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外科患者与外科医护人员的种族和性别多样性比较。

Ethnic and Gender Diversity Comparison between Surgical Patients and Caring Surgeons.

作者信息

Noel Olivier F, Berg Arthur, Onyango Nelson, Mackay Donald R

机构信息

Division of Plastic Surgery, Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pa.

Penn State Hershey College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pa.

出版信息

Plast Reconstr Surg Glob Open. 2020 Oct 29;8(10):e3198. doi: 10.1097/GOX.0000000000003198. eCollection 2020 Oct.

Abstract

BACKGROUND

Diversity within the medical workforce remains a topic of discussion in academia, particularly when it comes to the underrepresentation of certain ethnic groups and gender in the surgical specialties. In this article, we look at how the gender and ethnicity of surgeons at a large academic institution in a rural setting compare with those of the population it serves.

METHODS

We looked at demographic data from 2008 to 2018 and compared population trends among surgeons and patients.

RESULTS

We found that while whites represent the large majority in both the surgeon and patient populations, absolute number and percentage of whites in the patient population seem to be trending downward from 2008 to 2018, but trending upward among surgeons (attendings and residents). In addition, we found that while Asians make up only 1% of the patient population, they represent the second largest group (17%) among surgeons, with more than twice the proportion percentage of the second largest group within the patient population, composed of Hispanics (6%). Finally, we found a significant gender difference between the 2 populations with almost two-thirds of the surgeons being men, compared with the nearly even split of men and women within the patient population.

CONCLUSIONS

Ultimately, understanding how gender and ethnic diversity in the surgical workforce compares with that of the patient population being served may aid in designing training programs to address cultural competency and awareness as well as in impacting administrative decisions and hiring.

摘要

背景

医学劳动力的多样性仍是学术界讨论的话题,尤其是在某些族裔群体和性别在外科专业领域代表性不足方面。在本文中,我们探讨了农村地区一所大型学术机构中外科医生的性别和种族与该机构所服务人群的性别和种族情况相比如何。

方法

我们研究了2008年至2018年的人口统计数据,并比较了外科医生和患者的人口趋势。

结果

我们发现,虽然白种人在外科医生和患者群体中都占绝大多数,但患者群体中白种人的绝对数量和百分比在2008年至2018年期间似乎呈下降趋势,而在外科医生(主治医生和住院医生)中呈上升趋势。此外,我们发现,虽然亚洲人仅占患者群体的1%,但他们在外科医生中占第二大群体(17%),其比例是患者群体中第二大群体西班牙裔(6%)的两倍多。最后,我们发现这两个群体之间存在显著的性别差异,近三分之二的外科医生为男性,而患者群体中男女比例几乎持平。

结论

最终,了解外科劳动力中的性别和种族多样性与所服务患者群体的情况相比如何,可能有助于设计培训项目以提高文化能力和意识,以及影响行政决策和招聘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/7647517/64d3345371e3/gox-8-e3198-g001.jpg

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