Abstract
Background: Recent 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. *For correspondence: n.m.
Aims: To address the following: 1) to determine to what extent ethnic minority GP trainees are more vanmoppes@amsterdamumc.nl at risk of being assessed as underperforming than their majority peers; 2) to investigate whether Twitter: @JettieBont established underperformance appears in specific competence areas; and 3) to explore firstand secondgeneration ethnic minority trainees’ deviations. Competing interest: The authors declare that no competing Design & setting: Quantitative retrospective cohort design in Dutch GP specialty training (start years: interests exist. 2015–2017).
Method: In 2020–2021, the authors evaluated files on assessed underperformance of 1700 GP trainees at seven Dutch GP specialty training institutes after excluding five optouts and 165 incomplete Published: 14 December 2022 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 This article is Open Access: CC of the educational pathway; and/or 3) mandatory coaching pathways. Statistics Netherlands (CBS) BY license (https://creativecomanonymised the files and added data about ethnic group. Thereafter, the authors performed logistic mons.org/licenses/by/4.0/) regression for potential underperformance analysis and χ2 tests for competence area analysis. Author Keywords: DEI (diversity,
Results: Ethnic minority GP trainees were more likely to face underperformance assessments than the equity, and inclusion), ethnic majority group (odds ratio [OR] 2.41, 95% confidence interval [CI] = 1.67 to 3.49). Underperformance minority GP trainees, ethnic and was not significantly nested in particular competence areas. Firstgeneration ethnic minority trainees racial minorities, GP specialty training, students, general seemed more at risk than their secondgeneration peers. practice
Conclusion: Ethnic minority GP trainees seem more at risk of facing educational barriers than the Copyright © 2022, The Authors; majority group. Additional qualitative research on underlying factors is essential. van Moppes NM et al. BJGP Open 2022; 1 of 10 Research How this fits in Equitable opportunities for success for ethnic minority GP trainees are essential from a social justice point of view. In addition, research indicates that an ethnically diverse medical workforce is essential for developing cultural competencies required for qualified and accessible health care in an increasingly diverse population. Ho