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自 1995 年以来,矫形外科住院医师项目的多样性是否有所增加?

Has diversity increased in orthopaedic residency programs since 1995?

机构信息

Howard University College of Medicine, Washington, DC, USA.

出版信息

Clin Orthop Relat Res. 2012 Aug;470(8):2319-24. doi: 10.1007/s11999-012-2259-x.

DOI:10.1007/s11999-012-2259-x
PMID:22286669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3392372/
Abstract

BACKGROUND

Diversity among health professionals is believed to be an important step toward improving patient communication and addressing health disparities. Orthopaedic surgery traditionally has been overly represented by Caucasian males, and it remains one of the least racially and gender-diversified surgical subspecialties. As the US population becomes increasingly diverse, a concomitant increase in ethnic diversity and gender diversity is needed to ensure that all Americans receive high-quality, culturally competent health care.

QUESTIONS/PURPOSES: We asked whether (1) representation of female orthopaedic residents and clinical faculty and (2) representation of ethnic minority orthopaedic residents, clinical faculty, and basic science faculty increased during the past 15 years since our original study.

METHODS

A questionnaire, created on SurveyMonkey®, was distributed by email to the coordinators of all 152 orthopaedic residency training programs in the United States.

RESULTS

Eighty (53%) responses were received. The percentage of female orthopaedic surgery residents and female clinical faculty has nearly doubled since 1995. The percentages of African American, Asian/Pacific Islander, and Hispanic orthopaedic residents, and of clinical faculty have increased. Orthopaedic basic science research faculty is 83% male and is comprised primarily of Caucasians (62%) and Asian/Pacific Islanders (24%).

CONCLUSIONS

Despite the increase in diversity in the orthopaedic workforce during the past 15 years, ethnic and gender disparities persist among orthopaedic residency programs regarding residents, clinical faculty, and basic research faculty. To increase diversity in orthopaedic residency programs, an emphasis on recruiting ethnic and gender minority candidates needs to become a priority in the orthopaedic academic community.

摘要

背景

人们认为,医疗专业人员的多样性是改善医患沟通和解决健康差异的重要一步。骨科手术传统上由白种男性主导,它仍然是种族和性别多样性最不高的外科专业之一。随着美国人口日益多样化,需要相应增加族裔多样性和性别多样性,以确保所有美国人都能获得高质量、文化上合适的医疗保健。

问题/目的:我们询问了在过去的 15 年中,(1)女性骨科住院医师和临床教师的代表人数,以及(2)少数族裔骨科住院医师、临床教师和基础科学教师的代表人数是否有所增加。

方法

我们在美国 152 个骨科住院医师培训项目的协调员中通过电子邮件分发了一份在 SurveyMonkey®上创建的问卷。

结果

收到了 80 份(53%)回复。自 1995 年以来,女性骨科手术住院医师和女性临床教师的比例几乎翻了一番。非裔美国人、亚太裔和西班牙裔骨科住院医师和临床教师的比例有所增加。骨科基础科学研究教师中 83%为男性,主要由白种人(62%)和亚太裔(24%)组成。

结论

尽管在过去的 15 年中,骨科劳动力的多样性有所增加,但在骨科住院医师培训项目中,住院医师、临床教师和基础研究教师在族裔和性别方面仍然存在差异。为了增加骨科住院医师培训项目的多样性,在骨科学术界,招聘少数族裔和女性候选人需要成为当务之急。

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本文引用的文献

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2
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J Bone Joint Surg Am. 2010 Oct 6;92(13):2328-35. doi: 10.2106/JBJS.I.01482.
3
Pipeline programs in the health professions, part 1: preserving diversity and reducing health disparities.医疗专业的人才培养项目,第 1 部分:保持多样性,减少健康差距。
J Natl Med Assoc. 2009 Sep;101(9):836-40, 845-51. doi: 10.1016/s0027-9684(15)31030-0.
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Major deficit in the number of underrepresented minority academic surgeons persists.代表性不足的少数族裔学术外科医生数量仍然存在重大缺口。
Ann Surg. 2008 Nov;248(5):704-11. doi: 10.1097/SLA.0b013e31817f2c30.
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Improving diversity in orthopaedic residency programs.提高骨科住院医师培训项目的多样性。
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Disparities in orthopaedic surgical intervention.骨科手术干预的差异。
J Am Acad Orthop Surg. 2007;15 Suppl 1:S13-7. doi: 10.5435/00124635-200700001-00005.
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Racial and ethnic disparities in health care: a position paper of the American College of Physicians.医疗保健中的种族和族裔差异:美国医师学会立场文件
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Women in surgical residency training programs.参加外科住院医师培训项目的女性。
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