Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
General Surgery Residency Program, Duke University School of Medicine, Durham, North Carolina.
Ann Thorac Surg. 2021 Oct;112(4):1349-1355. doi: 10.1016/j.athoracsur.2020.08.057. Epub 2020 Nov 5.
Women and racial and ethnic minorities are underrepresented among U.S. physicians, but are limited data on cardiothoracic surgery diversity. This study characterizes current racial and ethnic and gender diversity in academic cardiothoracic surgery.
Accreditation Council for Graduate Medical Education and Association of American Medical Colleges databases were queried for racial and ethnic and gender demographics of residents and faculty. Cardiothoracic surgery was compared with other surgical subspecialties and medicine overall.
A total of 17% of cardiothoracic faculty were women, compared with 27% of surgical faculty (P < .01) and 43% of clinical faculty (P < .01). A total of 63% of cardiothoracic faculty were White, compared with 70% of surgical faculty (P < .01) and 66% of clinical faculty (P = .10). A total of 24% of cardiothoracic faculty were Asian American/Pacific Islander, compared with 18% of surgical faculty (P < .01) and 20% of clinical faculty (P = .03). Black/African American and Hispanic physicians composed 3% and 5% of cardiothoracic faculty, respectively, similar to surgical and clinical faculty. A total of 24% of cardiothoracic trainees were women, compared with 36% of surgical residents (P < .01) and 46% of all residents (P < .01). A total of 66% of cardiothoracic residents were White, compared with 55% of residents overall (P < .01) and 65% of surgery residents (P = .68). A total of 18% of cardiothoracic residents were Asian American/Pacific Islander, compared with 17% of surgery residents (P = .87) and 24% of residents overall (P < .01). Black/African American and Hispanic residents composed 4% and 5% of cardiothoracic residents, respectively, similar to surgery and residents overall.
Women and racial and ethnic minorities are significantly underrepresented among trainees and faculty in academic cardiothoracic surgery compared with surgery and medicine overall, demonstrating a need for concerted action.
在美国医生中，女性和少数族裔的代表性不足，但有关心胸外科多样性的数据有限。本研究描述了学术心胸外科当前的种族、民族和性别多样性。
查询美国研究生医学教育认证委员会和美国医学协会数据库，以获取住院医师和教员的种族、民族和性别统计数据。将心胸外科与其他外科专业和整个医学进行比较。
心胸外科教员中女性占 17%，而外科教员中女性占 27%（P<.01），临床教员中女性占 43%（P<.01）。心胸外科教员中白人占 63%，而外科教员中白人占 70%（P<.01），临床教员中白人占 66%（P=0.10）。心胸外科教员中亚裔美国人/太平洋岛民占 24%，而外科教员中占 18%（P<.01），临床教员中占 20%（P=0.03）。黑人和西班牙裔医生分别占心胸外科教员的 3%和 5%，与外科和临床教员相似。心胸外科住院医师中女性占 24%，而外科住院医师中女性占 36%（P<.01），所有住院医师中女性占 46%（P<.01）。心胸外科住院医师中白人占 66%，而所有住院医师中白人占 55%（P<.01），外科住院医师中白人占 65%（P=0.68）。心胸外科住院医师中亚裔美国人/太平洋岛民占 18%，而外科住院医师中占 17%（P=0.87），所有住院医师中占 24%（P<.01）。黑人和西班牙裔住院医师分别占心胸外科住院医师的 4%和 5%，与外科和所有住院医师相似。
与整个外科和医学相比，女性和少数族裔在学术心胸外科的住院医师和教员中代表性严重不足，这表明需要采取协调一致的行动。
