المؤلفون: Teherani, Arianne, Uwaezuoke, Kelechi, Kenny, Jazmine, Calderón-Jensen, Connie, Magana, Tomás, Flores, Katherine, Fernandez, Alicia

المصدر: Medical education online. 28(1)

مصطلحات موضوعية: Humans, Focus Groups, Program Evaluation, Medicine, Students, Physicians, Pathway programs, diversity, evaluation, undergraduate, underrepresented in medicine, Quality Education, Public Health and Health Services, Specialist Studies in Education

الوصف: Latinx physician rates are lower than non-Latinx white physicians. Many pathway programs to careers in medicine have been established for underrepresented students, yet few focus on premedical college education or undergraduate pathway programs, which marks a critical junction in the commitment to and preparation for application to medical school. Moreover, little is known about the program components which prepare and support learners. Framed by Swail's Model for Persistence and Achievement, we characterize how a given program's components impact support and growth for participating students. Using the process step of the Context, Input, Process, and Product evaluation model, we conducted focus groups at the end of the program, with four cohorts of student participants between 2019 and 2022. Focus groups identified strengths and limitations in content and delivery to improve program effectiveness and plan for the future of a program. We used thematic analysis, following an inductive approach, to analyze data from transcribed focus groups. A total of 66 of 81 (81.5%) students participated in focus groups. Students described that supportive program components include long-term mentorship and advising that builds trust, academic preparation for medical school, early exposure to clinical career exploration, tools to articulate students' personal narrative, methods to recognize and address challenging situations in the professional environment, community leadership development, and leveraging health policy and advocacy to empower students to create systems change within communities. Our findings affirm and provide a needed account of program components known to be contributors to student success in undergraduate pathway programs. Our evaluation also characterizes additional supportive processes not discussed elsewhere. Our findings contribute to knowledge about development and implementation of undergraduate pathway programs and the components by which these programs create opportunities for success among underrepresented students aspiring to careers in medicine.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/77b531wnTest

المؤلفون: Brennan McMichael, Brian Fallon, Anderson Lee IV, Gurjit Sandhu, Niki Matusko

المصدر: MedEdPublish, Vol 12 (2022)

مصطلحات موضوعية: Medical student debt, educational debt burden, underrepresented in medicine (URiM), financial literacy, wellness, eng, Special aspects of education, LC8-6691, Medicine

الوصف: Background: The authors analyzed the distribution of medical student debt and identified demographic features that placed students at high risk for increased debt and financial stress. Methods: From April to May 2019, a cross-sectional, anonymous, web-based survey was administered to first-year (M1) to fourth-year (M4) medical students at the University of Michigan to assess financial literacy, debt burden, financial stress, and demographic factors. A total of 216 of 680 (32%) students completed the survey. Respondents voluntarily answered 15 multiple-choice questions on personal finance and 30 questions on their demographics, current financial situation, and debt burden. To quantify debt burden, students estimated anticipated education-related debt in one of four categories: no debt, $1–99,999; $100,000–$199,999; and $200,000 or more. A chi-square test was used to identify associations between categorical variables and logistic regression was used to identify risk factors for debt and worry. Results: Fifty-four respondents (25%) reported $0 in education related debt, while 44 (16%) had $200,000 or more. Race (p=0.006), first-generation college student status (p=0.004), first-generation medical student status (p

وصف الملف: electronic resource

العلاقة: https://mededpublish.org/articles/12-3/v2Test; https://doaj.org/toc/2312-7996Test

الوصول الحر: https://doaj.org/article/e99bf0d426804c778006e263bce8877eTest

المؤلفون: Asia McCleary-Gaddy, Erica Tengyuan Yu, Robert D. Spears

المصدر: Healthcare, Vol 10, Iss 12, p 2399 (2022)

مصطلحات موضوعية: pathway programs, interprofessional education, hybrid, diversity, underrepresented in medicine, pre-health, Medicine

