Department of Surgery, New York University School of Medicine, New York, New York.
NYC Health & Hospitals/Bellevue, New York, New York.
Ann Surg. 2020 Sep 1;272(3):512-520. doi: 10.1097/SLA.0000000000004209.
To describe and evaluate trends of general surgery residency applicants, matriculants, and graduates over the last 13 years.
The application and matriculation rates of URMs to medical school has remained unchanged over the last three decades with Blacks and Hispanics representing 7.1% and 6.3% of matriculants, respectively. With each succession along the surgical career pathway, from medical school to residency to a faculty position, the percentage of URMs decreases.
The Electronic Residency Application Service to General Surgery Residency and the Graduate Medical Education Survey of residents completing general surgery residency were retrospectively analyzed (2005-2018). Data were stratified by race, descriptive statistics were performed, and time series were charted.
From 2005 to 2018, there were 71,687 Electronic Residency Application Service applicants to general surgery residencies, 26,237 first year matriculants, and 24,893 general surgery residency graduates. Whites followed by Asians represented the highest percentage of applicants (n = 31,197, 43.5% and n = 16,602, 23%), matriculants (n = 16,395, 62.5% and n = 4768, 18.2%), and graduates (n = 15,239, 61% and n = 4804, 19%). For URMs, the applicants (n = 8603, 12%, P < 0.00001), matriculants (n = 2420, 9.2%, P = 0.0158), and graduates (n = 2508, 10%, P = 0.906) remained significantly low and unchanged, respectively, whereas the attrition was significantly higher (3.6%, P = 0.049) when compared to Whites (2.6%) and Asians (2.9%).
Significant disparities in the application, matriculation, graduation, and attrition rates for general surgery residency exists for URMs. A call to action is needed to re-examine and improve existing recommendations/paradigms to increase the number of URMs in the surgery training pipeline.
描述并评估过去 13 年来普通外科住院医师申请人、入学人数和毕业生的趋势。
过去三十年来，少数族裔（URM）申请医学院的比例和入学率一直保持不变，其中黑人和西班牙裔分别占入学人数的 7.1%和 6.3%。随着从医学院到住院医师再到教职员工的外科职业道路上的每一个成功，URM 的比例都会下降。
回顾性分析电子住院医师申请服务（Electronic Residency Application Service）到普通外科住院医师和完成普通外科住院医师培训的住院医师的研究生医学教育调查（2005-2018 年）。按种族分层数据，进行描述性统计，并绘制时间序列图。
从 2005 年到 2018 年，有 71687 名电子住院医师申请服务申请人申请普通外科住院医师，26237 名一年级入学人数和 24893 名普通外科住院医师毕业。白人其次是亚洲人，他们的申请人比例最高（n = 31197，占 43.5%和 n = 16602，占 23%），入学人数（n = 16395，占 62.5%和 n = 4768，占 18.2%）和毕业生（n = 15239，占 61%和 n = 4804，占 19%）。对于 URM，申请人（n = 8603，占 12%，P <0.00001）、入学人数（n = 2420，占 9.2%，P = 0.0158）和毕业生（n = 2508，占 10%，P = 0.906）仍然明显较低且保持不变，而与白人（2.6%）和亚洲人（2.9%）相比，URM 的流失率明显更高（3.6%，P = 0.049）。
普通外科住院医师培训中 URM 的申请、入学、毕业和流失率存在显著差异。需要采取行动，重新审查和改进现有的建议/范例，以增加手术培训管道中的 URM 数量。
