Key Points Question How do minority resident physicians view the role of race/ethnicity in their training experiences? Findings This qualitative study of 27 minority resident physicians found that participants described 3 major themes: a daily barrage of microaggressions and bias, minority residents tasked as race/ethnicity ambassadors, and challenges negotiating professional and personal identity while seen as “other.” Meaning Results of this study suggest that minority residents face extra workplace burdens during a period already characterized by substantial stress, warranting further attention from educators, institutions, and accreditation bodies.
IMPORTANCEBlack and Latinx communities have faced disproportionate harm from the COVID-19 pandemic. Increasing COVID-19 vaccine acceptance and access has the potential to mitigate mortality and morbidity from COVID-19 for all communities, including those most impacted by the pandemic. OBJECTIVE To investigate and understand factors associated with facilitating and obstructing COVID-19 vaccine access and acceptance among Black and Latinx communities. DESIGN, SETTING, AND PARTICIPANTS This community-partnered qualitative study conducted semistructured, in-depth focus groups with Black and Latinx participants from March 17 to March 29, 2021, using a secure video conferencing platform. Participants were recruited through emails from local community-based organizations, federally qualified health centers, social service agencies, the New Haven, Connecticut, Health Department, and in-person distribution of study information from community health workers. A total of 8 focus groups were conducted, including 4 in Spanish and 4 in English, with 72 participants from a diverse range of community roles, including teachers, custodial service workers, and health care employees, in New Haven, Connecticut. Data were analyzed from March 17 to July 30, 2021. MAIN OUTCOMES AND MEASURESInterviews were audio-recorded, transcribed, translated, and analyzed using an inductive content analysis approach. Themes and subthemes were identified on the acceptability and accessibility of the COVID-19 vaccine among participants who identified as Black and/or Latinx. RESULTS Among 72 participants, 36 (50%) identified as Black, 28 (39%) as Latinx, and 8 (11%) as Black and Latinx and 56 (78%) identified as women and 16 (22%) identified as men. Participants described 3 major themes that may represent facilitators and barriers to COVID-19 vaccinations: pervasive mistreatment of Black and Latinx communities and associated distrust; informing trust via trusted messengers and messages, choice, social support, and diversity; and addressing structural barriers to vaccination access. CONCLUSIONS AND RELEVANCEThe findings of this qualitative study may impact what health care systems, public health officials, policy makers, health care practitioners, and community leaders can do to facilitate equitable uptake of the COVID-19 vaccine. Community-informed insights are imperative to facilitating COVID-19 vaccine access and acceptance among communities hardest hit by the pandemic. Preventing the further widening of inequities and addressing structural barriers to vaccination access are vital to protecting all communities, especially Black and Latinx individuals who have experienced disproportionate death and loss from COVID-19.
Before go-live, alerts were often clinically irrelevant. After go-live, there was a statistically significant decrease in orders that were submitted unmodified and an increase in the number of orders that were reduced or cancelled.
IMPORTANCE Faculty role modeling is critical to medical students' professional development to provide culturally adept, patient-centered care. However, little is known about students' perceptions of faculty role modeling of respect for diversity.OBJECTIVE To examine whether variation exists in medical students' perceptions of faculty role modeling of respect for diversity by student demographic characteristics.
During the 2009 H1N1 influenza A outbreak, 773 children were tested for influenza by direct fluorescentantibody testing with PCR confirmation. Direct fluorescent-antibody testing has a specificity of 99.6% but a sensitivity of only 65.0%. Physicians should recognize diagnostic limitations of direct fluorescent-antibody testing, which missed one-third of infected individuals.We retrospectively reviewed influenza testing data at a large tertiary urban pediatric hospital during the 2009 H1N1 influenza A outbreak. Patients were hospitalized, severely ill, or immunocompromised. Hospital protocol was to obtain nasopharyngeal swabs for direct fluorescent-antibody (DFA) testing. If the test was negative, viral culture was performed. All samples underwent PCR testing for the 2009 H1N1 strain of influenza A virus. Diagnostic accuracies of the testing methods were compared for identification of this novel strain.Samples were obtained between 30 September and 1 December 2009. Duplicate nasopharyngeal swabs were obtained simultaneously from a naris using Copan nylon-tipped flocked swabs (Microrheologics Srl, Brescia, Italy). DFA testing was performed for multiple viruses. Sample swabs were directly applied to a microscope slide and then placed in MicroTest M4-RT viral transport medium (Thermo Fisher Scientific, Lenexa, KS). Slides were stained with a D3 Ultra DFA respiratory virus screening reagent (Diagnostic Hybrids, Athens, OH). Positive samples were stained with influenza A virusspecific fluorescein-labeled monoclonal antibody (Light Diagnostics, Millipore Corp., Billerica, MA).All DFA test-negative samples underwent viral respiratory culture. Influenza virus culture was performed by inoculation of samples from the viral transport medium into RMix shell and RhMK tubes (Diagnostic Hybrids, Athens, OH). RMix shell samples were stained with fluorescein-labeled monoclonal antibody at 2 days. RhMK tubes were observed for hemoabsorption and stained with fluorescein-labeled monoclonal antibody.Duplicate nasopharyngeal samples were sent to the Arizona state laboratory for 2009 H1N1 influenza A virus-specific testing by real-time reverse transcriptase PCR. PCR for 2009 H1N1 influenza A virus was performed using the World Health Organization-Centers for Disease Control and Prevention protocol. The assay utilized a panel of oligonucleotide primers and dually labeled hydrolysis (TaqMan) probes for qualitative detection and characterization. The swInfA primer and probe set was used to detect swine influenza A virus (7).Nasopharyngeal swabs were obtained from 773 children ranging from 5 days to 26 years of age. Median age was 3.04 years (5th and 95th percentiles, 1.7 months and 15 years). Eighty-one percent (n ϭ 626) of the tested patients were hospitalized.PCR identified 2009 H1N1 influenza A virus in 31.8% (n ϭ 246) of patients. DFA testing was positive in 162 patients, 160 of whom were also PCR positive. DFA testing was negative in 611 patients, 86 of whom were positive by PCR. This resulted in a sensitivity of 65.0%, a specificity...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.