"Walking on eggshells": experiences of underrepresented women in medical training

被引：13

作者：

Rezaiefar, Parisa ^{[1
,2
]}

Abou-Hamde, Yara ^{[1
,2
]}

Naz, Farah ^{[1
,2
]}

Alborhamy, Yasmine S. ^{[2
,3
]}

LaDonna, Kori A. ^{[4
,5
]}

机构：

[1] Bruyere Acad Family Hlth Unit, Ottawa, ON, Canada

[2] Univ Ottawa, Dept Family Med, Ottawa, ON, Canada

[3] Univ Ottawa, Fac Educ, Ottawa, ON, Canada

[4] Univ Ottawa, Dept Innovat Med Educ, Ottawa, ON, Canada

[5] Univ Ottawa, Dept Med, Ottawa, ON, Canada

来源：

PERSPECTIVES ON MEDICAL EDUCATION | 2022年 / 11卷 / 06期

关键词：

Underrepresented women; Medical training; Family Medicine; Medical education; GENDER; MINORITY; IDENTITY; MANAGEMENT; EDUCATION;

D O I：

10.1007/s40037-022-00729-5

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Introduction Medicine remains an inequitable profession for women. Challenges are compounded for underrepresented women in medicine (UWiM), yet the complex features of underrepresentation and how they influence women's career paths remain underexplored. This qualitative study examined the experiences of trainees self-identifying as UWiM, including how navigating underrepresentation influenced their envisioned career paths. Methods Ten UWiM family medicine trainees from one Canadian institution participated in semi-structured group interviews. Thematic analysis of the data was informed by feminist epistemology and unfolded during an iterative process of data familiarization, coding, and theme generation. Results Participants identified as UWiM based on visible and invisible identity markers. All participants experienced discrimination and "otherness", but experiences differed based on how identities intersected. Participants spent considerable energy anticipating discrimination, navigating otherness, and assuming protective behaviours against real and perceived threats. Both altruism and a desire for personal safety and inclusion influenced their envisioned careers serving marginalized populations and mentoring underrepresented trainees. Discussion Equity, diversity, and inclusion initiatives in medical education risk being of little value without a comprehensive and intersectional understanding of the visible and invisible identities of underrepresented trainees. UWiM trainees' accounts suggest that they experience significant identity dissonance that may result in unintended consequences if left unaddressed. Our study generated the critical awareness required for medical educators and institutions to examine their biases and meet their obligation of creating a safer and more equitable environment for UWiM trainees.

引用

页码：325 / 332

页数：8

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