1 Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
2 Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Otolaryngol Head Neck Surg. 2018 Jun;158(6):995-1001. doi: 10.1177/0194599818770614. Epub 2018 Apr 17.
Objective As the population of the United States becomes increasingly racially and ethnically diverse, it is important that the medical profession reflect these changes. Otolaryngology has previously been identified as one of the surgical subspecialties with the smallest presence of those underrepresented in medicine. In the context of this study, the term underrepresented in medicine is defined as blacks, Latinos, Native American, and Native Hawaiians. The purpose of this study was to describe the current state of otolaryngology residency programs in terms of diversity of resident and faculty cohort, explore general interviewing practices, and investigate recruitment of underrepresented in medicine applicants. Study Design Survey via electronic questionnaire. Setting Academic otolaryngology residency programs. Subjects and Methods A 14-item survey was distributed to 105 program directors asking them to consider their program's past 15 years of existence. Results With a response rate of roughly 30%, we found that over one-third of responding programs had matriculated 1 or fewer underrepresented in medicine residents. There was a statistically significant association between the number of underrepresented in medicine faculty and the number of underrepresented in medicine residents matriculated ( P = .02). Conclusion The authors stress the importance of underrepresented in medicine faculty mentorship. Although not statistically significant in this study, increasing the number of underrepresented in medicine applicants interviewed, as well as recommending outreach programs, may help to improve underrepresented minority matriculation into residency programs as demonstrated in the literature.
目的
随着美国人口的种族和民族多样性不断增加,医学界反映这些变化非常重要。耳鼻喉科先前被确定为医学领域代表性不足的外科专科之一。在本研究中,医学领域代表性不足的术语定义为黑人、拉丁裔、美国原住民和夏威夷原住民。本研究的目的是描述耳鼻喉住院医师培训计划在住院医师和教师队伍多样性方面的现状,探讨一般面试实践,并调查医学领域代表性不足的申请人的招聘情况。
研究设计
通过电子问卷进行调查。
设置
学术耳鼻喉科住院医师培训计划。
受试者和方法
向 105 名项目主任分发了一份包含 14 个项目的调查问卷,要求他们考虑自己所在项目过去 15 年的情况。
结果
回复率约为 30%,我们发现,超过三分之一的回应项目只录取了 1 名或更少的医学领域代表性不足的住院医师。医学领域代表性不足的教师人数与录取的医学领域代表性不足的住院医师人数之间存在统计学显著关联(P=0.02)。
结论
作者强调医学领域代表性不足的教师指导的重要性。尽管在本研究中没有统计学意义,但增加医学领域代表性不足的申请人的面试人数,并推荐外展计划,可能有助于如文献所示,增加少数民族住院医师培训计划的录取人数。