الوصف: There is an emphasis on increasing the diversity of healthcare providers with the goal of reducing health disparities among racial/ethnic minorities. To support this initiative, pathway programs were designed to provide educational and career support to students belonging to racial/ethnic minorities or those who have challenges applying to or entering health professions. As a consequence of the COVID-19 pandemic, pathway programs have assumed various instructional delivery formats (e.g., face to face, virtual, hybrid) with little knowledge on the satisfaction of such methods. The current preliminary study examines whether in person, virtual, or hybrid learning is most effective for underrepresented pre-health undergraduate students who are engaged in a six-week interprofessional health pathway program. Quantitative and qualitative data was collected at one time point towards the end of the program when it was offered in person, virtually, and in hybrid format. Results revealed that the pre-health pathway program received highest satisfaction when presented in a hybrid format and least satisfaction when presented in virtual instruction. Qualitative data suggests that virtual instruction increases feelings of isolation and complicates educational information due to the limitations of virtual streaming. Implications for pathway design are discussed.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2227-9032/10/12/2399Test; https://doaj.org/toc/2227-9032Test

الوصول الحر: https://doaj.org/article/a58bfa5f5dd34e90afa091abf7d85ff0Test

المؤلفون: Brennan McMichael, Brian Fallon, Anderson Lee IV, Gurjit Sandhu, Niki Matusko

المصدر: MedEdPublish, Vol 12 (2022)

مصطلحات موضوعية: Medical student debt, educational debt burden, underrepresented in medicine (URiM), financial literacy, wellness, eng, Special aspects of education, LC8-6691, Medicine

الوصف: Background: The authors analyzed the distribution of medical student debt and identified demographic features that placed students at high risk for increased debt and financial stress. Methods: From April to May 2019, a cross-sectional, anonymous, web-based survey was administered to first-year (M1) to fourth-year (M4) medical students at the University of Michigan to assess financial literacy, debt burden, financial stress, and demographic factors. A total of 216 of 680 (32%) students completed the survey. Respondents voluntarily answered 15 multiple-choice questions on personal finance and 30 questions on their demographics, current financial situation, and debt burden. To quantify debt burden, students estimated anticipated education-related debt in one of four categories: no debt, $1–99,999; $100,000–$199,999; and $200,000 or more. A chi-square test was used to identify associations between categorical variables and logistic regression was used to identify risk factors for debt and worry. Results: Fifty-four respondents (25%) reported $0 in education related debt, while 44 (16%) had $200,000 or more. Race (p=0.006), first-generation college student status (p=0.004), first-generation medical student status (p

وصف الملف: electronic resource

العلاقة: https://mededpublish.org/articles/12-3/v1Test; https://doaj.org/toc/2312-7996Test

الوصول الحر: https://doaj.org/article/6b29aaff71a643449e838cc705f2f304Test

المؤلفون: Amy Prunuske, BreAnna Houss, Anna Wirta Kosobuski

المصدر: BMC Medical Education, Vol 19, Iss 1, Pp 1-8 (2019)

مصطلحات موضوعية: Peer mentors, Prematriculation, Underrepresented in medicine, Medical students, ACGME competencies, Near-peer, Special aspects of education, LC8-6691, Medicine

الوصف: Abstract Background Medical student learning experiences should facilitate progressive development of competencies required for practice. Medical school training opportunities have traditionally focused on acquiring medical knowledge and patient care competencies while affording less opportunity to receive feedback on practice-based improvement and system-based practice competencies. The Prematriculation program at the University of Minnesota Medical School Duluth Campus (UM MSD) utilized near-peer mentors to support the transition of students underrepresented in medicine, including American Indian/ Alaska Natives (AI/AN) and those from rural backgrounds, into medical school. The purpose of this study is to better define the role of near-peer mentors and explore the alignment of near-peer mentorship with the ACGME core competencies. Methods An important component of the Prematriculation program, designed to prepare incoming under-represented students for medical school, was the inclusion of near-peer mentors. The six near-peer mentors participated in semi-structured interviews or focus groups within 1 year of serving as a near-peer mentor. Themes emerged from open-coding of the transcripts. Results The near-peer mentors drew on their own experiences to transmit information that supported the socialization of the matriculating students into medical school. Direct benefits to the mentors included solidifying their own understanding of medical knowledge and execution of procedural skills. Mentors provided examples of benefits related to their own development of interpersonal communication and professionalism skills. Operating in the context of the program provided opportunities to engage mentors in practice-based improvement and system-based practice. Conclusions Serving as a near-peer mentor offers significant benefits to medical students from backgrounds underrepresented in medicine. By taking on the peer mentoring leadership role, students progressed toward the competencies required of an effective physician. Given the importance of acquiring these competencies, it is worth considering how near-peer mentoring can be applied more broadly across the medical school curriculum.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12909-019-1854-xTest; https://doaj.org/toc/1472-6920Test

