯作者:
Tiyyagura, Gunjan
Tiyyagura, Gunjan
中科院分区:
医学1区
文献类型:
--
作者:
Yang, David H.;Justen, Marissa;Lee, Dana;Kim, Heeryoung;Boatright, Dowin;Desai, Miraj;Tiyyagura, Gunjan

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亚裔美国医学生在医学院如何经历反亚裔种族主义?这项针对25名亚裔美国医学院学生的定性研究发现,参与者描述了5个主要主题:不可见性作为种族侵略,可见性和种族侵略,缺乏亚裔美国人在医学院的经历,在寻求支持时被忽视,以及展望未来。本研究的结果表明,亚裔美国医学院学生在反亚裔种族主义引起高度关注的时期没有感到得到医学院的支持,这表明教育者、医学院和机构有必要进一步关注这一问题。本质性研究访谈亚裔美国医学生,描述反亚裔种族主义和歧视经历的主要主题。自2020年以来,亚裔美国医生经历了种族主义和COVID-19的双重流行;了解种族主义如何影响亚裔美国医学生的学习环境是必要的,这有助于制定战略,促进更具包容性的医学院环境和多元化和包容性的劳动力。虽然先前的研究已经探讨了反亚裔种族主义对亚裔美国医护人员经历的影响,但据我们所知,还没有研究调查种族主义如何影响亚裔美国医学生的培训经历。描述亚裔美国医学院学生在医学院学习环境中如何经历反亚裔种族主义。本定性研究包括在2021年7月29日至2022年8月22日期间对亚裔美国医学生进行的在线视频访谈。通过亚太裔美国医学院学生协会和滚雪球抽样招募符合条件的参与者,样本代表了亚裔美国人的分类人群和所有4个医学院学年。亚裔美国医学生的医学院经历。在25名参与者中,亚洲种族包括8名华裔美国人(32%),5名韩裔美国人(20%),5名印度裔美国人(20%),3名越南裔美国人(12%),2名菲律宾裔美国人(8%),以及1名尼泊尔人,巴基斯坦人和德西裔美国人(4%);16例(64%)为女性。参与者描述了他们遭受歧视的5个主要主题:(1)被忽视是种族侵略(例如,“他们花了整整一年的时间才能把我和其他亚洲人区分开来”);(2)知名度和种族侵略(“它从每个亚洲人都感受到的一系列微侵犯转变为实际的侵犯”);(3)医学院缺乏亚裔美国人的经历(“他们根本不会提到亚裔美国人”);(4)在寻求支持时被忽视(“我不知道我身份的这一部分得到支持意味着什么”);(5)展望未来。在这一定性研究中,亚裔美国医学生报告说,他们在医学院感到被忽视,同时也是反亚裔种族主义的目标。解决这些与反亚裔种族主义有关的独特挑战对于促进更具包容性的医学院学习环境是必要的。
How do Asian American medical students experience anti-Asian racism in medical school? This qualitative study of 25 Asian American medical students found that participants described 5 major themes: invisibility as racial aggression, visibility and racial aggression, absence of the Asian American experience in medical school, ignored while seeking support, and envisioning the future. Results of this study suggest that Asian American medical students have not felt supported by their medical school during a period of heightened visibility due to anti-Asian racism, suggesting further attention is warranted by educators, medical schools, and institutions. This qualitative study of interviews with Asian American medical students describes major themes of experiences with anti-Asian racism and discrimination. Asian American physicians have experienced a dual pandemic of racism and COVID-19 since 2020; understanding how racism has affected the learning environment of Asian American medical students is necessary to inform strategies to promoting a more inclusive medical school environment and a diverse and inclusive workforce. While prior research has explored the influence of anti-Asian racism on the experiences of Asian American health care workers, to our knowledge there are no studies investigating how racism has impacted the training experiences of Asian American medical students. To characterize how Asian American medical students have experienced anti-Asian racism in a medical school learning environment. This qualitative study included online video interviews of Asian American medical students performed between July 29, 2021, and August 22, 2022. Eligible participants were recruited through the Asian Pacific American Medical Students Association and snowball sampling, and the sample represented a disaggregated population of Asian Americans and all 4 medical school years. The medical school experiences of Asian American medical students. Among 25 participants, Asian ethnicities included 8 Chinese American (32%), 5 Korean American (20%), 5 Indian American (20%), 3 Vietnamese American (12%), 2 Filipino American (8%), and 1 (4%) each Nepalese, Pakistani, and Desi American; 16 (64%) were female. Participants described 5 major themes concerning their experience with discrimination: (1) invisibility as racial aggression (eg, “It took them the whole first year to be able to tell me apart from the other Asian guy”); (2) visibility and racial aggression (“It transitioned from these series of microaggressions that every Asian person felt to actual aggression”); (3) absence of the Asian American experience in medical school (“They’re not going to mention Asian Americans at all”); (4) ignored while seeking support (“I don’t know what it means to have this part of my identity supported”); and (5) envisioning the future. In this qualitative study, Asian American medical students reported feeling invisible within medical school while a target of anti-Asian racism. Addressing these unique challenges related to anti-Asian racism is necessary to promote a more inclusive medical school learning environment.
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