PDF(Pubmed)
Abstract：
Within psychiatry, the proportions of individuals underrepresented in medicine (URM) are lower than are the proportions among the general U.S. population. Holistic review of residency applications may alleviate deficiencies in representation and disparities in care. A holistic review process was implemented (2021-2022) in the University of California, San Diego, psychiatry residency program. The data (2016-2022) were extracted from the Electronic Residency Application Service to compare differences in the applicant pool before and after implementation of the holistic review. A total of 6,602 individuals applied to the program between 2016 and 2022, increasing from 762 in 2016 to 1,148 in 2021. The proportion of women applying significantly increased (χ2=12.6, p<0.002), from 42.3% in 2016 to 50.6% in 2022. Across all years, a significantly greater proportion (χ2=22.0, p<0.001) of those selected to interview were women (55.1%), with the greatest proportion in 2022 (64.5%), after implementation of the holistic review. The proportion of applicants from URM groups significantly increased (χ2=28.0, p<0.001), from 13.4% in 2016 to 21.3% in 2022. There were no significant differences in the proportion of these applicants selected to interview across all years and no increase following the holistic review. The proportion of women interviewed was greater than the proportion of women who applied, particularly after implementing the holistic review. The proportion of applicants from URM groups increased over time and, although the proportion interviewed remained greater than the number applying, that number did not change across the years studied.
摘要：
在精神病学中，在医学领域(URM)代表性不足的个人比例低于美国普通人群的比例.对居留申请进行整体审查可能会减轻代表性不足和护理差异。在加州大学（UniversityofCalifornia）实施了整体审查过程（2021-2022），圣地亚哥,精神病学住院医师计划。数据（2016-2022年）是从电子居留申请服务中提取的，以比较实施整体审查前后申请人池的差异。在2016年至2022年期间，共有6,602人申请了该计划，从2016年的762人增加到2021年的1,148人。申请妇女的比例显着增加（χ2=12.6，p<0.002），从2016年的42.3%到2022年的50.6%。在所有年份中，参加面试的女性比例明显更高（χ2=22.0，p<0.001）（55.1％），2022年比例最高（64.5%），实施全面审查后。URM组的申请人比例显着增加（χ2=28.0，p<0.001），从2016年的13.4%到2022年的21.3%。在所有年份中，选择参加面试的这些申请人的比例没有显着差异，并且在整体审查后没有增加。受访女性比例高于申请女性比例,特别是在实施全面审查之后。URM组的申请人比例随着时间的推移而增加，尽管受访者的比例仍然高于申请人数，这个数字在研究的年份中没有变化。
