Levy Kenneth H, Gupta Arjun, Murdock Christopher J, Marrache Majd, Beebe Kathleen S, Laporte Dawn M, Oni Julius K, Aiyer Amiethab A
Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
CUNY School of Medicine, New York, New York.
JB JS Open Access. 2023 Jan 6;8(1). doi: 10.2106/JBJS.OA.22.00117. eCollection 2023 Jan-Mar.
Greater faculty diversity within orthopaedic residency programs has been associated with an increased application rate from students of similarly diverse demographic backgrounds. It is unknown whether these underrepresented student populations have an equitable likelihood of being highly ranked and matching at these programs. Thus, we sought to evaluate the relationship between faculty and resident diversity, with a specific focus on sex, racial/ethnic groups that are underrepresented in medicine (URiM), and international medical graduates (IMGs).
The American Orthopaedic Association's Orthopaedic Residency Information Network database was used to collect demographic data on 172 US residency programs. Linear regression analyses were performed to determine the relationship between the proportion of female or URiM attendings at a program and the proportion of female, URiM, or IMG residents or top-ranked applicants (≥25 rank). URiM was defined as "racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population."
A mean of 13.55% of attendings were female and 14.14% were URiM. A larger fraction of female attendings was a positive predictor of female residents (p < 0.001). Similarly, a larger percentage of URiM attendings was a positive predictor of URiM residents (p < 0.001), as well as of URiM (p < 0.001) and IMG (p < 0.01) students being ranked highly. There was no significant association between URiM attendings and female residents/overall top-ranked applicants, or vice versa.
Residency programs with more female attendings were more likely to match female residents, and programs with more URiM attendings were more likely to highly rank URiM and IMG applicants as well as match URiM residents. Our findings indicate that orthopaedic surgery residencies may be more likely to rank and match female or URiM students at similar proportions to that of their faculty. This may reflect minority students preferentially applying to programs with more diverse faculty because they feel a better sense of fit and are likely to benefit from a stronger support system.
III.
骨科住院医师培训项目中师资多样性的提高与来自类似不同人口背景的学生申请率增加有关。目前尚不清楚这些代表性不足的学生群体在这些项目中获得高排名和匹配的可能性是否公平。因此，我们试图评估师资和住院医师多样性之间的关系，特别关注性别、医学领域代表性不足的种族/族裔群体（URiM）以及国际医学毕业生（IMGs）。
使用美国骨科协会的骨科住院医师信息网络数据库收集172个美国住院医师培训项目的人口统计学数据。进行线性回归分析，以确定项目中女性或URiM教员的比例与女性、URiM或IMG住院医师或排名靠前的申请人（≥25名）的比例之间的关系。URiM被定义为“在医学专业中相对于其在总人口中的数量代表性不足的种族和族裔群体”。
平均13.55%的教员为女性，14.14%为URiM。女性教员比例较高是女性住院医师的一个积极预测因素（p < 0.001）。同样，URiM教员比例较高是URiM住院医师（p < 0.001）以及URiM（p < 0.001）和IMG（p < 0.01）学生获得高排名的一个积极预测因素。URiM教员与女性住院医师/总体排名靠前的申请人之间没有显著关联，反之亦然。
女性教员较多的住院医师培训项目更有可能匹配女性住院医师，URiM教员较多的项目更有可能将URiM和IMG申请人排在高位，以及匹配URiM住院医师。我们的研究结果表明，骨科手术住院医师培训项目可能更有可能以与其教员相似的比例对女性或URiM学生进行排名和匹配。这可能反映出少数族裔学生更倾向于申请教员更多样化的项目，因为他们感觉更契合，并且可能受益于更强大的支持系统。
III。
