关键词: diversity otolaryngology underrepresented in medicine

Mesh : Humans Ethnicity Hispanic or Latino Internship and Residency Otolaryngology / education Retrospective Studies United States Workforce Diversity Black or African American White

来  源:   DOI:10.1016/j.jsurg.2023.12.016

Abstract:
OBJECTIVE: The purpose of this study is to examine the racial and ethnic representation of otolaryngology applicants and residents and determine if there have been any improvements in recruiting a diverse workforce over the past several years.
METHODS: A retrospective study was conducted on self-reported race and ethnicity data of otolaryngology applicants to United States residency programs from 2016 to 2022 from the Association of American Medical Colleges (AAMC) and residents from 2011 to 2022 from the Accreditation Council for Graduate Medical Education (ACGME). The changes in proportions of applicants and residents by race and ethnicity separately was compared as well as the proportion of applicants to residents. Descriptive analyses and chi-square tests were used to compare proportions of groups by race and ethnicity.
RESULTS: There was no statistically significant difference in the proportion of applicants by race or ethnicity from 2016-2017 to 2021-2022. There was a decrease in the proportion of White residents from 58.1% to 54.5% from 2011-2012 to 2018-2019. There were higher proportions of White residents than applicants and lower proportions of Black residents than applicants in the two cycles analyzed. In the most recent cycle analyzed, the proportion of Hispanic or Latino residents was higher than the proportion of Hispanic or Latino applicants.
CONCLUSIONS: While there may be improvements to increase representation of otolaryngology applicants and residents, there continues to be inequalities and a lack of diversity. Further initiatives are needed to ensure diversity in the field improves moving forward.
摘要:
目的:本研究的目的是检查耳鼻喉科申请人和居民的种族和民族代表性,并确定在过去几年中招聘多元化劳动力方面是否有任何改善。
方法:对2016年至2022年美国医学院协会(AAMC)的耳鼻喉科申请人和2011年至2022年研究生医学教育认证委员会(ACGME)的居民的自我报告种族和种族数据进行了回顾性研究。分别比较了按种族和族裔划分的申请人和居民比例的变化以及申请人与居民的比例。描述性分析和卡方检验用于按种族和种族比较群体的比例。
结果:从2016-2017年到2021-2022年,按种族或族裔划分的申请人比例没有统计学上的显着差异。从2011-2012年到2018-2019年,白人居民的比例从58.1%下降到54.5%。在分析的两个周期中,白人居民的比例高于申请人,黑人居民的比例低于申请人。在最近分析的周期中,西班牙裔或拉丁裔居民的比例高于西班牙裔或拉丁裔申请人的比例.
结论:虽然耳鼻喉科申请人和居民的代表性可能会有所改善,仍然存在不平等和缺乏多样性。需要采取进一步举措,以确保该领域的多样性可以改善前进。
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