Division of Pediatric Surgery, Children's of Alabama, 1600 7th Avenue South, JFL 300, Birmingham, AL 35233, United States; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
Division of Pediatric Surgery, Children's of Alabama, 1600 7th Avenue South, JFL 300, Birmingham, AL 35233, United States; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
J Pediatr Surg. 2021 Aug;56(8):1294-1298. doi: 10.1016/j.jpedsurg.2020.12.014. Epub 2020 Dec 25.
Diversity in the physician workforce remains a priority in healthcare as it has been shown to improve outcomes. Decisions for choosing specific fields in medicine are partly influenced by mentors, which tend to be the same sex or ethnicity. Females are starting to outnumber males in medical school and minorities are targeted for recruitment. We hypothesized that diversity in pediatric surgery has increased over time.
The recently published A Genealogy of North American Pediatric Surgery was utilized to identify graduating pediatric surgery fellows from 1981 to 2018. Organization websites were used to identify past and current leaders. A web-based analysis, including online facial recognition software, was performed. A year-to-year and decade-to-decade demographic comparison was completed.
1217 pediatric surgery fellows graduated between 1981 and 2018. When comparing graduates from the first and last decades, an increase from 16.9% to 39.5% for female graduates was observed (p = 0.046). A significant increase in nonwhite graduates was seen for all races (p < 0.05). Representation in leadership was White and male dominant.
There was a significant increase in diversity in pediatric surgery fellowship graduates. There were increasing trends in female graduates and all nonwhite racial groups. Focusing on enhancing the pipeline and mentoring underrepresented minorities will continue to enhance this trend for the field of pediatric surgery.
III; Retrospective Review.
医生队伍的多样性仍是医疗保健的一个重点，因为它已被证明可以改善结果。选择医学特定领域的决策部分受到导师的影响，而导师往往是同性或同种族。医学院的女生人数开始超过男生，少数民族也成为招聘目标。我们假设儿科手术的多样性随着时间的推移而增加。
利用最近发表的《北美小儿外科学的渊源》，确定了 1981 年至 2018 年毕业的小儿外科住院医师。通过组织网站确定过去和现在的领导人。进行了基于网络的分析，包括在线面部识别软件。完成了逐年和每十年的人口统计学比较。
1981 年至 2018 年间，有 1217 名小儿外科住院医师毕业。将前两个十年和后两个十年的毕业生进行比较，女性毕业生的比例从 16.9%增加到 39.5%（p=0.046）。所有种族的非裔美国毕业生人数都显著增加（p<0.05）。领导层代表以白人和男性为主。
小儿外科学住院医师毕业的多样性有显著增加。女性毕业生和所有非裔美国人群体的比例都呈上升趋势。关注加强管道建设和指导代表性不足的少数群体，将继续为小儿外科学领域增强这一趋势。
III；回顾性研究。
