Lessons From the First Decade of the Native American Summer Research Internship at the University of Utah.

Lessons From the First Decade of the Native American Summer Research Internship at the University of Utah.
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DOI:
10.1097/acm.0000000000003759
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发表时间:
2021-04-01
期刊:
Academic medicine : journal of the Association of American Medical Colleges
影响因子:
--
通讯作者:
Byington CL
Byington CL
中科院分区:
其他
文献类型:
--
作者:
Holsti M;Clark EB;Fisher S;Hawkins S;Keenan H;Just S;Lee J;Napia E;Rodriguez JE;Taylor F;White R;Willie S;Byington CL

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美国印第安人/阿拉斯加原住民(AI/AN)人口正面临多重健康危机,包括获得医疗服务的机会有限,慢性病发病率高,过早死亡的情况远远超过美国其他代表性不足的少数民族。根据美国印第安医生协会的数据,AI/AN人口占美国人口的2.0%,但在医学专业学生中只占0.2%,在医学博士授予机构中只占全职教师的0.1%。增加人工智能/AN临床医生和科学家的数量是改善人工智能/AN人群健康结果和应对这些危机的一项战略。2010年,犹他大学与研究、文化和专业导师合作,为美国各地有兴趣从事生物医学事业的人工智能/人工智能大学生创建了一个为期10周的夏季美国原住民研究实习(NARI)项目。NARI通过在一个创新的、具有文化意识的框架中提供有指导的暑期研究实习来吸引和支持AI/AN学生,该框架适应观察到的挑战,以优化教育体验并支持生物医学职业抱负。在NARI项目的头十年里,来自美国22个州、46个部落民族和57所大专院校的128名学生参加了该项目。在这128名学生中,113名(88%)已经完成了学士学位,其余15名(12%)正在攻读学士学位。没有一个NARI学生从大学辍学。26名(20%)NARI校友已被医学院录取,30名(23%)进入研究生院。8名(6%)参与者已完成医学院学业,3名(2%)参与者正在攻读科学博士学位。另有36人(28%)在生物医学研究领域就业。NARI方案增加了AI/AN学生对医学和生物医学科学的参与。这个创新的、具有文化意识的、适应性强的框架是其他面向AI/AN学生和其他代表性不足社区学生的项目的典范。
American Indian/Alaska Native (AI/AN) populations are facing multiple health crises, including limited access to care, high rates of chronic disease, and early mortality that is far worse than other underrepresented minorities in the U.S. According to the Association of American Indian Physicians, AI/AN people represent 2.0% of the U.S. population but only 0.2% of medical students and 0.1% of full-time faculty at MD-granting institutions. Increasing the number of AI/AN clinicians and scientists is one strategy to improve health outcomes in the AI/AN population and address these crises. In 2010, the University of Utah partnered with research, cultural, and professional mentors to create a 10-week summer Native American Research Internship (NARI) program for AI/AN college students across the U.S. who are interested in pursuing biomedical careers. NARI attracts and supports AI/AN students by offering mentored summer research internships in an innovative, culturally-aware framework that adapts to observed challenges to optimize educational experiences and support biomedical career aspirations. During the first decade of the NARI program, 128 students from 22 U.S. states, representing 46 tribal nations and 57 colleges and universities, have participated. Of those 128 students, 113 (88%) have completed a bachelor’s degree and the remaining 15 (12%) are currently working towards a bachelor’s degree. No NARI student has dropped out of college. Twenty-six (20%) NARI alumni have matriculated to medical school and 30 (23%) to graduate school. Eight (6%) participants have completed medical school and 3 (2%) participants are pursuing a PhD in science. An additional 36 (28%) have gained employment in biomedical research fields. The NARI program has increased the participation of AI/AN students in medicine and the biomedical sciences. The innovative, culturally-aware, and adaptive framework is a model for other programs for AI/AN students and students in other underrepresented communities.