Barriers and facilitators for under-represented in medicine (URiM) medical students interested in surgical sub-specialties - 16/03/23
, Marshall Lewis a, 1, Carlos A. Estrada b, c, ⁎ , Jorge I. de la Torre c, d, Ronan O'Beirne e, Colin Martin f, Britney Corey c, gAbstract |
Background |
Little is known on drivers and detractors underrepresented in medicine (URiM) medical students face.
Methods |
Using the nominal group technique (NGT), we explored experiences that strengthen or weaken the enthusiasm to pursue a career in surgery among URiM medical students (October 2021–April 2022); participants voted on the three most important experiences (weight of 3 = top rated, = 1 for the lowest rated). Responses from NGT with at least one vote were weighted, ranked, and categorized.
Results |
Seventeen students participated. Experiences that strengthen enthusiasm (36 responses with at least one vote) involved mentorship and role models (weighted sum percentage, 35%), demonstrating grit (15%), lifestyle (15%), patient interactions (14%), technical skills (11%), community and team (10%), and intellectual stimulation (1%). Experiences that weaken enthusiasm (33 responses with at least one vote) include the minority experience (weighted sum percentage, 51%), quality of life (25%), toxic environment (13%), lack of information (7%), and finances (5%).
Conclusions |
Mentorship, demonstrating grit, and feeling a sense of community were important positive experiences or attitudes. The minority experience, toxic environment, perceptions of self-worth, and lifestyle misconceptions perceived by URiM must be addressed to increase diversity, equity, and inclusion.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | We interviewed 17 under-represented medical students about factors associated with going into surgery. |
• | Mentorship, demonstrating grit, and a sense of community are important positive experiences. |
• | Minority experience included micro-aggressions, lack of mentorship and representation, low confidence, and feeling invisible |
• | Minority experience, toxic environment, and self-worth must be addressed to increase diversity, equity, and inclusion. |
Abbreviations : URiM
Plan
Vol 225 - N° 4
P. 660-666 - avril 2023 Retour au numéro
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