Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA.
Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA.
J Am Coll Cardiol. 2023 Mar 28;81(12):1181-1188. doi: 10.1016/j.jacc.2023.01.022.
Studies have shown that diverse care teams optimize patient outcomes. Describing the current representation of women and minorities has been a critical step in improving diversity across several fields.
To address the lack of data specific to pediatric cardiology, the authors conducted a national survey.
U.S. academic pediatric cardiology programs with fellowship training programs were surveyed. Division directors were invited (July 2021 to September 2021) to complete an e-survey of program composition. Underrepresented minorities in medicine (URMM) were characterized using standard definitions. Descriptive analyses at the hospital, faculty, and fellow level were performed.
Altogether, 52 of 61 programs (85%) completed the survey, representing 1,570 total faculty and 438 fellows, with a wide range in program size (7-109 faculty, 1-32 fellows). Although women comprise approximately 60% of faculty in pediatrics overall, they made up 55% of fellows and 45% of faculty in pediatric cardiology. Representation of women in leadership roles was notably less, including 39% of clinical subspecialty directors, 25% of endowed chairs, and 16% of division directors. URMM comprise approximately 35% of the U.S. population; however, they made up only 14% of pediatric cardiology fellows and 10% of faculty, with very few in leadership roles.
These national data suggest a "leaky pipeline" for women in pediatric cardiology and very limited presence of URRM overall. Our findings can inform efforts to elucidate underlying mechanisms for persistent disparity and reduce barriers to improving diversity in the field.
研究表明，多元化的医护团队能够优化患者的治疗效果。描述女性和少数族裔在医疗领域的现状，是提高各领域多样性的关键步骤。
由于缺乏针对儿科心脏病学的具体数据，作者进行了一项全国性调查。
对具有专科培训项目的美国学术型儿科心脏病学项目进行了调查。邀请科室主任（2021 年 7 月至 2021 年 9 月）完成专科组成的电子调查。采用标准定义对医学中的少数族裔进行描述性分析。在医院、教师和研究员层面进行分析。
共有 61 个项目中的 52 个（85%）完成了调查，代表了 1570 名教员和 438 名研究员，项目规模差异很大（7-109 名教员，1-32 名研究员）。尽管女性约占儿科教员的 60%，但她们在研究员中占 55%，在儿科心脏病学教员中占 45%。女性在领导层的代表性明显较少，包括 39%的临床亚专科主任、25%的特聘教授和 16%的科室主任。少数族裔约占美国人口的 35%；然而，他们仅占儿科心脏病学研究员的 14%和教员的 10%，且很少有人担任领导职务。
这些全国性数据表明，儿科心脏病学领域的女性存在“人才流失”现象，少数族裔的整体参与度非常有限。我们的研究结果可以为阐明导致持续存在差异的潜在机制提供信息，并为改善该领域的多样性减少障碍。
