General Medical Education, Department of Surgery, Baylor University Medical Center, Dallas, TX, USA.
College of Medicine, Texas A & M University Health Science Center, Dallas Campus, Texas, USA.
Am J Surg. 2023 Jun;225(6):1000-1008. doi: 10.1016/j.amjsurg.2023.01.011. Epub 2023 Jan 11.
Cultural affinity with a provider improves satisfactoriness of healthcare. We examined 2005-2019 trends in racial/ethnic diversity/inclusion within general surgery residency programs.
We triangulated 2005-2019 race/ethnicity data from Association of American Medical Colleges surveys of 4th-year medical students, the Electronic Residency Application Service, and Accreditation Council for Graduate Medical Education-affiliated general surgery residencies. Temporal trends in minority representation were tested for significance.
Underrepresented racial/ethnic minorities in medicine (URiMs) increased among graduating MDs from 7.6% in 2005 to 11.8% in 2019 (p < 0.0001), as did their proportion among surgery residency applicants during 2005-2019 (p < 0.0001). However, proportions of URiMs among general surgery residents (≈8.5%), and of programs without URiMs (≈18.8%), stagnated.
Growing URiM proportions among medical school graduates and surgery residency applicants did not improve URiM representation among surgery trainees nor shrink the percentage of programs without URiMs. Deeper research into motivators underlying URiMs' residency program preferences is warranted.
与提供者的文化亲和力可以提高医疗保健的满意度。我们检查了 2005 年至 2019 年普通外科住院医师培训计划中种族/民族多样性/包容性的趋势。
我们从美国医学协会对四年级医学生的调查、电子住院医师申请服务以及研究生医学教育认证委员会附属普通外科住院医师中三角化了 2005 年至 2019 年的种族/民族数据。测试了少数民族代表性的时间趋势是否具有统计学意义。
医学上代表性不足的少数族裔（URiMs）在医学博士中的比例从 2005 年的 7.6%增加到 2019 年的 11.8%（p<0.0001），而在 2005 年至 2019 年期间，他们在外科住院医师申请中的比例也有所增加（p<0.0001）。然而，普通外科住院医师中 URiMs 的比例（≈8.5%）和没有 URiMs 的计划的比例（≈18.8%）停滞不前。
医学生和外科住院医师申请中 URiMs 比例的增长并没有提高外科培训生中 URiMs 的代表性，也没有减少没有 URiMs 的计划的比例。需要更深入地研究 URiMs 住院医师计划偏好的背后动机。
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