Las Vegas-Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV.
Las Vegas-Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV.
Curr Probl Cardiol. 2023 Mar;48(3):101518. doi: 10.1016/j.cpcardiol.2022.101518. Epub 2022 Dec 1.
Cardiovascular (CV) outcomes can be improved with commonality between provider and patient regarding gender and race/ethnicity. Slow growth in CV care provider diversity is an obstacle for women and underrepresented groups. The hope for more equitable outcomes is unlikely to be realized unless trends change in selection of CV fellows and program directors (PDs). We investigate longitudinal trends of gender and racial/ethnic composition of CV FITs. De-identified demographic data were compiled in a descriptive cross-sectional study from AAMC of internal medicine (IM) residents and CV FITs from 2011 through 2021 to evaluate gender and race/ethnicity trends among CV trainees. Trends of CV fellows who later became program directors were analyzed. In the US between 2011 and 2021, 53% of IM residents were male while 40% female (7% unreported). Among CV FITs, 78% were male and 21% female. Races/ethnicities among CV FITs consisted of 36% non-Hispanic white, 28% non-Hispanic Asian, 5% Hispanic, 4%Black, and 25% were classified within other race/ethnicity categories. The proportion who became CV program directors followed similarly: 79% of PDs were male and 21% female. Demographic profiles for CV FITs have not significantly changed over the past decade despite increased diversity among IM residents. Efforts to improve diversity of CV FITs and PDs need to be analyzed. Slow growth of diversity in CV FITs is outpaced by rising patient diversity, leading to disparities in care and poorer CV outcomes for women and underrepresented minorities. Recruiting, training, and retaining diverse CV FITs is necessary.
心血管（CV）结局可以通过医患之间的性别和种族/民族共性来改善。CV 医疗服务提供者多样性的缓慢增长是女性和代表性不足群体的障碍。除非 CV 研究员和项目主任（PD）的选择趋势发生变化，否则不太可能实现更公平的结果。我们调查了 CV FIT 性别和种族/民族构成的纵向趋势。从 2011 年到 2021 年，通过 AAMC 收集了内科（IM）住院医师和 CV FIT 的匿名人口统计学数据，以评估 CV 受训者中的性别和种族/民族趋势。分析了后来成为项目主任的 CV 研究员的趋势。在美国，2011 年至 2021 年间，53%的 IM 住院医师为男性，40%为女性（7%未报告）。在 CV FIT 中，78%为男性，21%为女性。CV FIT 的种族/民族包括 36%的非西班牙裔白人、28%的非西班牙裔亚洲人、5%的西班牙裔、4%的黑人，25%的人被归入其他种族/民族类别。成为 CV 项目主任的比例也类似：79%的 PD 为男性，21%为女性。尽管 IM 住院医师的多样性有所增加，但过去十年 CV FIT 的人口统计特征并没有显著改变。需要分析改善 CV FIT 和 PD 多样性的努力。CV FIT 多样性的缓慢增长速度超过了患者多样性的增长速度，导致女性和代表性不足的少数族裔在护理方面存在差异，心血管结局较差。需要招募、培训和留住多元化的 CV FIT。
