Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, Arizona, USA.
Neuro Oncol. 2023 Jan 5;25(1):177-184. doi: 10.1093/neuonc/noac150.
Improving and fostering diversity within the neurosurgical workforce has become a high priority. This cross-sectional study aims to provide data on the diversity of neurosurgical oncology faculty (NSOF) in the US.
All 115 neurosurgery (NS) Accreditation Council for Graduate Medical Education (ACGME) accredited programs were included in this study. The academic rank, academic and clinical title(s), gender, race, and hiring date of neurosurgical faculty with a primary focus on neurosurgical oncology (NSOF) were recorded. Geographical distribution and "top 10" programs were tabulated according to published data. Underrepresented minorities in medicine (URiM) faculty were identified according to the AAMC definition.
The NSOF workforce constitutes 21% of the total NS faculty. Of these, 10.1% are women and 9.9% are URiM (P < .001). Currently, 58% of neurosurgery programs (NSP) do not have URiM and/or women NSOF. The top 10 ranked NSP, according to Blue Ridge Institute for Medical Research, had a significantly less URiM NSOF (P = .019) than nontop 10 ranked programs. There was a decreasing trend in the proportion of URiM at higher academic ranks (P = .019). All of the URiM department chairs (3/113)-all men-and 1/3 women department chairs nationwide subspecialized in neurosurgical oncology.
Neurosurgical oncology is a sought-after subspecialty attracting a fifth of neurosurgeons practicing in ACGME-accredited training programs. Changing demographics and the benefits of workforce diversity represent a great opportunity for our field to continue leading inclusion efforts and attracting the best and brightest.
提高和培养神经外科学领域的多样性已成为当务之急。这项横断面研究旨在提供美国神经外科肿瘤学教师（NSOF）多样性的数据。
本研究纳入了所有 115 个神经外科（NS）研究生医学教育认证委员会（ACGME）认证项目。记录了以神经外科肿瘤学（NSOF）为主要研究方向的神经外科教员的学术职称、学术和临床头衔、性别、种族以及招聘日期。根据已发表的数据，列出了地理分布和“十大”项目。根据 AAMC 的定义，确定医学中代表性不足的少数族裔（URiM）教员。
NSOF 工作人员构成了 NS 教师总数的 21%。其中，女性占 10.1%，URiM 占 9.9%（P<0.001）。目前，58%的神经外科项目（NSP）没有 URiM 和/或女性 NSOF。根据蓝山医学研究所的排名，排名前 10 的 NSP 的 URiM NSOF 明显较少（P=0.019），而非前 10 名的 NSP 则没有。在较高学术职称中，URiM 的比例呈下降趋势（P=0.019）。全国所有 3 名 URiM 系主任（113 名中的 3 名）——均为男性，以及全国 1/3 的女性系主任专门从事神经外科肿瘤学。
神经外科肿瘤学是一个受欢迎的专业，吸引了在 ACGME 认证培训项目中执业的五分之一的神经外科医生。人口统计学的变化和劳动力多样性的好处为我们的领域提供了一个很好的机会，可以继续领导包容努力并吸引最优秀和最聪明的人才。
