Exploring Race and Ethnicity Representational Inequities in Illinois Medical Schools.
Exploring Race and Ethnicity Representational Inequities in Illinois Medical Schools.
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DOI：
10.1089/heq.2021.0026
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发表时间：
2021
期刊：
影响因子：
2.7
通讯作者：
Ortega P
中科院分区：
文献类型：
--
作者：
Francone NO;Simon MA;Ortega P
目的：增加美国医学院学生多样性的努力落后于人口中少数种族/族裔的持续增长。有针对性的本地方法可能会促进可行的变革，使学校有责任通过代表性来满足社区需求。我们研究的目的是（1）分析伊利诺伊州不同州的对抗疗法和整骨疗法医学院的学生种族/民族概况，以及（2）将学生种族/民族与学校当地县和小学教学医院患者群体的学生种族/民族进行比较。方法：使用美国医学院协会和美国整骨医学学院协会的数据来收集伊利诺伊州八所对抗疗法学校和一所整骨疗法医学院的入学学生种族/族裔。计算代表性不平等商数 (RIQ)，以确定三个参考人群（美国、县和小学教学医院患者人群）中西班牙裔/拉丁裔、黑人/非裔美国人和医学领域总体代表性不足 (UIM) 个体相对于每所医学院学生种族/族裔概况的比例。结果：在伊利诺伊州各学校中，当使用县人口统计数据作为参考人口（而不是美国或医院人口）时，平均 RIQ 最高（显示出更大的不平等）。对于所有学校而言，西班牙裔县学生的 RIQ 高于基于医院人数的 RIQ。对于库克县大多数设有小学教学医院的学校来说，医院学生的 RIQ 放大了黑人人口的代表性不平等。结论：使用县数据来评估医学院代表性不平等可能比美国人口更好地反映 UIM 代表性目标。检查医院人口统计数据可能会进一步揭示与医学教育相关的其他结构性不平等，例如初级教学医院没有充分服务于周边社区。通过评估当地和医院人口水平的 RIQ，学校可以定期评估其学生群体和医院人口代表其社区的程度，并调整招聘、保留和服务工作。
Purpose: Efforts to increase U.S. medical school student diversity have lagged behind the continued growth of racial/ethnic minorities in the population. A targeted, local approach may catalyze actionable change that holds schools accountable for addressing community needs through representation. The aims of our study are to (1) analyze the student racial/ethnic profiles of allopathic and osteopathic medical schools in the diverse state of Illinois and (2) compare student race/ethnicity with that of schools' local county and primary teaching hospital patient populations. Methods: Data from the Association of American Medical Colleges and American Association of College of Osteopathic Medicine were used to gather matriculated student race/ethnicity from the eight allopathic schools and one osteopathic medical school in Illinois. Representational inequity quotients (RIQs) were calculated to determine the proportion of Hispanic/Latinx, black/African American, and total underrepresented in medicine (UIM) individuals in three reference populations (U.S., county, and primary teaching hospital patient populations) relative to each medical school's student racial/ethnic profile. Results: Across Illinois schools, mean RIQs were highest (showed greater inequity) when county demographics were used as the reference population as opposed to U.S. or hospital populations. For all schools individually, Hispanic county-student RIQs were higher than RIQs based on hospital population. For a majority of schools with primary teaching hospital in Cook County, hospital-student RIQs magnified representational inequity for the black population. Conclusions: Using county data to evaluate medical school representation inequities may better reflect UIM representation goals than the U.S. population. Examining hospital demographics may further reveal other structural inequities relevant to medical education, such as primary teaching hospitals that are not adequately serving their surrounding communities. By evaluating RIQs on a local and hospital-population level, schools can periodically assess to what degree their student body and hospital populations represent their communities and adjust recruitment, retention, and service efforts.