The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, 240 East 38th St, New York, NY 10016, United States.
The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, 240 East 38th St, New York, NY 10016, United States.
J Natl Med Assoc. 2022 Aug;114(4):369-376. doi: 10.1016/j.jnma.2022.02.011. Epub 2022 Mar 23.
In the United States (US), dermatology remains one of the least diverse specialties in medicine. Increasing the diversity of the dermatology workforce is essential for reducing health disparities.
To describe the experiences of racially and ethnically diverse physicians in the US who successfully matched into dermatology.
Board-certified dermatologists and dermatology residents were recruited to participate in an anonymous, online survey in which self-reported demographic, socioeconomic, pre-residency, and post-residency career data were obtained.
Of the 100 participants included in the study, 30% were dermatology residents and 25% belonged to a group underrepresented in medicine (UIM). Black physicians were 3.69 times more likely to select dermatology prior to medical school (odds ratio [OR], 3.69; 95% confidence interval [CI], 1.04 - 13.0) compared to non-Black physicians. UIM dermatologists and trainees were more likely to receive a need-based scholarship in medical school (OR, 4.37; 95% CI, 1.30 - 14.7), graduate from a private medical institution (OR, 6.49; 95% CI, 1.95 - 21.6), and have at least one UIM dermatology mentor during medical school (adjusted OR, 13.1; 95% CI, 2.77 - 61.5) compared to non-UIM physicians.
A holistic review of dermatology applicants by residency programs may reduce racial/ethnic disparities in the admission process. Our data provide further evidence in support of pre-medical outreach programs, mentorship, and institutional funding to promote diversity in dermatology.
在美国，皮肤科仍然是医学领域中多样性最低的专业之一。增加皮肤科劳动力的多样性对于减少健康差距至关重要。
描述在美国成功进入皮肤科的不同种族和族裔的医生的经历。
招募了经过董事会认证的皮肤科医生和皮肤科住院医师，让他们参与一项匿名的在线调查，调查中获得了自我报告的人口统计学、社会经济、住院前和住院后职业数据。
在这项研究的 100 名参与者中，30%是皮肤科住院医师，25%属于医学领域代表性不足的群体（UIM）。与非黑人医生相比，黑人医生在医学院之前选择皮肤科的可能性高出 3.69 倍（优势比[OR]，3.69；95%置信区间[CI]，1.04 - 13.0）。UIM 皮肤科医生和受训者在医学院获得基于需求的奖学金的可能性更高（OR，4.37；95% CI，1.30 - 14.7），从私立医疗机构毕业的可能性更高（OR，6.49；95% CI，1.95 - 21.6），并且在医学院期间至少有一位 UIM 皮肤科导师（调整后的 OR，13.1；95% CI，2.77 - 61.5）比非 UIM 医生更多。
住院医师项目对皮肤科申请人进行全面审查可能会减少招生过程中的种族/族裔差异。我们的数据进一步证明了需要开展医学前外展计划、提供指导和机构资助，以促进皮肤科的多样性。
