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https://www.readbyqxmd.com/read/28323604/why-it-s-unjust-to-expect-location-specific-language-specific-or-population-specific-service-from-students-with-underrepresented-minority-or-low-income-backgrounds
#1
Barret Michalec, Maria Athina Tina Martimianakis, Jon C Tilburt, Frederic W Hafferty
In this case we meet Amanda, a medical student of Native and Latin American ethnicity who receives financial aid. Her friends are surprised by her interest in an elite residency program. They suggest, rather, that with her language skills, ethnic background, and interest in social justice, she has a responsibility to work with underserved patient populations. In our commentary, we consider issues raised by the case and explore Amanda's friends' underlying expectations and assumptions that perpetuate the very inequities that the resolution of the case purports to address...
March 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28321649/adolescent-participation-in-hpv-vaccine-clinical-trials-are-parents-willing
#2
Jennifer Cunningham Erves, Tilicia L Mayo-Gamble, Pamela C Hull, Lauren Duke, Stephania T Miller
Approximately one-quarter of human papillomavirus (HPV) infections are acquired by adolescents, with a higher burden among racial/ethnic minorities. However, racial/ethnic minorities have been underrepresented in previous HPV vaccine trials. Ongoing and future HPV vaccine optimization trials would benefit from racially- and ethnically-diverse sample of adolescent trial participants. This study examined factors influencing parental willingness to consent to their adolescents' participation in HPV vaccine clinical trials and tested for possible racial differences...
March 21, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28302274/pipeline-program-recruits-and-retains-women-and-underrepresented-minorities-in-procedure-based-specialties-a-brief-report
#3
Bonnie S Mason, William Ross, Monique C Chambers, Richard Grant, Michael Parks
As the US population continues to grow in racial and ethnic diversity, we also continue to see healthcare disparities across racial lines. Considerable attention has been given to creating a physician workforce that better reflects the population served by healthcare professionals. To address the low numbers of women and underrepresented minorities in procedural based specialties, Nth Dimensions has sought to address and eliminate healthcare disparities through strategic pipeline initiatives. This is a retrospective observational cohort study of 118 medical students from 29 accredited US medical schools, who were awarded a position in the Nth Dimensions Summer Internship program between 2005 and 2012...
November 17, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28287877/measuring-sexual-and-gender-minority-populations-in-health-surveillance
#4
Joanne G Patterson, Jennifer M Jabson, Deborah J Bowen
PURPOSE: Sexual and gender minorities (SGMs) are underrepresented and information about SGMs is difficult to locate in national health surveillance data, and this limits identification and resolution of SGM health disparities. It is also not known how measures of sexual orientation and transgender-inclusive gender identity in health surveillance compare with best practice recommendations. This article reviews and summarizes the publicly available, English language, large-scale, rigorously sampled, national, international, and regional data sources that include sexual orientation or transgender-inclusive gender identity and compares measures with best practice guidelines...
March 13, 2017: LGBT Health
https://www.readbyqxmd.com/read/28282303/diversity-in-the-emerging-critical-care-workforce-analysis-of-demographic-trends-in-critical-care-fellows-from-2004-to-2014
#5
Meghan B Lane-Fall, Todd A Miano, Jaya Aysola, John G T Augoustides
OBJECTIVES: Diversity in the physician workforce is essential to providing culturally effective care. In critical care, despite the high stakes and frequency with which cultural concerns arise, it is unknown whether physician diversity reflects that of critically ill patients. We sought to characterize demographic trends in critical care fellows, who represent the emerging intensivist workforce. DESIGN: We used published data to create logistic regression models comparing annual trends in the representation of women and racial/ethnic groups across critical care fellowship types...
March 9, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28277321/diversity-in-the-american-society-of-anesthesiologists-leadership
#6
Paloma Toledo, Lorent Duce, Jerome Adams, Vernon H Ross, Kelli M Thompson, Cynthia A Wong
BACKGROUND: Women and minorities are underrepresented in US academic medicine. The Sullivan Commission on Diversity in the Healthcare Workforce emphasized the importance of diverse leadership for reducing health care disparities. The objective of this study was to evaluate the demographics of the American Society of Anesthesiologists leadership. We hypothesized that the percentage of women and underrepresented minorities is less than that of their respective proportions in the general physician workforce...
March 8, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28263354/shifting-our-focus-to-support-the-educational-journey-of-underrepresented-students
#7
Jessica Alicea-Planas
BACKGROUND: The racial and ethnic distribution of RNs has been unable to keep pace with the growth seen in minority populations. Although nursing schools have recognized the need to increase the number of underrepresented students entering the profession, significant challenges with retention and graduation exist. Guided by Tinto's student integrative model, this study not only sought to understand why students leave, but also to identify what helps them persist. METHOD: A phenomenological approach was used to understand the lived experience of 10 Hispanic nursing students at a Jesuit university in the northeastern United States...
