Evidence map›Paper›PMID 39609695›Full record

ArticleInternational journal for equity in health2024

Exploring the educational journey: perspectives of ethnic minority GP-trainees in Dutch GP-specialty training - a qualitative interview study.

N M van Moppes, M Nasori, A C Jorissen, J M van Es, J Bont, M R M Visser, M E T C van den Muijsenbergh

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Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

N M van MoppesDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands. n.m.vanmoppes@amsterdamumc.nl.ORCID 0000-0003-3457-7724
M NasoriDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands.ORCID 0000-0001-8559-1791
A C JorissenDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands.
J M van EsDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands.
J BontDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands.ORCID 0000-0002-5358-0235
M R M VisserDepartment of General Practice and Public Health Research Institute, Amsterdam UMC location AMC, Meibergdreef 9,, Amsterdam, AZ, 1105, the Netherlands. m.r.visser@amsterdamumc.nl.
M E T C van den MuijsenberghDepartment of General Practice, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-4994-4008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research highlights persistent differential attainment by ethnicity in medical education, wherein the perceived inclusiveness significantly influences ethnic minority students' and trainees' outcomes. Biased organizational practices and microaggressions exacerbate the challenges faced by ethnic minorities, leading to lower academic performance and higher dropout rates. Consequently, understanding ethnic minority GP-trainees' experiences and perspectives regarding relevant educational aspects is crucial for addressing these disparities and cultivating a more inclusive environment within medical education. RESEARCH QUESTION: We aimed to investigate the experiences of minority GP-trainees throughout their educational journey in Dutch GP-specialty training, emphasizing their challenges, sources of support, and suggestions for enhancing their learning environment.

methodWe conducted semi-structured, in-depth interviews with minority GP trainees, employing purposive convenience sampling to ensure diversity across multiple dimensions. These included gender, age, ethnicity, social background, migration generation, educational stage, encountered challenges, sources of support, and the GP training institute attended. The analysis involved iterative, open and axial coding, followed by generating, reviewing, and defining themes. For a structured analysis of encountered microaggressions, we adopted Sue's Taxonomy of Microaggressions.

resultsAll fourteen ethnic minority interviewees had faced educational barriers stemming from misunderstandings and stereotyping in a predominantly 'white' organization. These barriers impacted various aspects of their education, including professional identity formation, application, admission, assessment procedures, social networks, course content, and expert guidance. Microaggressions permeated throughout their educational journey, hindering their full expression and potential. Their ideal GP-specialty training emphasized uniqueness of all trainees, comprehensive staff engagement in inclusivity, robust diversity, equity, and inclusion (DEI)-policies, individual mentorship, transparent standards, concise language usage in test questions, and bias elimination through mandatory DEI staff training.

conclusionEthnic minority GP-trainees in the Netherlands face significant challenges like biased assessment and admission, stereotyped course content, inadequate support networks, and microaggressions, putting them at risk for underperformance outcomes. They emphasize the need for inclusive training with robust DEI-policies to eliminate bias.

Indexed as

Qualitative ResearchAdultEthnic and Racial MinoritiesFemaleGeneral PracticeHumansInterviews as TopicMaleMinority GroupsNetherlandsStudents, MedicalDiversityEquityGP-specialty trainingInclusionInclusive learning environmentPostgraduate medical education

Identifiers

PMID39609695
PMCPMC11603862

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.