‘I sound different, I look different, I am different’: Protecting and promoting the sense of authenticity of ethnically minoritised medical students

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-03 DOI:10.1111/tct.13750

Zoe Moula, Albertine Zanting, Sonia Kumar

{"title":"‘I sound different, I look different, I am different’: Protecting and promoting the sense of authenticity of ethnically minoritised medical students","authors":"Zoe Moula, Albertine Zanting, Sonia Kumar","doi":"10.1111/tct.13750","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Being authentic can improve students' well-being and enhance the medical student–patient communication and patient safety. However, the underrepresentation of ethnically minoritised students in medical education can result in identity suppression, interfering with students' ability to succeed academically and professionally.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <div>We conducted interviews with 20 ethnically minoritised medical students, which were analysed thematically, to explore the following:\n\n <ol>\n \n <li>What facilitates and prevents students from being their authentic self during medical school?</li>\n \n <li>What learning and teaching strategies can enable students to be or become their authentic self?</li>\n </ol>\n </div>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Experiences of discrimination, microaggressions and/or racism were the main barriers to authenticity, leading to fear of being discriminated again if students expressed their true self. Lack of diversity, cultural awareness and staff representation were also fundamental barriers. Being authentic was often perceived as contradictory to being professional and a risk that could damage students' reputation. However, when students could express their true self, they felt happier, safer and developed a stronger sense of belonging.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>To enhance authenticity, students need to see better staff representation, role models they can relate and aspire to, such as Black professors. Equity/Diversity/Inclusion/Belonging (EDIB) training needs to become embedded throughout the curriculum and be delivered by facilitators with lived experiences. Other strategies to promote students' authenticity included mentoring, better signposting to complaints procedure and well-being resources and implementation of ‘zero tolerance’ policies. To our knowledge, this is one of the first studies on the concept of authenticity in medical education and the first study focusing on ethnically minoritised students.</p>\n </section>\n </div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/tct.13750","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/tct.13750","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Being authentic can improve students' well-being and enhance the medical student–patient communication and patient safety. However, the underrepresentation of ethnically minoritised students in medical education can result in identity suppression, interfering with students' ability to succeed academically and professionally.

Methods

We conducted interviews with 20 ethnically minoritised medical students, which were analysed thematically, to explore the following:

What facilitates and prevents students from being their authentic self during medical school?
What learning and teaching strategies can enable students to be or become their authentic self?

Findings

Experiences of discrimination, microaggressions and/or racism were the main barriers to authenticity, leading to fear of being discriminated again if students expressed their true self. Lack of diversity, cultural awareness and staff representation were also fundamental barriers. Being authentic was often perceived as contradictory to being professional and a risk that could damage students' reputation. However, when students could express their true self, they felt happier, safer and developed a stronger sense of belonging.

Discussion

To enhance authenticity, students need to see better staff representation, role models they can relate and aspire to, such as Black professors. Equity/Diversity/Inclusion/Belonging (EDIB) training needs to become embedded throughout the curriculum and be delivered by facilitators with lived experiences. Other strategies to promote students' authenticity included mentoring, better signposting to complaints procedure and well-being resources and implementation of ‘zero tolerance’ policies. To our knowledge, this is one of the first studies on the concept of authenticity in medical education and the first study focusing on ethnically minoritised students.

Abstract Image

查看原文本刊更多论文

我听起来与众不同，我看起来与众不同，我是与众不同的"：保护和促进少数民族医科学生的真实感。

背景：真实的身份可以提高学生的幸福感，加强医学生与患者之间的沟通和患者安全。然而，少数族裔学生在医学教育中所占比例过低，可能会导致身份压制，影响学生在学业和专业上取得成功：我们对 20 名少数民族医科学生进行了访谈，并对访谈内容进行了专题分析，以探讨以下问题：是什么促进和阻碍了学生在医学院期间做真实的自我？什么样的学习和教学策略能让学生成为或成为真实的自我？歧视、微词和/或种族主义的经历是影响真实自我的主要障碍，导致学生害怕在表达真实自我时再次受到歧视。缺乏多样性、文化意识和工作人员代表性也是根本障碍。真实往往被视为与专业相矛盾，是一种可能损害学生声誉的风险。然而，当学生能够表达真实的自我时，他们会感到更快乐、更安全，并产生更强烈的归属感：讨论：为了增强真实性，学生需要看到更好的教职员工代表，他们可以联系和向往的榜样，如黑人教授。公平/多样性/包容/归属感（EDIB）培训需要贯穿整个课程，并由有生活经验的辅导员提供。促进学生真实性的其他策略包括辅导、更好地提供投诉程序和福利资源以及实施 "零容忍 "政策。据我们所知，这是第一批关于医学教育中真实性概念的研究，也是第一批关注少数民族学生的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.