基于性别、医学领域代表性不足状况及学位类型的骨科住院医师匹配率
Residency Match Rates in Orthopaedic Surgery Based on Sex, Under-Represented in Medicine Status, and Degree Type.
作者信息
White Peter B, Giordano Joshua R, Chen Matthiew, Bitterman Adam D, Oni Julius K, Zacchilli Michael, Poon Selina C, Cohn Randy M
机构信息
Department of Orthopaedic Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York.
出版信息
JB JS Open Access. 2023 Mar 22;8(1). doi: 10.2106/JBJS.OA.22.00143. eCollection 2023 Jan-Mar.
UNLABELLED
Orthopaedic surgery is well recognized as one of the most competitive and least diverse medical specialties. Despite efforts toward improving diversity, studies have shown that gender and racial/ethnic disparities continue to persist in orthopaedic graduate medical education. Therefore, we sought to identify the match rates of traditionally under-represented groups within orthopaedic surgery-female candidates, racial and ethnic minorities under-represented in medicine (URiM), and osteopathic physicians-compared with their application rates.
METHODS
A retrospective review of the Electronic Residency Application Service (ERAS) application data from the 2017 to 2021 application cycles was performed, and the total number of applicants, sex, race/ethnicity, and degree type of all students applying for orthopaedic surgery were recorded. A separate database, the Orthopaedic Residency Information Network (ORIN), which is a database self-reported by residency programs to provide information to applicants, was also queried to identify the total number of residents, sex, race/ethnicity, and degree type of all current residents in June 2022, corresponding to those residents who matched in 2017 to 2021.
RESULTS
From the ERAS application data, a total of 7,903 applicants applied to orthopaedic surgery during the study period. A total of 1,448 applicants (18%) were female, 1,307 (18%) were URiM, and 1,022 (15%) were from an osteopathic medical school. Based on the ORIN database, 688 of 3,574 residents (19%) were female, 1,131 of 7,374 (19%) were URiM, and 1,022 of US medical school graduates (12%) had a DO degree. The application and match rates were not significantly different for female (p = 0.249) and URiM (0.187) applicants; however, there was a significant difference in the application and match rates (15% vs 12%; p = 0.035) for US medical graduates with a DO degree.
CONCLUSION
In recent years, there has been a significant and necessary push to increase diversity in the field of orthopaedic surgery. From 2017 to 2021, match rates of female and URiM candidates are reflective of their application rates. Osteopathic applicants in orthopaedic surgery have a lower match rate than their allopathic counterparts.
LEVEL OF EVIDENCE
III.
未标注
骨科手术被公认为竞争最激烈、多样性最少的医学专科之一。尽管为提高多样性做出了努力，但研究表明，骨科毕业后医学教育中性别和种族/民族差异仍然存在。因此，我们试图确定骨科手术中传统上代表性不足的群体——女性候选人、医学领域代表性不足的种族和少数民族（URiM）以及整骨疗法医生——的匹配率，并与他们的申请率进行比较。
方法
对2017年至2021年申请周期的电子住院医师申请服务（ERAS）申请数据进行回顾性分析，记录所有申请骨科手术的学生的申请人总数、性别、种族/民族和学位类型。还查询了一个单独的数据库——骨科住院医师信息网络（ORIN），该数据库由住院医师项目自行报告，用于向申请人提供信息，以确定2022年6月所有现任住院医师的总数、性别、种族/民族和学位类型，这些住院医师与2017年至2021年匹配的住院医师相对应。
结果
根据ERAS申请数据，在研究期间共有7903名申请人申请骨科手术。共有1448名申请人（18%）为女性，1307名（18%）为URiM，1022名（15%）来自整骨医学院。根据ORIN数据库，3574名住院医师中有688名（19%）为女性，7374名中有1131名（19%）为URiM，美国医学院毕业生中有1022名（12%）拥有整骨疗法博士学位。女性（p = 0.249）和URiM（0.187）申请人的申请率和匹配率没有显著差异；然而，拥有整骨疗法博士学位的美国医学毕业生的申请率和匹配率存在显著差异（15%对12%；p = 0.035）。
结论
近年来，在骨科手术领域增加多样性方面有了重大且必要的推动。从2017年到2021年，女性和URiM候选人的匹配率反映了他们的申请率。骨科手术中的整骨疗法申请人的匹配率低于他们的对抗疗法同行。
证据水平
三级。
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