Department of Surgery, MetroHealth Medical Center, Cleveland, OH.
Department of Surgery, Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA.
Ann Surg. 2023 Apr 1;277(4):e914-e918. doi: 10.1097/SLA.0000000000005290. Epub 2021 Nov 11.
The aim of this study was to examine the diversity, equity, and inclusion landscape in academic trauma surgery and the EAST organization.
In 2019, the Eastern Association for the Surgery of Trauma (EAST) surveyed its members on equity and inclusion in the #EAST4ALL survey and assessed leadership representation. We hypothesized that women and surgeons of color (SOC) are underrepresented as EAST members and leaders.
Survey responses were analyzed post-hoc for representation of females and SOC in academic appointments and leadership, EAST committees, and the EAST board, and compared to the overall respondent cohort. EAST membership and board demographics were compared to demographic data from the Association of American Medical Colleges.
Of 306 respondents, 37.4% identified as female and 23.5% as SOC. There were no significant differences in female and SOC representation in academic appointments and EAST committees compared to their male and white counterparts. In academic leadership, females were underrepresented ( P < 0.0001), whereas SOC were not ( P = 0.08). Both females and SOC were underrepresented in EAST board membership ( P = 0.002 and P = 0.043, respectively). Of EAST's 33 presidents, 3 have been white women (9%), 2 have been Black, non-African American men (6%), and 28 (85%) have been white men. When compared to 2017 AAMC data, women are well-represented in EAST's 2020 membership ( P < 0.0001) and proportionally represented on EAST's 2019-2020 board ( P > 0.05).
The #EAST4ALL survey suggests that women and SOC may be underrepresented as leaders in academic trauma surgery. However, lack of high-quality demographic data makes evaluating representation of structurally marginalized groups challenging. National trauma organizations should elicit data from their members to re-assess and promote the diversity landscape in trauma surgery.
本研究旨在考察创伤外科学术领域和 EAST 组织中的多样性、公平性和包容性状况。
2019 年，东部创伤外科学会（EAST）在#EAST4ALL 调查中对其成员进行了公平性和包容性调查，并评估了领导层的代表性。我们假设女性和少数族裔（SOC）在 EAST 成员和领导层中代表性不足。
对女性和 SOC 在学术任命和领导、EAST 委员会和 EAST 委员会中的代表性进行了调查后分析，并与总体应答者队列进行了比较。EAST 会员和董事会的人口统计数据与美国医师协会的人口统计数据进行了比较。
在 306 名应答者中，37.4%为女性，23.5%为 SOC。在学术任命和 EAST 委员会中，女性和 SOC 的代表性与男性和白人无显著差异。在学术领导层中，女性代表性不足（P<0.0001），而 SOC 则不然（P=0.08）。女性和 SOC 在 EAST 董事会成员中的代表性都不足（P=0.002 和 P=0.043）。在 EAST 的 33 位主席中，有 3 位是白人女性（9%），2 位是黑人非裔美国人（6%），28 位（85%）是白人男性。与 2017 年 AAMC 数据相比，女性在 EAST 2020 年的会员中人数众多（P<0.0001），并且在 EAST 2019-2020 年的董事会中比例相当（P>0.05）。
#EAST4ALL 调查表明，女性和 SOC 可能在创伤外科学术领域的领导中代表性不足。然而，缺乏高质量的人口统计数据使得评估结构上处于劣势的群体的代表性具有挑战性。国家创伤组织应向其成员征集数据，以重新评估和促进创伤外科领域的多样性。