March 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28255010/heart-failure-incidence-and-mortality-in-the-southern-community-cohort-study
#8
Elvis A Akwo, Edmond K Kabagambe, Thomas J Wang, Frank E Harrell, William J Blot, Michael Mumma, Deepak K Gupta, Loren Lipworth
BACKGROUND: There is a paucity of data on heart failure (HF) incidence among low-income and minority populations. Our objective was to investigate HF incidence and post-HF survival by race and sex among low-income adults in the southeastern United States. METHODS AND RESULTS: Participants were 27 078 white and black men and women enrolled during 2002 to 2009 in the SCCS (Southern Community Cohort Study) who had no history of HF and were receiving Centers for Medicare and Medicaid Services...
March 2017: Circulation. Heart Failure
https://www.readbyqxmd.com/read/28219028/identifying-women-at-risk-for-sustained-postpartum-anxiety
#9
Cindy-Lee Dennis, Hilary K Brown, Kobra Falah-Hassani, Flavia Casasanta Marini, Simone N Vigod
INTRODUCTION: To describe the prevalence of sustained postpartum anxiety and to develop a multifactorial predictive model to assist in targeted screening procedures. METHODS: In a population-based cohort in a health region near Vancouver, Canada, 522 mothers completed a mailed questionnaire at 1, 4, and 8 weeks postpartum measuring socio-demographic, biological, pregnancy-related, life stressor, social support, obstetric, and maternal adjustment factors. We undertook a sequential logistic regression analysis to develop a multifactorial predictive model of sustained postpartum anxiety, as measured by a State Trait Anxiety Inventory (STAI) score >40 at 1 week and/or 4 weeks, and 8 weeks postpartum...
February 14, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28188283/the-deaf-mentoring-survey-a-community-cultural-wealth-framework-for-measuring-mentoring-effectiveness-with-underrepresented-students
#10
Derek C Braun, Cara Gormally, M Diane Clark
Disabled individuals, women, and individuals from cultural/ethnic minorities continue to be underrepresented in science, technology, engineering, and mathematics (STEM). Research has shown that mentoring improves retention for underrepresented individuals. However, existing mentoring surveys were developed to assess the majority population, not underrepresented individuals. We describe the development of a next-generation mentoring survey built upon capital theory and critical race theory. It emphasizes community cultural wealth, thought to be instrumental to the success of individuals from minority communities...
2017: CBE Life Sciences Education
https://www.readbyqxmd.com/read/28188201/a-day-of-immersive-physiology-experiments-increases-knowledge-and-excitement-towards-physiology-and-scientific-careers-in-native-american-students
#11
Bryan K Becker, Alicia M Schiller, Irving H Zucker, Eric A Eager, Liliana P Bronner, Maurice Godfrey
Underserved minority groups are disproportionately absent from the pursuit of careers in science, technology, engineering, and mathematics (STEM) fields. One such underserved population, Native Americans, are particularly underrepresented in STEM fields. Although recent advocacy and outreach designed toward increasing minority involvement in health care-related occupations have been mostly successful, little is known about the efficacy of outreach programs in increasing minority enthusiasm toward careers in traditional scientific professions...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28177749/genetic-characterization-of-physical-activity-behaviours-in-university-students-enrolled-in-kinesiology-degree-programs
#12
Gina M Many, Zachary Kendrick, Chelsea L Deschamps, Courtney Sprouse, Laura L Tosi, Joseph M Devaney, Heather Gordish-Dressman, Whitney Barfield, Eric P Hoffman, Joseph A Houmard, Linda S Pescatello, Hans J Vogel, Jane Shearer, Dustin S Hittel
Studies of physical activity behaviours have increasingly shown the importance of heritable factors such as genetic variation. Nonsynonymous polymorphisms of alpha-actinin 3 (ACTN3) and the β-adrenergic receptors 1 and 3 (ADRB1 and ADRB3) have been previously associated with exercise capacity and cardiometabolic health. We thus hypothesized that these polymorphisms are also related to physical activity behaviours in young adults. To test this hypothesis we examined relationships between ACTN3 (R577X), ARDB1 (Arg389Gly), ADRB3 (Trp64Arg), and physical activity behaviours in university students...
March 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28176157/barriers-and-strategies-for-recruitment-of-racial-and-ethnic-minorities-perspectives-from-neurological-clinical-research-coordinators
#13
Sean J Haley, Lauren E Southwick, Nina S Parikh, Jazmin Rivera, Dorothy Farrar-Edwards, Bernadette Boden-Albala
INTRODUCTION: Randomized controlled trials (RCTs) are the gold standard within evidence-based research. Low participant accrual rates, especially of underrepresented groups (e.g., racial-ethnic minorities), may jeopardize clinical studies' viability and strength of findings. Research has begun to unweave clinical trial mechanics, including the roles of clinical research coordinators, to improve trial participation rates. METHODS: Two semi-structured focus groups were conducted with a purposive sample of 29 clinical research coordinators (CRCs) at consecutive international stroke conferences in 2013 and 2014 to gain in-depth understanding of coordinator-level barriers to racial-ethnic minority recruitment and retention into neurological trials...
