Medicine, Nishtar Medical College and Hospital, Multan, Punjab, Pakistan.
Psychiatry, Hartford Hospital Institute of Living, Hartford, Connecticut, USA
Postgrad Med J. 2022 Aug;98(1162):572-574. doi: 10.1136/postgradmedj-2020-139176. Epub 2021 Jan 15.
Diversification of academic medicine improves healthcare standards and patient outcomes. Gender and racial inequalities are major challenges faced by the healthcare system. This article reviews the trends of gender and racial disparity among residents of neurology. This retrospective analysis of the annual Accreditation Council for Graduate Medical Education Data Resource Books encompassed all residents at US neurology residency training programmes from the year 2007 to 2018. The representation of women steadily increased, with an absolute increase of 3% from the year 2007 to 2018. Although the absolute change (%) increased for the White race, Asian/Pacific Islander, Black/African Americans, there was a decrease seen in the Hispanic representation in neurology residents from the year 2011 to 2018. There was no change seen for the Native Americans/Alaskans. Our study concluded that gender and racial disparity persists in the recruitment of residents in neurology. This study highlights the need for targeted interventions to address gender and racial disparity among residents of neurology. Further studies are needed to explore etiological factors to address gender and racial disparity.
医学学术多元化可提高医疗标准和患者预后。性别和种族不平等是医疗体系面临的主要挑战。本文综述了神经病学住院医师中性别和种族差异的趋势。这项对美国神经病学住院医师培训项目 2007 年至 2018 年年度住院医师规范化培训数据资源手册的回顾性分析纳入了所有住院医师。女性的代表性稳步增加，与 2007 年相比绝对增加了 3%。尽管白种人、亚洲/太平洋岛民、黑种人/非裔美国人的绝对变化（%）有所增加，但 2011 年至 2018 年期间，神经病学住院医师中西班牙裔的代表性有所下降。美洲原住民/阿拉斯加原住民则没有变化。本研究得出结论，神经病学住院医师的招募中仍然存在性别和种族差异。本研究强调需要采取有针对性的干预措施来解决神经病学住院医师中的性别和种族差异。需要进一步研究以探讨病因因素来解决性别和种族差异。
