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The Room Where It Happens: Racial Disparities in Confidence and Pre-Residency Experience
Purpose: To determine if preparatory experience prior to OB/Gyn
residency differs by racial identity, and whether this associates with
Background: Studies have demonstrated differences in clinical
grading on the basis of student race; however, no study has previously sought
to assess whether minority students report less clinical experience than their
peers. This may impact their confidence entering residency.
Methods: Prior to receiving a novel residency preparatory
curriculum, MS4s entering OB/Gyn residency programs were surveyed about their
OB/Gyn clerkship, access to boot camps, their clinical experience numbers, and
self-confidence in various domains. Kruskal-Wallis tests were used to evaluate
association of racial identity with clinical experiences and confidence.
Results: 1056 MS4s responded to the pre-intervention survey.
Non-white students were more likely to report lower cumulative clinical
experiences (p < 0.001). Notably, non-white students reported strikingly
fewer suturing opportunities compared to white students (median=10, IQR 5-20 vs
median=20, IQR 10-30, p < 0.001). Additionally, non-white MS4s reported
fewer median experiences with hysterectomies (p < 0.001), but not deliveries
(p = 0.16). Non-white students were less likely to have access to a boot camp
(p = 0.046). Non-white students reported lower confidence in their
medical knowledge (p < 0.001), technical skills (p = 0.001), and medical
school preparation (p = 0.001).
Discussions: Non-white students have lower confidence, less
opportunity for boot camps, and less clinical experience entering residency
than their white peers. Strategies to ensure new residents are “ready for day
one” should promote educational equity.
CREOG & APGO Annual Meeting, 2022, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Medical Knowledge, Systems-Based Practice & Improvement, GME, UME, Assessment, Advocacy, General Ob-Gyn,