From Shriners for Children Medical Center, Pasadena, CA (Dr. Poon), LIJ Medical Center, New Hyde Park, NY (Dr. Kiridly, Dr. Lane), Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY ( Dr. Lane, Dr. Mutawakkil), Cohen Childrens Medical Center, New Hyde Park, NY (Mr. Wendoloski, Ms. Gecelter), Feinstein Institute for Medical Research, Manhassett, NY (Dr. Kline).
J Am Acad Orthop Surg. 2019 Aug 15;27(16):e725-e733. doi: 10.5435/JAAOS-D-18-00131.
The representation of minorities among medical students has increased over the past two decades, but diversity among orthopaedic residents lags behind. This phenomenon has occurred despite a recent focus by the American Academy of Orthopaedic Surgeons on the recruitment of minorities and women.
To analyze the impact of recent efforts on diversity in orthopaedic residents in comparison with other surgical specialties from 2006 to 2015.
Data from the American Association of Medical Colleges on residents in surgical specialty programs in the years 2006 to 2015 were analyzed. Linear regression models were used to estimate trends in diversity among orthopaedic residents and residents in other surgical specialties. A mixed model analysis of variance was used to compare rates of diversification among different specialties over time.
Female representation in orthopaedic programs increased from 10.9% to 14.4% between 2006 and 2015. However, the rate of increase was significantly lower compared with other specialties (all P < 0.05) studied, except for urology (P = 0.64). Minority representation in orthopaedics averaged 25.6% over the 10-year period. Residents of Hispanic origin in orthopaedic programs increased (P = 0.0003) but decreased for Native Hawaiian/Pacific Islander (P < 0.0001). During the same period, white representation increased (P = 0.004). No significant changes were found in African Americans or Asian American representation. Diversity decreased among orthopaedic residents over the period studied (P = 0.004).
Recruitment efforts have not reversed the sex, racial, and ethnic disparities in orthopaedic residents. Orthopaedics has the lowest representation of women and minorities among residencies studied. The rate of increase in women lags behind all surgical subspecialties, except for urology.
在过去的二十年中，医学生中的少数族裔代表人数有所增加，但整形外科住院医师的多样性却落后了。尽管美国骨科医师学会最近关注少数民族和女性的招聘，但这种现象仍然存在。
分析与 2006 年至 2015 年期间其他外科专业相比，最近在整形外科住院医师多样性方面所做努力的影响。
分析了美国医学院协会关于 2006 年至 2015 年外科专业住院医师的数据。使用线性回归模型估计整形外科住院医师和其他外科专业住院医师多样性的趋势。使用混合模型方差分析比较不同专业随时间多样化的比率。
2006 年至 2015 年期间，整形外科计划中的女性代表人数从 10.9%增加到 14.4%。然而，与其他研究的专业（均 P <0.05）相比，这一增长率明显较低，除了泌尿科（P = 0.64）。在这 10 年期间，整形外科中的少数族裔代表平均为 25.6%。整形外科计划中的西班牙裔居民人数增加（P = 0.0003），但夏威夷原住民/太平洋岛民人数减少（P <0.0001）。同期，白人代表人数增加（P = 0.004）。非裔美国人和亚裔美国人的代表人数没有明显变化。在研究期间，整形外科住院医师的多样性下降（P = 0.004）。
招聘工作并未扭转整形外科住院医师的性别、种族和族裔差距。在研究的住院医师中，整形外科的女性和少数族裔代表人数最少。女性人数的增长率落后于所有外科亚专业，除了泌尿科。
