关键词: Gender representation Racial diversity Surgery subspecialty

Mesh : Male Humans Female United States Internship and Residency Education, Medical, Graduate Racial Groups Orthopedics / education White

来  源:   DOI:10.1016/j.jss.2023.08.051

Abstract:
Recruitment efforts have demonstrated small increases in female and under-represented applicants in recent years; however, the majority of surgical programs remain predominantly Caucasian and male. With increased national emphasis on Diversity, Equity, and Inclusion initiatives and mentoring programs, applicants to surgical specialties have continued to increase. While strategies to improve gender and racial diversity are now openly discussed, it is unclear if we have seen significant improvement. We sought to analyze the gender and diversity trends between surgical specialties.
Publicly available data from the Association of American Medical Colleges, National Board of Medical Examiners, and Accreditation Council for Graduate Medical Education were extracted to determine total number, gender, and diversity of surgery applicants and active residents from the years 2018 to 2021. Surgical specialties within the main match were compared through an analysis completed through Microsoft Excel.
Between the years from 2018 to 2021, there was a rise in diversity representation among all surgical residents except for orthopedics which remained less than 30%. Orthopedics, Neurosurgery, and Thoracic Integrated training programs have the lowest rates of female representation among current residents at 16.72%, 20.37%, and 30.05%, respectively. General surgery demonstrates the greatest increase of female residents with a positive 6% change over this recent four-year time period.
There has been minimal positive progress in gender and diversity representation in surgical subspecialties overall in recent years. Continued advocacy through mentorship and scholarship programs is recommended to achieve greater gender and diversity representation in general surgery and surgical subspecialties.
摘要:
背景:近年来,招聘工作表明女性和任职人数不足的申请人略有增加;但是,大多数外科手术方案仍然主要是白种人和男性.随着国家对多样性的日益重视,Equity,以及包容性倡议和指导计划,外科专业的申请者继续增加。虽然现在公开讨论改善性别和种族多样性的策略,目前还不清楚我们是否看到了显著的改善。我们试图分析外科专业之间的性别和多样性趋势。
方法:来自美国医学院协会的公开数据,全国医学检验委员会,并提取了研究生医学教育认证委员会来确定总数,性别,以及2018年至2021年手术申请人和活跃居民的多样性。通过MicrosoftExcel完成的分析,比较了主要比赛中的外科专业。
结果:从2018年到2021年,除骨科外,所有外科居民的多样性代表都在增加,而骨科仍低于30%。骨科,神经外科,andThoracicintegratedtrainingprogramshavethelorestrateoffemalerepresentationamongcurrentresidentsat16.72%,20.37%,和30.05%,分别。在最近的四年中,普外科手术显示女性居民的增长最大,变化为6%。
结论:近年来,外科亚专科在性别和多样性方面的总体进展甚微。建议通过指导和奖学金计划继续进行宣传,以在普外科和外科亚专科中实现更大的性别和多样性代表性。
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