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Medical student volunteerism and interest in working with underserved and vulnerable populations

机译：医学学生志愿者和兴趣与服务不足和弱势群体合作

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The desire of medical students to eventually work with underserved and vulnerable populations (hereafter ‘service interest’), has been shown to be shaped by individual factors including job satisfaction and financial considerations. School-level factors such as required longitudinal primary care experiences and the availability of extracurricular opportunities to work with underserved patients also affect service interest, but little is known about the impact of student volunteer activities. This cross-sectional study gathered data from preclinical medical students via an online questionnaire. The data were linked to academic records, deidentified, and analysed using an ordinal logistic regression model with interest in caring ‘primarily for underserved or vulnerable populations’ as the outcome variable. Of 121 respondents (33% response rate), 24.8% expressed a definite interest, 55.3% expressed possible interest, and 19.9% expressed no service interest. Intent to work with the underserved was not related to age, sex, race/ethnicity, being from a rural hometown, academic qualifications prior to medical school, or anticipated debt at medical school graduation. Students with no service interest had a higher average academic performance in medical school and plans of subspecialising. When considering volunteerism prior to medical school, students in the highest and middle volunteerism tertiles had 5.68 (95% CI: 1.63, 19.81) and 4.34 (1.32, 14.32) times the odds, respectively, of having definite or possible service interest relative to those who were in the lowest volunteerism tertile, after adjusting for potential confounders. Volunteerism in a student-run clinic for the underserved during medical school was not correlated with service interest. Medical schools looking to enroll more students interested in working with underserved or vulnerable populations may choose to emphasise applicant premedical volunteerism record in their admissions decisions.
机译：医疗学生最终与服务不足和弱势群体合作的愿望（以下，“服务利息”）被证明是由包括工作满意度和财务考虑的个人因素的形状。学校级别因素，如需要纵向初级保健体验和与服务不足患者合作的课外机会的可用性也影响服务兴趣，但对学生志愿者活动的影响很少。这种横断面研究通过在线问卷从临床前医学生成的数据收集。这些数据与学术记录，脱笃的回归模型与学术记录进行了联系，并使用令人兴趣的关怀“主要是为了遗弃或脆弱的人群”作为结果变量。在121名受访者（33％的反应率）中，24.8％表示明确的兴趣，55.3％表示可能的利息，19.9％表示没有服务利益。与服务不足的意图与年龄，性别，种族/种族，来自农村家乡，医学院前的学术资格，或在医学院毕业的预期债务。没有服务利益的学生在医学院和亚专业化的计划中具有更高的平均学业成绩。在医学院之前考虑志愿者，最高和中间志愿服务的学生分别有5.68（95％CI：1.63,19.81）和4.34（1.32,14.32）倍，其中赔率明确或可能的服务利益相对于那些在调整潜在的混乱后，谁在最低的志愿者理智。在医学院服务业的志愿者在学生诊所中，没有与服务利益相关联。寻求注册更多有兴趣与服务不良或弱势群体有兴趣的学生可以选择在其招生决定中强调申请人的预示志愿者志愿者。

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