February 7, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28170167/effects-of-image-based-and-text-based-active-learning-exercises-on-student-examination-performance-in-a-musculoskeletal-anatomy-course
#14
M Melissa Gross, Mary C Wright, Olivia S Anderson
Research on the benefits of visual learning has relied primarily on lecture-based pedagogy, but the potential benefits of combining active learning strategies with visual and verbal materials on learning anatomy has not yet been explored. In this study, the differential effects of text-based and image-based active learning exercises on examination performance were investigated in a functional anatomy course. Each class session was punctuated with an average of 12 text-based and image-based active learning exercises...
February 7, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28169861/gender-and-ethnic-diversity-in-academic-pm-r-faculty-national-trend-analysis-of-two-decades
#15
Jaeho Hwang, Kia Byrd, Michael O Nguyen, Michael Liu, Yuru Huang, Gordon H Bae
Over the years, a number of studies have demonstrated an increase in gender and ethnic diversity among US physicians. Despite substantial progress in eliminating gender and racial inequities in the field of medicine, women and ethnic minorities are still underrepresented among medical faculty at academic institutions. This study aims to describe the trends in gender and ethnic diversity among Physical Medicine and Rehabilitation (PM&R) faculty through statistical analysis of data describing gender and ethnicity of full-time academic faculty gathered from the Association of American Medical Colleges Faculty Roster from 1994 to 2014...
February 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28164822/cancer-in-the-medically-underserved-population
#16
REVIEW
Oluwadamilola O Olaku, Emmanuel A Taylor
Cancer is characterized by uncontrolled growth and spread of abnormal cells. It is the second most common cause of death in the United States, and a significant proportion can be prevented. Underrepresented and underserved populations are less likely to receive routine medical procedures and experience a lower quality of health services. Despite the increase in cancer screening, there are disparities in the incidence and mortality of various cancers. These disparities are not fully explained by the correlations between minority race and lower socioeconomic status or minority race and insurance status...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28128785/safety-behavior-and-work-safety-climate-among-landscaping-and-groundskeeping-workers-in-north-carolina-a-pilot-study
#17
Gregory D Kearney, Jo Anne G Balanay, Adam J Mannarino
BACKGROUND: Each year, the average number of nonfatal occupational injuries among landscaping and groundskeeping workers are consistently above the total number of injuries for all other occupational injuries among worker in the U.S. From 2004 to 2007, fatalities among groundskeepers averaged 13.3 per 100,000 workers compared to an overall rate of 4.0 fatalities per 100,000 for all U.S. workers with the majority reported as either Hispanic or Latino. OBJECTIVE: The aims of this project were to describe the use of personal protective equipment and work safety climate among a sample of landscaping and groundskeeping workers employed by public universities in North Carolina (N = 67)...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28127754/minority-representation-in-migraine-treatment-trials
#18
Nathaniel M Robbins, James L Bernat
BACKGROUND: Minorities have historically been underrepresented in clinical research trials despite having comparatively poor health indicators. Recognizing the dual inequalities of increased disease burden and decreased research participation, the National Institute of Health (NIH) Revitalization Act of 1993 mandated the inclusion and reporting of women and minorities in NIH-funded research. While progress has been made in the subsequent decades, this underrepresentation of minorities in research trials persists and has been documented in multiple disciplines...
January 27, 2017: Headache
https://www.readbyqxmd.com/read/28120296/lower-rates-of-promotion-of-generalists-in-academic-medicine-a-follow-up-to-the-national-faculty-survey
#19
Deborah Blazey-Martin, Phyllis L Carr, Norma Terrin, Janis L Breeze, Carolyn Luk, Anita Raj, Karen M Freund
BACKGROUND: Prior cross-sectional research has found that generalists have lower rates of academic advancement than specialists and basic science faculty. OBJECTIVE: Our objective was to examine generalists relative to other medical faculty in advancement and academic productivity. DESIGN: In 2012, we conducted a follow-up survey (n = 607) of 1214 participants in the 1995 National Faculty Survey cohort and supplemented survey responses with publicly available data...
January 24, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28101263/team-based-learning-in-a-pipeline-course-in-medical-microbiology-for-under-represented-student-populations-in-medicine-improves-learning-of-microbiology-concepts
#20
K C Behling, M M Murphy, J Mitchell-Williams, H Rogers-McQuade, O J Lopez
As part of an undergraduate pipeline program at our institution for students from underrepresented minorities in medicine backgrounds, we created an intensive four-week medical microbiology course. Team-based learning (TBL) was implemented in this course to enhance student learning of course content. Three different student cohorts participated in the study, and there were no significant differences in their prior academic achievement based on their undergraduate grade point average (GPA) and pre-course examination scores...
December 2016: Journal of Microbiology & Biology Education: JMBE
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