Abstract：
OBJECTIVE: The demographic disparities among surgeons in academic leadership positions is well documented. We aimed to characterize the present demographic details of abdominal transplant surgeons who have achieved academic and clinical leadership positions.
METHODS: We reviewed the 2022-2023 American Society of Transplant Surgeons membership registry to identify 1007 active abdominal transplant surgeons. Demographic details (academic and clinical titles) were collected and analyzed using the chi-square test, the Fisher exact test, and t tests. Multinomial logistic regressions were conducted.
RESULTS: Female surgeons (P < .001) and surgeons from racial-ethnic minorities (P = .027) were more likely to be assistants or associates rather than full professors. White male surgeons were more likely to be full professors than were White female (P < .001), Asian female (P = .008), and Asian male surgeons (P = .005). There were no Black female surgeons who were full professors. The frequency of full professorship increased with surgeon age (P < .001). Male surgeons were more likely to hold no academic titles (P < .001). Female surgeons were less likely to be chief of transplant(P = .025), chief of livertransplant (P = .001), chief of pancreas transplant (P = .037), or chair of surgery (P = .087, significance at 10%). Chief of kidney transplant was the most common clinical position held by a surgeon from a racial or ethnic minority group. Female surgeons were more likely to hold no clinical titles (P = .001).
CONCLUSIONS: The underrepresentation of women and people from racial and ethnic minority groups in academic and clinical leadership positions in the field of abdominal transplant surgery remains evident. White male physicians are more likely to obtain full professorship, and they comprise most of the clinical leadership positions overall. A continued push for representative leadership is needed.
METHODS: We reviewed the 2022-2023 American Society of Transplant Surgeons membership registry to identify 1007 active abdominal transplant surgeons. Demographic details (academic and clinical titles) were collected and analyzed using the chi-square test, the Fisher exact test, and t tests. Multinomial logistic regressions were conducted.
RESULTS: Female surgeons (P < .001) and surgeons from racial-ethnic minorities (P = .027) were more likely to be assistants or associates rather than full professors. White male surgeons were more likely to be full professors than were White female (P < .001), Asian female (P = .008), and Asian male surgeons (P = .005). There were no Black female surgeons who were full professors. The frequency of full professorship increased with surgeon age (P < .001). Male surgeons were more likely to hold no academic titles (P < .001). Female surgeons were less likely to be chief of transplant(P = .025), chief of livertransplant (P = .001), chief of pancreas transplant (P = .037), or chair of surgery (P = .087, significance at 10%). Chief of kidney transplant was the most common clinical position held by a surgeon from a racial or ethnic minority group. Female surgeons were more likely to hold no clinical titles (P = .001).
CONCLUSIONS: The underrepresentation of women and people from racial and ethnic minority groups in academic and clinical leadership positions in the field of abdominal transplant surgery remains evident. White male physicians are more likely to obtain full professorship, and they comprise most of the clinical leadership positions overall. A continued push for representative leadership is needed.
摘要：
目的：外科医生在学术领导职位上的人口统计学差异是有据可查的。我们旨在描述已获得学术和临床领导职位的腹部移植外科医生的当前人口统计学细节。
方法：我们回顾了2022-2023年美国移植外科医生协会会员注册，以确定1007名活跃的腹部移植外科医生。人口统计学细节（学术和临床职称）收集和分析使用卡方检验，费希尔精确检验,和t测试。进行了多项逻辑回归。
结果：女性外科医生（P<.001）和少数民族外科医生（P=.027）更有可能成为助理或同事，而不是正式教授。白人男性外科医生比白人女性更有可能成为全职教授（P<0.001）。亚洲女性（P=.008），和亚洲男性外科医生（P=0.005）。没有黑人女外科医生是全职教授。全职教授的频率随着外科医生年龄的增加而增加(P<.001)。男性外科医生更有可能没有学术头衔(P<.001)。女性外科医生不太可能成为移植主任（P=0.025），肝脏移植主任（P=.001），胰腺移植主任（P=0.037），或手术椅（P=.087，显著性为10%）。肾移植主任是来自种族或少数族裔的外科医生最常见的临床职位。女性外科医生更有可能没有临床职称（P=.001）。
结论：在腹部移植手术领域的学术和临床领导职位中，女性和来自种族和少数民族的人的代表性不足仍然很明显。白人男性医生更有可能获得正式教授职位，它们构成了大多数临床领导职位。需要继续推动代表性领导。
方法：我们回顾了2022-2023年美国移植外科医生协会会员注册，以确定1007名活跃的腹部移植外科医生。人口统计学细节（学术和临床职称）收集和分析使用卡方检验，费希尔精确检验,和t测试。进行了多项逻辑回归。
结果：女性外科医生（P<.001）和少数民族外科医生（P=.027）更有可能成为助理或同事，而不是正式教授。白人男性外科医生比白人女性更有可能成为全职教授（P<0.001）。亚洲女性（P=.008），和亚洲男性外科医生（P=0.005）。没有黑人女外科医生是全职教授。全职教授的频率随着外科医生年龄的增加而增加(P<.001)。男性外科医生更有可能没有学术头衔(P<.001)。女性外科医生不太可能成为移植主任（P=0.025），肝脏移植主任（P=.001），胰腺移植主任（P=0.037），或手术椅（P=.087，显著性为10%）。肾移植主任是来自种族或少数族裔的外科医生最常见的临床职位。女性外科医生更有可能没有临床职称（P=.001）。
结论：在腹部移植手术领域的学术和临床领导职位中，女性和来自种族和少数民族的人的代表性不足仍然很明显。白人男性医生更有可能获得正式教授职位，它们构成了大多数临床领导职位。需要继续推动代表性领导。
