2007 年至 2021 年骨科脊柱研究员中种族、民族和性别多样性的趋势。
Trends in Racial, Ethnic, and Gender Diversity in Orthopedic Surgery Spine Fellowships From 2007 to 2021.
机构信息
University of Miami Miller School of Medicine, Miami, FL.
Johns Hopkins University Orthopaedic Surgery, Baltimore, MD.
出版信息
Spine (Phila Pa 1976). 2023 Oct 15;48(20):E349-E354. doi: 10.1097/BRS.0000000000004633. Epub 2023 Mar 20.
STUDY DESIGN
Descriptive.
OBJECTIVE
The objective of this study is to analyze trends in racial, ethnic, and gender diversity in orthopedic spine surgery fellowship trainees.
SUMMARY OF BACKGROUND DATA
Orthopedic surgery has consistently been labeled as one of the least diverse fields in Medicine. Although some effort has been made to combat this in recent years at the residency level, it is uncertain whether spine fellowships have had any changes in fellow demographics.
MATERIALS AND METHODS
Fellowship demographic data were collected through the Accreditation Council for Graduate Medical Education. Data collected included gender (male, female, and not reported) and race (White, Asian, Black, Hispanic, Native Hawaiians, American Indian or Alaskan Native, other, and unknown). Percentage equivalents were calculated for each group from 2007 to 2008 to 2020 to 2021. A χ 2 test for trend (Cochran-Armitage test) was done to determine whether there was a significant change in percentages of each race and gender during the study period. The results were considered statistically significant at P <0.05.
RESULTS
White, Non-Hispanic males represent the largest proportion of orthopedic spine fellowship positions each year. From 2007 to 2021, there were no significant changes in the representation of any race or gender of orthopedic spine fellows. Males ranged from 81% to 95%, Whites from 28% to 66%, Asians from 9% to 28%, Blacks from 3% to 16%, and Hispanics from 0% to 10%. Native Hawaiians and American Indians remained at 0% for all years included in the study. Females and all races, excluding Whites, continue to be under-represented in orthopedic spine fellowship.
CONCLUSIONS
Orthopedic spine surgery fellowship programs have not made substantial progress in diversifying its population. More attention is needed to increase diversity in residency programs through pipeline programs, increased mentorship and sponsorship, and early exposure to the field.
LEVEL OF EVIDENCE
研究设计
描述性。
目的
本研究旨在分析骨科脊柱外科住院医师培训中种族、民族和性别多样性的趋势。
背景资料总结
骨科手术一直被认为是医学领域中多样性最低的领域之一。尽管近年来在住院医师水平上已经做出了一些努力来解决这个问题，但尚不确定脊柱研究员在研究员人群特征方面是否发生了任何变化。
材料和方法
通过研究生医学教育认证委员会收集研究员的人口统计学数据。收集的数据包括性别（男性、女性和未报告）和种族（白种人、亚洲人、黑种人、西班牙裔、夏威夷原住民、美洲印第安人或阿拉斯加原住民、其他和未知）。从 2007 年至 2008 年到 2020 年至 2021 年，为每个群体计算了百分比当量。使用 χ 2 趋势检验（Cochran-Armitage 检验）来确定在研究期间每个种族和性别的比例是否有显著变化。结果被认为在 P <0.05 时有统计学意义。
结果
白人、非西班牙裔男性每年代表最大比例的骨科脊柱研究员职位。从 2007 年至 2021 年，骨科脊柱研究员的任何种族或性别的代表性都没有显著变化。男性比例从 81%到 95%，白人从 28%到 66%，亚洲人从 9%到 28%，黑人从 3%到 16%，西班牙裔从 0%到 10%。在研究中包括的所有年份，夏威夷原住民和美洲印第安人仍为 0%。女性和所有非白种人种族继续在骨科脊柱研究员中代表性不足。
结论
骨科脊柱外科住院医师培训项目在使其人群多样化方面没有取得实质性进展。需要通过管道计划、增加指导和赞助以及早期接触该领域来更加关注增加住院医师计划的多样性。
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