Division of Vascular Diseases and Surgery, Department of Surgery, The Ohio State University Medical Center and The OSU Heart and Vascular Center, Columbus, Ohio 43210, USA.
J Vasc Surg. 2010 Apr;51(4 Suppl):47S-52S. doi: 10.1016/j.jvs.2009.09.063.
To determine diversity in the membership and analyze representation of private practitioners and ethnic and racial minorities/women in senior leadership roles in a regional vascular society.
The program book distributed at the 2008 annual meeting was used to compile information on membership categories, academic status, gender, and ethnic origin of members. Excluded from further analysis were all but active and senior members (n = 386). Officers for President and current President-Elect (P, n = 31), Secretary (S, n = 10), Treasurer (T, n = 11), and Councilor (C, n = 33) over a 30-year period were scrutinized for similar information. Members were considered to be "academic" if they worked full time at an academic medical center or as faculty at a teaching hospital with a vascular fellowship and national recognition. Private practice (PP) or academic practice (AP) was determined by personal knowledge, mailing address, e-mail address, and search engines. Ethnic and racial origin was determined by name, personal knowledge, or a web search.
Of the 386 active and senior members in the society, 86% were white, 13.7% were of various ethnic/racial groups, and 5.7% were women. Sixty-eight percent of members were in PP. Female members were more likely to be in AP compared with male members (68.1% vs 29.6%, P <.0002). White males made up 89.4% of all officers and 94.2% of all senior positions over the 30 years of the society. Seventy officer positions were occupied by those in AP (82.3%) vs 15 positions (18%) for the PP group. For the senior positions, 92.3% were from the AP group compared with the 8% from the PP group. (P < .0036) White male academics (WMAs) (23.7% of membership) occupied 86% of all senior leadership and 57% of C positions compared with 13% and 42%, respectively, for the rest of the membership (P < .0041). Of the 33 C positions, 66.6% were filled by members in AP. Of these 22 AP Councilors, 11 (50%) then moved up to senior leadership positions compared with two of 11 (18%) PP councilors (P = .07).
Ethnic and racial minorities and women are under represented in the membership compared with the general population, medical school graduates, and faculty. PPs and non-white male academics are under represented in senior leadership positions. With changing demographics, a predicted shortage of vascular surgeons, the need for role models in leadership positions and a push to culturally competent care, regional and national societies must change course and promote a more diverse membership and representative senior leadership.
确定私人开业医生和少数族裔/少数民族及女性在一个地区血管协会的高级领导层中的成员多样性，并分析他们的代表性。
使用 2008 年年会分发的程序手册，编制会员类别、学术地位、性别和族裔来源的信息。排除在进一步分析之外的是除活跃和高级会员（n = 386）之外的所有会员。对过去 30 年来的主席和现任主席（P，n = 31）、秘书（S，n = 10）、财务主管（T，n = 11）和理事会成员（C，n = 33）的类似信息进行了审查。如果他们全职在学术医疗中心工作或在具有血管研究员和国家认可的教学医院担任教职，那么就被认为是“学术”。私人开业（PP）或学术开业（AP）是通过个人知识、邮寄地址、电子邮件地址和搜索引擎来确定的。族裔和种族来源是通过姓名、个人知识或网络搜索来确定的。
在该协会的 386 名活跃和高级会员中，86%是白人，13.7%是各种族裔/少数民族群体，5.7%是女性。68%的会员从事私人开业。与男性会员相比，女性会员更有可能从事 AP（68.1%对 29.6%，P <.0002）。在过去 30 年中，白人男性占所有官员的 89.4%和所有高级职位的 94.2%。70 个官员职位由从事 AP 的人担任（82.3%），而从事 PP 集团的职位为 15 个（18%）。在高级职位中，92.3%来自 AP 群体，而来自 PP 群体的则为 8%。（P <.0036）白人男性学者（WMAs）（会员的 23.7%）占据了所有高级领导层的 86%和 C 职位的 57%，而其余会员的 C 职位分别为 13%和 42%（P <.0041）。在 33 个 C 职位中，66.6%由从事 AP 的会员担任。在这 22 名 AP 理事会成员中，有 11 名（50%）随后晋升为高级领导层职位，而从事 PP 理事会成员的只有 2 名（18%）（P =.07）。
与一般人群、医学院毕业生和教职员工相比，少数族裔和女性在会员中代表性不足。私人开业医生和非白种男性学者在高级领导职位中代表性不足。随着人口结构的变化，预计血管外科医生短缺，领导力职位需要榜样，以及推动文化上胜任的护理，地区和国家协会必须改变方向，促进更多元化的会员和代表性的高级领导层。
