Student body racial and ethnic composition and diversity-related outcomes in US medical schools

Student body racial and ethnic composition and diversity-related outcomes in US medical schools
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DOI:
10.1001/jama.300.10.1135
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发表时间:
2008-09-10
影响因子:
120.7
通讯作者:
Wilkerson, LuAnn
Wilkerson, LuAnn
中科院分区:
医学1区
文献类型:
--
作者:
Saha, Somnath;Guiton, Gretchen;Wilkerson, LuAnn

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背景许多医学院声称,种族和民族多元化的学生是教育医生以满足多元化社会需求的重要因素。然而,有有限的证据解决的教育效果的学生身体种族diversity. ObjectiveTo确定学生身体种族和民族的多样性是否与多样性相关的结果在美国医学生。设计,设置,基于网络的调查(毕业问卷)由美国医学院协会管理的20112名毕业医学生(2003年和2004年所有毕业生的64%)来自美国118所对抗疗法医学院。历史上的黑人和波多黎各医学院被排除在外。主要结果测量学生的自我评价准备照顾病人从其他种族和民族背景,对公平的态度和获得照顾,并打算在一个服务不足的地区。结果白色学生在最高的五分之一的学生身体种族和民族多样性,衡量的比例不足的少数民族(URM)的学生,与多样性最低的五分之一人群相比,更有可能认为自己为照顾少数民族人口做好了充分的准备(分别为61.1%和53.9%; P
Context Many medical schools assert that a racially and ethnically diverse student body is an important element in educating physicians to meet the needs of a diverse society. However, there is limited evidence addressing the educational effects of student body racial diversity.Objective To determine whether student body racial and ethnic diversity is associated with diversity- related outcomes among US medical students.Design, Setting, and Participants A Web- based survey ( Graduation Questionnaire) administered by the Association of American Medical Colleges of 20 112 graduating medical students ( 64% of all graduating students in 2003 and 2004) from 118 allopathic medical schools in the United States. Historically black and Puerto Rican medical schools were excluded.Main Outcome Measures Students' self- rated preparedness to care for patients from other racial and ethnic backgrounds, attitudes about equity and access to care, and intent to practice in an underserved area.Results White students within the highest quintile for student body racial and ethnic diversity, measured by the proportion of underrepresented minority ( URM) students, were more likely to rate themselves as highly prepared to care for minority populations than those in the lowest diversity quintile ( 61.1% vs 53.9%, respectively; P