Factors associated with underrepresented minority physician scientist trainee career choices
| Autor: | Omar Toubat, Shinnyi Chou, Hajwa Kim, Aisha L. Siebert, Alexander J. Adami, Dania Daye, Jennifer M. Kwan |
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| Rok vydání: | 2020 |
| Předmět: |
Biomedical Research
020205 medical informatics media_common.quotation_subject education Specialty Ethnic group lcsh:Medicine 02 engineering and technology Education 03 medical and health sciences 0302 clinical medicine Underrepresented Minority Cultural diversity Physicians 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Minority Groups media_common Response rate (survey) lcsh:LC8-6691 Medical education lcsh:Special aspects of education Career Choice lcsh:R General Medicine United States Cross-Sectional Studies Workforce Pacific islanders Psychology Diversity (politics) Research Article |
| Zdroj: | BMC Medical Education BMC Medical Education, Vol 20, Iss 1, Pp 1-17 (2020) |
| ISSN: | 1472-6920 |
| Popis: | Background Recently, there have been concerted efforts to improve racial and ethnic diversity in the physician-scientist workforce. Identifying factors associated with career choices among those underrepresented in medicine and science is a necessary first step to advance this objective. The aim of the present study was to assess the attitudes and factors associated with academic and research career interests among underrepresented predoctoral physician-scientists. Methods A cross-sectional 70-question survey was distributed to all predoctoral single degree (MD or DO) and dual degree (MD/PhD or DO/PhD) trainees at 32 medical schools in the United States from 2012 to 2014. Main outcomes included factors important to advancement in academic medicine, intended medical specialty, and future career plans. To test the post-hoc hypothesis of whether trainees from underrepresented groups have differing perceptions of career trajectories and obstacles than their counterparts, we evaluated responses according to self-identified race/ethnic status using Chi-square and Fisher’s exact tests. All tests were two-sided and significance level of Results There were a total of 4433 responses representing all predoctoral training stages. The response rate was 27%. Most respondents were single degree trainees (MD/DO 79% vs MD/DO-PhD 21%). Most respondents self-identified as White (67%), followed by Multi-racial or Other (14.3%), Asian or Pacific Islander (10.4%), Hispanic (6%), and Black or African American (4.1%). Desired career sector, career intention, and clinical specialty interest differed across race/ethnic groups. With respect to career selection factors, anticipated non-work related responsibilities during residency were also significantly different between these groups. By multivariable regression analysis, Black or African American trainees were significantly less likely than White trainees to indicate a career in academia (OR 0.496, 95% CI 0.322–0.764) and basic research (OR 0.314, 95% CI 0.115–0.857), while Multi-racial or Other trainees were also less likely than White trainees to indicate a career in academia (OR 0.763, 95% CI 0.594–0.980). Conclusions These data represent the first in-depth survey of career aspirations, perceptions, and interests between demographically underrepresented and non-underrepresented predoctoral physician-scientist trainees. Our results identify key differences between these cohorts, which may guide efforts to improve diversity within the physician-scientist workforce. |
| Databáze: | OpenAIRE |
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