ArticleBJGP open2023
Ethnic minority GP trainees at risk for underperformance assessments: a quantitative cohort study.
Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Balancing act-ethnic minority trainees' coping strategies in Dutch GP-specialty training-a qualitative study.BMC primary care · 2025Article
- Ethnic diversity and inclusiveness among medical residents in the Netherlands: results from a single-centered survey study.BMC medical education · 2025Article
- Arab representation in Israeli healthcare professions: achievements, challenges and opportunities.Israel journal of health policy research · 2025Article
- Exploring the educational journey: perspectives of ethnic minority GP-trainees in Dutch GP-specialty training - a qualitative interview study.International journal for equity in health · 2024Article
- Towards inclusive learning environments in post-graduate medical education: stakeholder-driven strategies in Dutch GP-specialty training.BMC medical education · 2024Article
- Causes and outcomes of at-risk underperforming pharmacy students: implications for policy and practice.BMC medical education · 2024Article
- Unprofessional behaviour of GP residents leading to a dismissal dispute: characteristics and outcomes of those who appeal.BMC primary care · 2024Article
- Dutch dismissal practices: characteristics, consequences, and contrasts in residents' case law in community-based practice versus hospital-based specialties.BMC medical education · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies suggest that ethnic minority students underperform in standardised assessments commonly used to evaluate their progress. This disparity seems to also hold for postgraduate medical students and GP trainees, and may affect the quality of primary health care, which requires an optimally diverse workforce.
aimsTo address the following: 1) to determine to what extent ethnic minority GP trainees are more at risk of being assessed as underperforming than their majority peers; 2) to investigate whether established underperformance appears in specific competence areas; and 3) to explore first- and second-generation ethnic minority trainees' deviations. DESIGN &
settingQuantitative retrospective cohort design in Dutch GP specialty training (start years: 2015-2017).
methodIn 2020-2021, the authors evaluated files on assessed underperformance of 1700 GP trainees at seven Dutch GP specialty training institutes after excluding five opt-outs and 165 incomplete datasets (17.4% ethnic minority trainees). Underperformance was defined as the occurrence of the following, which was prompted by the training institute: 1) preliminary dropout; 2) extension of the educational pathway; and/or 3) mandatory coaching pathways. Statistics Netherlands (CBS) anonymised the files and added data about ethnic group. Thereafter, the authors performed logistic regression for potential underperformance analysis and χ
resultsEthnic minority GP trainees were more likely to face underperformance assessments than the majority group (odds ratio [OR] 2.41, 95% confidence interval [CI] = 1.67 to 3.49). Underperformance was not significantly nested in particular competence areas. First-generation ethnic minority trainees seemed more at risk than their second-generation peers.
conclusionEthnic minority GP trainees seem more at risk of facing educational barriers than the majority group. Additional qualitative research on underlying factors is essential.
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