الوصول الحر: https://doaj.org/article/9bb8ca110b8e4818b1570776f351b83fTest

المؤلفون: Daniella Ortiz, Niki Matusko, Janice Vallie, Julie Burdine, Jonathan Finks, Gurjit Sandhu

المصدر: MedEdPublish, Vol 10, Iss 1 (2021)

مصطلحات موضوعية: Pipeline programs, Underrepresented in medicine students, Vigilance, Resilience, Special aspects of education, LC8-6691, Medicine

الوصف: It is crucial that we understand what challenges still exist for underrepresented in medicine (URiM) students on the path to medicine in order to design more effective pipeline programs. Resilience and its relationship to success in medicine is a growing area of interest in medical education, and the concept of vigilance has been studied in the context of the health of racialized groups. We sought to measure the roles of resilience and vigilance on URiM students’ commitment to entering the medical field as well as the relationship between these two factors. A survey including the 10- item Connor Davidson Resilience Scale, the abbreviated Heightened Vigilance Scale, and questions measuring perceptions of everyday discrimination and intentions to pursue medicine was distributed to participants of Doctors of Tomorrow, a University of Michigan Medical School pipeline program focused on high school and undergraduate students. We detected significant relationship between resilience and intention to pursue medicine via Fisher’s exact test (p=0.004). There was no significant relationship between vigilance and intention to pursue medicine nor between vigilance and resilience. We conclude that including resilience development for URiM students in pipeline program curricula could enhance URiM student matriculation to medical school.

وصف الملف: electronic resource

العلاقة: https://www.mededpublish.org/Manuscripts/3753Test; https://doaj.org/toc/2312-7996Test

الوصول الحر: https://doaj.org/article/4c02efd993e44a98a8dbd92d4b95da89Test

المؤلفون: Prajnan Das, Abigail Salcedo, Bhavana V. Chapman, Reshma Jagsi, Charles R. Thomas, Chelsea C. Pinnix, Denise De La Cruz, Michael K. Rooney, Ethan B. Ludmir, Emma B. Holliday

المصدر: Journal of Cancer Education

مصطلحات موضوعية: Male, Race, media_common.quotation_subject, Sexism, Word count, Graduate medical education, Ethnic group, Article, law.invention, 03 medical and health sciences, 0302 clinical medicine, Bias, law, Radiation oncology, Ethnicity, Gender bias, Humans, Medicine, Personality, 030212 general & internal medicine, Personnel Selection, media_common, business.industry, Public Health, Environmental and Occupational Health, Internship and Residency, Gender, Linguistics, Residency program, Residency, Underrepresented in medicine, Oncology, Calculator, 030220 oncology & carcinogenesis, Radiation Oncology, Female, Women in medicine, business

