Résumés
Abstract
Objective: The objective of this study is to assess the perceptions of Indigenous medical students on postgraduate admissions through an Indigenous admissions pathway (IAP), and to determine what factors may influence Indigenous medical students’ choice of residency training program.
Methods: We distributed a survey to self-identified Indigenous students at settler Canadian medical schools. The survey questioned the students’ acceptability of an IAP, and what factors would influence application through an IAP. Analysis included descriptive statistics and thematic analysis of open-ended questions.
Results: Thirty-six participants responded to the survey. Location and proximity to family or support system were the most important factors in choosing a residency program. Participants identified mentorship from Indigenous physicians and community involvement as being important features of a residency program that has an IAP. Eighty-one percent of participants felt the availability of an IAP would influence their choice of residency program. Fear of judgement or stigma, concern about entrance requirements, and program logistics were identified as barriers to applying to residency through an IAP. All participants believed that an IAP would have a positive influence on the healthcare system more broadly.
Conclusions: An IAP appears to be an acceptable residency application format to Indigenous students but cannot exist in isolation. It is important for programs to consider the needs and safety of Indigenous trainees within residency programs.
Résumé
Objectif : L’objectif de cette étude était d’avoir le point de vue des étudiants en médecine autochtones sur une éventuelle voie d’admission aux études postdoctorales réservée aux candidats autochtones et de relever les facteurs qui influenceraient leur choix de programme de résidence.
Méthodes : Nous avons fait parvenir un questionnaire aux étudiants inscrits dans les facultés de médecine canadiennes qui se définissent comme Autochtones. L’enquête portait sur l’acceptabilité par les étudiants d’un programme d’admission pour candidats autochtones (PACA) et sur les facteurs qui influenceraient leur choix de poser leur candidature dans le cadre d’un PACA. Les données ont été évaluées par des méthodes statistiques descriptives et par une analyse thématique des questions ouvertes.
Résultats : Trente-six participants ont répondu à l’enquête. Le lieu et la proximité de la famille ou du réseau de soutien ressortent comme les facteurs les plus importants dans le choix d’un programme de résidence. Les répondants attachent également de l’importance à l’existence d’un mentorat de la part de médecins autochtones et à une participation de la communauté dans le cadre d’un programme de résidence doté d’un PACA. Quatre-vingt-un pour cent des participants ont estimé que l’existence d’un PACA influencerait leur choix de programme de résidence. La crainte d’être jugé ou stigmatisé, et une inquiétude par rapport aux conditions d’admission et la logistique du programme ont été identifiées comme des obstacles à la présentation d’une demande de résidence dans le cadre d’un PACA. Les participants sont unanimes quant à l’influence positive d’un tel programme sur le système de soins de santé en général.
Conclusions : Les étudiants autochtones trouvent la formule d’une voie d’admission à la résidence réservée aux candidats autochtones acceptable, à condition qu’elle ne soit pas un élément isolé et qu’on tienne compte des besoins et de la sécurité des étudiants dans le cadre des programmes de résidence eux-mêmes.
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