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Longitudinal Evaluation of Research Career Intentions among Students Underrepresented in Medicine

医学领域代表性不足的学生研究职业意向的纵向评估

基本信息

批准号：
10750271
负责人：
Dowin Boatright
金额：
$ 72.87万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-23 至 2028-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10750271
关键词：
Affect Alaska Native American American Indians Association of American Medical Colleges Black race Clinical Clinical Medicine Clinical Sciences Complement Data Development Discrimination Disparity Doctor of Philosophy Engineering Ethnic Origin Ethnic Population Evaluation Research Evolution Exclusion Funding Future Growth Hispanic Individual Influentials Institution Intention Interview Leadership Measures Medical Education Medical Students Medicine Mentorship Methodology Methods Native Hawaiian or Other Pacific Islander Patients Physicians Play Positioning Attribute Publishing Qualitative Methods Race Reduce health disparities Reporting Research Research Design Residencies Role Sampling Scholarship Schools Scientist Shapes Students Surveys Time Training Underrepresented Populations Underrepresented Students United States National Academy of Sciences United States National Institutes of Health Work career cohort ethnic diversity ethnic minority experience follow-up health inequalities innovation interest matriculation medical schools novel perceived discrimination pressure programs racial diversity racial minority racial population racism success

项目摘要

The physician-scientist workforce struggles to attract racial and ethnic groups historically underrepresented in medicine (URiM), including individuals who are Black, Hispanic, American Indian or Alaskan Native, Native Hawaiian, and other Pacific Islander. Because the national research agenda is often set by those conducting scientific studies, increasing the diversity of the physician-scientist workforce has the potential to bring greater focus on issues that disproportionately affect racial and ethnic minorities. Notably, racial and ethnic minority physician-scientists are more likely to pursue scholarship related to racial/ethnic health inequities. Prior work has demonstrated that research career intentions evolve significantly during medical school and that research career intentions at graduation are associated with tangible downstream measures of research success, including subsequent receipt of NIH funding. Our preliminary data show marked disparities between URiM and non-URiM students in research career intentions during medical school. We propose a 5-year, longitudinal, mixed-methods study to identify trajectories (i.e., evolution over time) of research career intentions, and determinants thereof, in 400 URiM (based on race and ethnicity) students matriculating into MD programs and to compare these with trajectories and determinants in 200 non-URiM students. We will examine experiences at the individual level, such as quality of mentorship and experiences of discrimination, as well as experiences at the institutional level, such as URiM representation in the school's leadership. The aims are to: 1) identify trajectories of research career intentions among URiM students throughout medical school training and make comparisons with trajectories in non-URiM students; 2) identify student- and institutional-level predictors of research career intention trajectories in URiM students and make comparisons with predictors in non-URiM students; 3) use qualitative methods to characterize nuanced, lived experiences related to evolution of research career intentions. Quantitative and qualitative data will be integrated using a convergent approach at the levels of study design, analysis, interpretation, and reporting of results. This study is significant because it will identify potentially influential timepoints and predictors of change in research career intention among URiM MD students that can be used to increase the racial and ethnic diversity of the physician-scientist workforce. This diversity can help mitigate health disparities by broadening the national research agenda and increasing research participation by underrepresented populations. Our assessment of the roles of racism and discrimination in shaping research career intentions is innovative. The impact of our findings will be enhanced by our strong partnerships with national organizations, including medical education leaders at the National Academies of Sciences, Engineering, and Medicine (NASEM) and Association of American Medical Colleges (AAMC) to disseminate our findings. This study will form the basis of a future proposal to conduct follow-up of the cohort assembled in this study through residency and into early- and mid-career positions.

医生和科学家的工作队伍努力吸引历史上代表性不足的种族和民族群体