Division of Trauma and Surgical Critical Care, Department of Surgery, Orlando Regional Medical Center, Orlando, Florida; Department of Surgical Education, Orlando Regional Medical Center, Orlando, Florida.
NOVA Southeastern University, Fort Lauderdale, Florida.
J Surg Res. 2023 Sep;289:141-151. doi: 10.1016/j.jss.2023.03.044. Epub 2023 Apr 27.
We aim to investigate disparities & inequities based on race, sex, graduating age, and the number of peer-reviewed publications among allopathic U.S. Doctor of Medicine graduates who reported entering a surgical training program over a span of 5 y.
A retrospective cohort analysis of the Association of American Medical Colleges student records system and Electronic Residency Application Service for graduates entering a surgical specialty residency during graduate medical education training cycles 2015-2020.
African American, Asian, and Hispanic applicants each accounted for less than 1% of graduates who reported entering a surgical training program. Asians (OR = 0.58, P = 0.01) and those identifying as other races (OR = 0.74, P = 0.01) were significantly less likely to enter a surgical subspecialty when compared to Caucasians. Orthopedic surgery contained the lowest proportion of minorities; African Americans 0.5% (n = 18), Asians 0.3% (n = 11), Hispanics 0.1% (n = 4), and others with 2% (n = 68). Females who reported entering Orthopedic surgery training represented the smallest female population in surgical specialties (17%, n = 527). The number of peer-reviewed publications was significantly associated with male sex (β = 0.28, P < 0.01), age between 30 and 32 at graduation (β = 1.76, P < 0.01), and identification as other races (β = 1.53, P < 0.01).
Racial minorities represented only 5.1% of graduates who reported entering a surgical specialty graduate medical education training program. Minority races and females were significantly less likely to enter a surgical subspecialty training program compared to Caucasian graduates and males, especially in orthopedic surgery. Implementation of specialty-specific programs and diversity, equity, and inclusion departments that promote mentorship and guidance toward residency programs is needed to combat continued race and sex disparities.
我们旨在研究基于种族、性别、毕业年龄和同行评议出版物数量的差异和不平等，这些差异和不平等存在于过去 5 年期间报告进入美国医学博士毕业后外科培训项目的所有opathic 毕业生中。
对美国医学院学生记录系统和电子住院申请服务的回顾性队列分析，用于研究在研究生医学教育培训周期 2015-2020 年期间进入外科专业住院医师培训的毕业生。
非裔美国人、亚裔和西班牙裔申请者在报告进入外科培训项目的毕业生中各占不到 1%。与白人相比，亚洲人（OR=0.58，P=0.01）和其他种族的人（OR=0.74，P=0.01）进入外科亚专业的可能性明显较低。骨科手术中少数民族的比例最低；非裔美国人占 0.5%（n=18），亚洲人占 0.3%（n=11），西班牙裔占 0.1%（n=4），其他人占 2%（n=68）。报告进入骨科培训的女性是外科专业中女性人口比例最小的（17%，n=527）。同行评议出版物的数量与男性性别显著相关（β=0.28，P<0.01）、毕业时年龄在 30 至 32 岁之间（β=1.76，P<0.01）以及其他种族身份（β=1.53，P<0.01）。
少数民族在报告进入外科专业研究生医学教育培训项目的毕业生中仅占 5.1%。与白人毕业生和男性相比，少数族裔和女性进入外科亚专业培训项目的可能性明显较低，尤其是在骨科手术中。需要实施专门的计划和多样性、公平性和包容性部门，以促进对住院医师培训计划的指导和指导，以消除持续存在的种族和性别差异。
