From the Division of Plastic and Reconstructive Surgery, Rutgers-New Jersey Medical School, Newark, NJ.
Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Ann Plast Surg. 2022 May 1;88(3 Suppl 3):S257-S265. doi: 10.1097/SAP.0000000000003186.
Increasing health care diversity is critical to overcoming disparities. Plastic surgery has been working to improve diversity through various efforts, including social media movements like Diversify PRS and #ilooklikeasurgeon. Because residency programs' social media sites serve as a public symbol of the programs' values and can attract potential applicants, we sought to analyze such platforms for content highlighting sex and ethnic diversity.
Integrated plastic surgery residency programs during the 2020 to 2021 academic year were found on the American Council of Academic Plastic Surgeons website, and their associated social media accounts were identified. The authors reviewed each program's account for all posts published by November 8, 2021, for content promoting sex or ethnic diversity. Any hashtags related to diversity were also recorded. Nonparametric Mann-Whitney U and Kruskal-Wallis tests were used to compare percentages of total social media posts related to sex and ethnic diversity between programs (α = 0.05).
Of 82 programs, 76 (92.7%) had active Instagram accounts, 29 (35.4%) had active Facebook accounts, and 29 (35.4%) had active Twitter accounts. Across all platforms, 19.0% of all posts were promoting sex diversity and 3.3% were promoting ethnic diversity. Of 4651 posts promoting sex diversity, 4067 (87.4%) highlighted women, 1017 (21.9%) featured all-women teams, 779 (16.7%) used sex diversity-related hashtags, and 300 (6.5%) included purposeful statements. Of 808 posts promoting ethnic diversity, 527 (65.2%) used ethnic diversity-related hashtags, 224 (27.7%) included purposeful statements, 199 (24.6%) mentioned ethnic background, and 36 (4.5%) used different skin-toned emojis. Programs did not vary in percentages of posts related to diversity by geographic region, ranking, accreditation length, or engagement rate. The percentage of posts promoting sex diversity was greater than that promoting ethnic diversity (P < 0.001). The most used diversity hashtag was #ilooklikeasurgeon.
Despite the importance of increasing recruitment of trainees from diverse backgrounds to plastic surgery and the global reach of social media movements like #ilooklikeasurgeon, sex and ethnic diversity are still poorly promoted on residency social media accounts. Increasing such content is a simple yet powerful way to create a culture of inclusivity for all applicants.
增加医疗保健的多样性对于克服差异至关重要。整形外科一直在通过各种努力来提高多样性，包括社交媒体运动，如 Diversify PRS 和#ilooklikeasurgeon。由于住院医师培训计划的社交媒体网站是计划价值观的公共象征，并可以吸引潜在的申请人，因此我们试图分析这些平台上突出性别和族裔多样性的内容。
在美国整形外科学会网站上找到了 2020 至 2021 学年的综合整形外科住院医师培训计划，并确定了相关的社交媒体账户。作者审查了每个计划账户中截至 2021 年 11 月 8 日发布的所有帖子，以获取宣传性别或族裔多样性的内容。还记录了与多样性相关的任何标签。使用非参数曼-惠特尼 U 检验和克鲁斯卡尔-沃利斯检验比较了不同计划之间与性别和族裔多样性相关的社交媒体帖子总数的百分比（α=0.05）。
在 82 个计划中，76 个（92.7%）有活跃的 Instagram 账户，29 个（35.4%）有活跃的 Facebook 账户，29 个（35.4%）有活跃的 Twitter 账户。在所有平台上，所有帖子的 19.0%用于宣传性别多样性，3.3%用于宣传族裔多样性。在 4651 条宣传性别多样性的帖子中，4067 条（87.4%）突出了女性，1017 条（21.9%）展示了全女性团队，779 条（16.7%）使用了性别多样性相关标签，300 条（6.5%）包含了有目的的声明。在 808 条宣传族裔多样性的帖子中，527 条（65.2%）使用了族裔多样性相关标签，224 条（27.7%）包含了有目的的声明，199 条（24.6%）提到了族裔背景，36 条（4.5%）使用了不同肤色的表情符号。按地理位置、排名、认证时间或参与率划分，各计划在与多样性相关的帖子百分比方面没有差异。宣传性别多样性的帖子百分比大于宣传族裔多样性的帖子百分比（P<0.001）。使用最多的多样性标签是#ilooklikeasurgeon。
尽管增加来自不同背景的受训者到整形外科的招聘以及像#ilooklikeasurgeon 这样的全球社交媒体运动的重要性，但是在住院医师社交媒体账户上，性别和族裔多样性的宣传仍然很差。增加此类内容是为所有申请人创造包容文化的简单而有力的方法。
