Heightened vigilance and perceived discrimination in dental trainees’ readiness for clinical practice

Author:

Akinkugbe Aderonke A.1ORCID,Raskin Sarah E.23ORCID,Garcia Dina T.34ORCID

Affiliation:

1. Department of Environmental Medicine and Public Health Icahn School of Medicine at Mount Sinai New York New York USA

2. L. Douglas Wilder School of Government and Public Affairs Virginia Commonwealth University Richmond Virginia USA

3. Institute for Inclusion, Inquiry, and Innovation Virginia Commonwealth University Richmond Virginia

4. Department of Health Behavior and Policy School of Medicine Virginia Commonwealth University Richmond Virginia USA

Abstract

AbstractPurpose/objectiveThe aims of this study were to examine associations between heightened vigilance and perceived discrimination on readiness for clinical practice and to examine the mediating effects of social support and resilience.MethodsA survey was distributed to dental trainees (dental and dental hygiene students) enrolled at a US dental school located in the mid‐Atlantic region. The survey assessed readiness for clinical practice and included measures of perceived discrimination, heightened vigilance, and the following wellness measures: perceived stress, resilience, anxiety, social support, and coping. Adjusted for gender, and race/ethnicity, we regressed heightened vigilance and perceived discrimination independently on students’ readiness for clinical practice. To assess mediation, we computed the direct effects of heightened vigilance and perceived discrimination and potential indirect effects mediated through social support and resilience.ResultsA total of 250 students who completed the survey had complete data on all variables. Five percent identified as Black or African Americans, 34% as Asians, and 8% as Hispanic/Latino. Sixty‐two percent were female and 91% were dental students. The overall mean (SD) heightened vigilance and perceived discrimination scores were 18.9 (4.9) and 10.5 (7.6), respectively. Only the mean score for heightened vigilance differed significantly by race/ethnicity (p = 0.02). Higher heightened vigilance (odds ratio [OR] = 0.75 95% confidence interval [CI]: 0.25, 2.23), and perceived discrimination (OR = 0.52, 95% CI: 0.33, 0.88) scores were independently associated with lower adjusted odds of reporting high confidence in readiness for clinical practice even after adjusting for the mediating effects of social support and resilience, although the association for heightened vigilance was not statistically significant.ConclusionsHeightened vigilance and perceived discrimination appear to negatively impact dental trainees’ career readiness. Intentional efforts to prioritize an anti‐racism approach within dental education programs and patient care across the nation are warranted.

Publisher

Wiley

Subject

General Medicine

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Stressors among underrepresented in medicine and racially minoritized students: vigilance, discrimination and well-being;Global Surgical Education - Journal of the Association for Surgical Education;2023-12-23

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3