Cohen Samuel A, Cohen Landon E, Pershing Suzann
Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, Stanford, CA.
Department of Ophthalmology, VA Palo Alto Health Care System, Palo Alto, CA.
J Acad Ophthalmol (2017). 2022 Apr 19;14(1):e103-e109. doi: 10.1055/s-0042-1743412. eCollection 2022 Jan.
Ophthalmology departments have been stated to be among the least diverse clinical departments at United States medical schools. Improvement requires recruiting a pipeline of diverse trainees. Residency program Web sites represent a potential diversity and inclusion recruitment tool. This study assesses how ophthalmology residency program Web sites demonstrate a commitment to diversity and inclusion. We analyzed the diversity and inclusion content of 116 ophthalmology residency program Web sites in April 2021. Main outcome measures were the presence of 12 diversity and inclusion elements on program Web sites, based on prior work and Accreditation Council for Graduate Medical Education guidelines: nondiscrimination statement, diversity and inclusion message, community resources, extended faculty or resident biographies (including hobbies, etc.), faculty photos, resident photos, additional financial resources for trainees, wellness resources, mental health resources, health disparities/community engagement, and diversity council. We used Mann-Whitney and Kruskal-Wallis tests to assess whether residency program characteristics such as rank, size, university affiliation, and geographic location were associated with commitment to diversity and inclusion on affiliated residency Web sites. Ophthalmology residency program Web sites included a mean of 4.4 ± 2.1 diversity elements. Sixteen percent of programs featured more than half (7 + ) of the evaluated diversity elements. The most featured common diversity elements included resident photos (85.3%), faculty photos (78.4%), and community resources (64.3%). Extended faculty biographies (2.6%), mental health resources (9.5%), and diversity council information (11.2%) were less commonly showcased. Top-ranked programs (7.6 ± 1.8, < 0.0001) and university-based/-affiliated programs (4.7 ± 2.8, = 0.0039) displayed more diversity elements than lower-ranked (4.1 ± 1.8) and community-based programs (2.8 ± 1.7). Most ophthalmology residency program Web sites feature less than half of the 12 diversity and inclusion elements included in this study, suggesting room for improvement. By drawing attention to program diversity and inclusion efforts, Web sites offer a potential tool for residency programs to consider in their recruitment efforts for diverse trainees. Incorporating the diversity and inclusion elements analyzed in this study represents a low-burden way to signal a greater commitment to diversity that could help programs recruit diverse applicants.
眼科部门被指出是美国医学院临床科室中多样性最少的科室之一。改善这一状况需要招募一批多元化的学员。住院医师培训项目网站是一个潜在的促进多样性和包容性的招聘工具。本研究评估了眼科住院医师培训项目网站如何体现对多样性和包容性的承诺。
2021年4月，我们分析了116个眼科住院医师培训项目网站的多样性和包容性内容。主要观察指标是根据先前的研究工作和毕业后医学教育认证委员会的指导方针，项目网站上是否存在12个多样性和包容性元素：非歧视声明、多样性和包容性信息、社区资源、教师或住院医师的详细个人简介（包括爱好等）、教师照片、住院医师照片、为学员提供的额外资金资源、健康资源、心理健康资源、健康差异/社区参与以及多样性委员会。我们使用曼-惠特尼检验和克鲁斯卡尔-沃利斯检验来评估住院医师培训项目的特征，如排名、规模、大学附属关系和地理位置，是否与附属住院医师网站对多样性和包容性的承诺相关。
眼科住院医师培训项目网站平均包含4.4±2.1个多样性元素。16%的项目展示了超过一半（7个及以上）被评估的多样性元素。最常见的多样性元素包括住院医师照片（85.3%）、教师照片（78.4%）和社区资源（64.3%）。教师详细个人简介（2.6%）、心理健康资源（9.5%）和多样性委员会信息（11.2%）较少被展示。排名靠前的项目（7.6±1.8，<0.0001）和大学附属项目（4.7±2.8，=0.0039）展示的多样性元素比排名靠后的项目（4.1±1.8）和社区项目（2.8±1.7）更多。
大多数眼科住院医师培训项目网站展示的本研究中包含的12个多样性和包容性元素不到一半，这表明仍有改进空间。通过关注项目的多样性和包容性努力，网站为住院医师培训项目在招募多元化学员的过程中提供了一个潜在的工具。纳入本研究中分析的多样性和包容性元素是一种低负担的方式，可表明对多样性有更大的承诺，这有助于项目招募多元化的申请者。
