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1.
Pediatrics ; 149(1)2022 01 01.
Article in English | MEDLINE | ID: mdl-34972222

ABSTRACT

A physician workforce that reflects the patient population is associated with improved patient outcomes and promotes health equity. Notwithstanding, racial and ethnic disparities persist within US medical schools, making some individuals underrepresented in medicine (URM). We sought to increase the percentage of URM residents who matched into our pediatric residency programs from a baseline of 5% to 35% to achieve demographic parity with our patients. We developed a multifaceted approach using multiple iterative tests of change, with the primary strategy being increased visibility of URM trainees and faculty to residency applicants. Strategies included applicant interviews with URM faculty, interview dinners with URM residents, visibility at academic conferences for URM trainees, development of targeted marketing materials, and a visiting student program supported by networking with URM residents. The primary outcome measure was the percentage of matched residents in the categorical pediatrics, child neurology, and medical genetics training programs who identified as URM. The percentage of URM residents increased to 16% (6 of 37) in 2018, 26% (11 of 43) in 2019, 19% (8 of 43) in 2020, and 21% (9 of 43) in 2021 (a four-year average of 22% URM residents; P = .0002). This progress toward a more representative residency program was met by challenges, such as pipeline concerns, the minority tax, and recruitment during a pandemic. We were able to implement small, low-resource strategies that had a large cumulative impact and could be implemented in other residency programs. Specific tactics and challenges encountered are discussed in this special article.


Subject(s)
Internship and Residency/organization & administration , Minority Groups/statistics & numerical data , Pediatrics/education , Program Development , COVID-19/epidemiology , Health Equity , Humans , Internship and Residency/statistics & numerical data , Pandemics , Pediatricians/supply & distribution , United States/epidemiology
2.
Acad Pediatr ; 20(2): 152-156, 2020 03.
Article in English | MEDLINE | ID: mdl-31201954

ABSTRACT

Applying for a pediatric residency position has become an increasingly stressful event and recently medical educators have described it as a "Match Frenzy." Match statistics demonstrate increased competition for pediatric residency positions and a record number of applications. Faculty who mentor medical students are now challenged to counsel them through the intensified process and pediatric residency programs are now forced to navigate the rising number of applications. We define the Match Frenzy and its implications, review historical and current match statistics, and describe a data-driven approach to the problem. Through mitigating the frenzy surrounding this process, we can help students and residency programs better allocate their precious resources.


Subject(s)
Internship and Residency , Job Application , Mentoring , Pediatrics/education , Students, Medical , Career Choice , Faculty, Medical , Humans , Internship and Residency/trends , Pediatrics/trends , United States
3.
J Adv Nurs ; 74(1): 172-180, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28746750

ABSTRACT

AIMS: To examine the impact of errors or adverse events on emotional distress and professional quality of life in healthcare providers in the neonatal intensive care unit, and the moderating role of coworker support. BACKGROUND: Errors or adverse events can result in negative outcomes for healthcare providers. However, the role of coworker support in improving emotional and professional outcomes has not been examined. DESIGN: A cross-sectional online survey from a quality improvement initiative to train peer supporters in a neonatal intensive care unit. METHODS: During 2015, 463 healthcare providers in a neonatal intensive care unit completed a survey assessing their experiences with an error or adverse event, anxiety, depression, professional quality of life and coworker support. RESULTS: Compared with those who did not experience an error or adverse event (58%), healthcare providers who observed (23%) or were involved (19%) in an incident reported higher levels of anxiety and secondary traumatic stress. Those who were involved in an event reported higher levels of depression and burnout. Differences between the three groups (no event, observation and involvement) for compassion satisfaction were non-significant. Perceived coworker support moderated the association between experiencing an event and both anxiety and depression. Specifically, experiencing an event was associated with higher levels of anxiety and depression when coworkers were perceived as low in supportiveness, but not when they were viewed as highly supportive. CONCLUSION: Findings suggest that errors or adverse events can have a harmful impact on healthcare providers and that coworker support may reduce emotional distress.


Subject(s)
Emotions , Intensive Care Units, Neonatal , Interprofessional Relations , Medical Errors/psychology , Personnel, Hospital/psychology , Professional Role , Adult , Anxiety/etiology , Cross-Sectional Studies , Depression/etiology , Empathy , Female , Humans , Male , Middle Aged , Peer Group , Quality Improvement , Quality of Life , Reproducibility of Results , Surveys and Questionnaires
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