解决医疗差距:探索得克萨斯州医学院招生的障碍

IF 2.5 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Joshua E Lewis BS, Lornee C. Pride BS, Kafayat Oyejide BS, Kelsey H. Bassey BS, Mary W. Maina BS, Adedamola Ashade BSA, Wei-Chen Lee PhD
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引用次数: 0

摘要

导言尽管医学院招生委员会努力促进多元化和包容性,但在医学界代表性不足的少数族裔在医学界的代表性仍然不足。虽然已经引入了综合录取标准,但URiM的入学率仍然落后于对多元化医生的需求。本研究探讨了德克萨斯州医学院中URiM的代表性趋势,重点关注西班牙裔/拉丁裔、非裔/黑人以及男性/女性人口统计数据。方法:从2013年至2023年期间的德克萨斯州医学和牙科学校申请服务(TMDSAS)中收集了种族、民族和性别人口统计数据。由于无法获得入学数据,数据分析排除了 2024 年的数据。统计显著性设定为 p<0.05。结果2013 年至 2023 年间,德克萨斯州医学和牙科学院共收到 71,716 名申请人,其中 19,478 人(27.2%)为预科生。其中,非裔美国人/黑人占 5.8%(n=1128),西班牙裔/拉丁裔占 16.9%(n=3293)。性别对申请率和预科率没有明显影响(P=0.113)。虽然总体申请率和入学率有所提高,但与非URiM少数族裔相比,URiM的比例仍然过低(p=0.002)。管道计划和免费 MCAT 预科课程等举措并没有有效缩小统俄医学和非统俄医学预科生之间的差距。德克萨斯州医学院的招生程序需要重新评估,以确保提高 URiM 的代表性,解决社会经济地位较低地区和特定少数民族群体的医疗差距问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Addressing Healthcare Disparities: Exploring the Barrier of Medical School Admissions in Texas

Introduction

Despite efforts by medical school admissions committees to promote diversity and inclusion, underrepresented in Medicine (URiM) minorities remain inadequately represented in medicine. While holistic admission criteria have been introduced, URiM enrollment rates continue to lag behind the demand for diverse physicians. This study examines trends in URiM epresentation at Texas medical schools, focusing on Hispanic/Latino, African American/Black, and male/female demographics.

Method

Racial, ethnic, and gender demographic data were collected from the Texas Medical and Dental Schools Application Services (TMDSAS) from 2013 to 2023. Data analysis excluded 2024 due to unavailable matriculation data. Statistical significance was set at p< 0.05.

Results

Between 2013 and 2023, Texas MD and DO schools received 71,716 applicants, with 19,478 (27.2%) matriculants. Of these, 5.8% were African American/Black (n=1128) and 16.9% were Hispanic/Latino (n=3293). Gender did not significantly affect applicant or matriculation rates (p=0.113). While overall applicant and matriculation rates increased, URiM representation remained disproportionately low compared to non-URiM minorities (p=0.002).

Conclusions

Further research is needed to assess recruitment efforts for URiM at Texas medical schools. Initiatives like pipeline programs and free MCAT prep courses have not effectively bridged the gap between URiM and non-URiM matriculants. Texas medical school admissions processes require reevaluation to ensure increased URiM representation, addressing healthcare disparities in lower socioeconomic areas and specific minority groups.

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来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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