We conducted a study to compare medical school experiences, values, career paths, and career satisfaction of under-represented in medicine (URiM) and non-URiM physicians approximately 15 years after medical school, guided by the Theory of Planned Behavior and the concept of stereotype threat. The sample consisted of four graduating classes, 1996–1999, of Harvard Medical School, 20% of whom were URiM. URiM respondents came from families of lower educational attainment and graduated with more debt. As students, they reported a greater experience of stereotype threat and, and at graduation they showed a tendency to place a higher value on avoiding a career that places them under constant pressure. Concerning their current status, URiM respondents expressed a lower level of satisfaction with their career progress. Multivariable analyses indicated that across the entire sample, URiM status was not a significant predictor of employment in academic medicine, but that being in academic medicine was predicted by mentors’ encouragement for a research career, greater intention to pursue research, and a lower value on having a financially rewarding career. Lower career satisfaction was predicted by one’s status as URiM, employment in academic medicine, greater involvement in research, and a greater value on avoiding constant pressure. The data suggest that negative student experiences in medical school, combined with the lack of mentor encouragement and financial pressures may discourage URiM medical students from pursuing academic careers, and that pressures for productivity and working in academic medicine may degrade the satisfaction derived by physicians in general.

中文翻译：

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医学院毕业 15 年后代表性不足的医生的快照

我们进行了一项研究，以在计划行为理论和计划行为理论的指导下，在医学院毕业后大约 15 年比较医学界代表性不足 (URiM) 和非 URiM 医生的医学院经历、价值观、职业道路和职业满意度。刻板印象威胁。样本由哈佛医学院 1996-1999 年的四个毕业班组成，其中 20% 是 URiM。URiM 受访者来自教育程度较低的家庭，毕业时负债较多。作为学生，他们报告了更多的刻板印象威胁的经历，并且在毕业时他们表现出更加重视避免使他们承受持续压力的职业的倾向。关于他们目前的状况，URiM 受访者表示对他们的职业发展的满意度较低。多变量分析表明，在整个样本中，URiM 状态不是学术医学就业的重要预测因素，但导师对研究事业的鼓励、更大的研究意愿和较低的学术医学价值预测了学术医学的地位。有一份经济上有回报的职业。较低的职业满意度是由一个人的 URiM 地位、在学术医学领域的工作、更多地参与研究以及对避免持续压力的更大价值来预测的。数据表明，学生在医学院的负面经历，加上缺乏导师鼓励和经济压力，可能会阻碍 URiM 医学生追求学术事业，