الوصف: We aimed to investigate whether implicit linguistic biases exist in letters of recommendation (LORs) for applicants to radiation oncology (RO) residency. LORs (n = 487) written for applicants (n = 125) invited to interview at a single RO residency program from the 2015 to 2019 application cycles were included for analysis. Linguistic Inquiry and Word Count (LIWC) software was used to evaluate LORs for length and a dictionary of predetermined themes. Language was evaluated for gender bias using a publicly available gender bias calculator. Non-parametric tests were used to compare linguistic domain scores. The median number of the LORs per applicant was 4 (range 3–5). No significant differences by applicant gender were detected in LIWC score domains or gender bias calculator (P > 0.05). However, LORs for applicants from racial/ethnic backgrounds underrepresented in medicine were less likely to include standout descriptors (P = 0.008). Male writers were less likely to describe applicant characteristics related to patient care (P < 0.0001) and agentic personality (P = 0.006). LORs written by RO were shorter (P < 0.0001) and included fewer standout descriptors (P = 0.014) but were also more likely to include statements regarding applicant desirability (P = 0.045) and research (P = 0.008). While language was globally male-biased, assistant professors were less likely than associate professors (P = 0.0064) and full professors (P = 0.023) to use male-biased language. Significant linguistic differences were observed in RO residency LORs, suggesting that implicit biases related to both applicants and letter writers may exist. Recognition, and ideally eradication, of such biases are crucial for fair and equitable evaluation of a diverse applicant pool of RO residency candidates. Electronic supplementary material The online version contains supplementary material available at 10.1007/s13187-020-01907-x.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7dc1163b129812ce23c5e1d4858ce432Test
https://doi.org/10.1007/s13187-020-01907-xTest

المؤلفون: Niki Matusko, Daniella Ortiz, Jonathan F. Finks, Janice Vallie, Julie Burdine, Gurjit Sandhu

المصدر: MedEdPublish, Vol 10, Iss 1 (2021)

مصطلحات موضوعية: Resilience, LC8-6691, media_common.quotation_subject, Applied psychology, education, Vigilance, Special aspects of education, Underrepresented in medicine students, Pipeline programs, Medicine, Resilience (network), Psychology, Vigilance (psychology), media_common

الوصف: It is crucial that we understand what challenges still exist for underrepresented in medicine (URiM) students on the path to medicine in order to design more effective pipeline programs. Resilience and its relationship to success in medicine is a growing area of interest in medical education, and the concept of vigilance has been studied in the context of the health of racialized groups. We sought to measure the roles of resilience and vigilance on URiM students’ commitment to entering the medical field as well as the relationship between these two factors. A survey including the 10- item Connor Davidson Resilience Scale, the abbreviated Heightened Vigilance Scale, and questions measuring perceptions of everyday discrimination and intentions to pursue medicine was distributed to participants of Doctors of Tomorrow, a University of Michigan Medical School pipeline program focused on high school and undergraduate students. We detected significant relationship between resilience and intention to pursue medicine via Fisher’s exact test (p=0.004). There was no significant relationship between vigilance and intention to pursue medicine nor between vigilance and resilience. We conclude that including resilience development for URiM students in pipeline program curricula could enhance URiM student matriculation to medical school.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::83a10361b674bf3e2f728c320df78b72Test
https://www.mededpublish.org/Manuscripts/3753Test

المؤلفون: Tracey S Otto, Steven T. Chen, Sacharitha Bowers

المصدر: International Journal of Women's Dermatology
International Journal of Women's Dermatology, Vol 7, Iss 4, Pp 514-515 (2021)

مصطلحات موضوعية: Medical education, research, business.industry, media_common.quotation_subject, Medical students, underrepresented in medicine, diversity, dermatology, Mentorship, RL1-803, Medicine, business, mentorship, Letter to the Editor, application, Diversity (politics), media_common

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4b17cc796b525e676edbcb8eb0ff21d1Test
http://europepmc.org/articles/PMC8484955Test

المؤلفون: Brittany Feaster, Amy J. McMichael

المصدر: International Journal of Women's Dermatology, Vol 7, Iss 2, Pp 152-153 (2021)
International Journal of Women's Dermatology

مصطلحات موضوعية: 2019-20 coronavirus outbreak, Diversity, Minority, Coronavirus disease 2019 (COVID-19), business.industry, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Dermatology, Virology, Underrepresented in medicine, Editorial, Allyship, RL1-803, Medicine, business

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4a788fe96045c8a33f2cb997839bed1Test
http://www.sciencedirect.com/science/article/pii/S2352647521000058Test