School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Department of Pediatrics, Ann and Robert Lurie Children's Hospital of Chicago, Chicago, IL.
Ann Surg. 2024 Jan 1;279(1):77-87. doi: 10.1097/SLA.0000000000005992. Epub 2023 Jul 13.
To compare the representation of intersectional (ie, racial/ethnic and gender) identities among surgical faculty versus medical students.
Health disparities are pervasive in medicine, but diverse physicians may help the medical profession achieve health equity.
Data from the Association of American Medical Colleges for 140 programs (2011/2012-2019/2020) were analyzed for students and full-time surgical faculty. Underrepresented in medicine (URiM) was defined as Black/African American, American Indian/Alaskan Native, Hispanic/Latino/Spanish Origin, or Native Hawaiian/Other Pacific Islander. Non-White included URiM plus Asian, multiracial, and non-citizen permanent residents. Linear regression was used to estimate the association of year and proportions of URiM and non-White female and male faculty with proportions of URiM and non-White students.
Medical students were comprised of more White (25.2% vs 14.4%), non-White (18.8% vs 6.6%), and URiM (9.6% vs 2.8%) women and concomitantly fewer men across all groups versus faculty (all P < 0.01). Although the proportion of White and non-White female faculty increased over time (both P ≤ 0.001), there was no significant change among non-White URiM female faculty, nor among non-White male faculty, regardless of whether they were URiM or not. Having more URiM male faculty was associated with having more non-White female students (estimate = +14.5% students/100% increase in faculty, 95% CI: 1.0% to 8.1%, P = 0.04), and this association was especially pronounced for URiM female students (estimate = +46.6% students/100% increase in faculty, 95% CI: 36.9% to 56.3%, P < 0.001).
URiM faculty representation has not improved despite a positive association between having more URiM male faculty and having more diverse students.
比较外科教员与医学生的交叉（即种族/族裔和性别）身份代表性。
医学领域存在普遍的健康差异，但多样化的医生可能有助于医学专业实现健康公平。
对美国医学协会的 140 个项目（2011/2012 年至 2019/2020 年）的数据进行了分析，涉及学生和全职外科教员。医学领域代表性不足（URiM）定义为黑人/非裔美国人、美国印第安人/阿拉斯加原住民、西班牙裔/拉丁裔/西班牙语裔或夏威夷原住民/其他太平洋岛民。非白人包括 URiM 加上亚洲人、多种族和非公民永久居民。线性回归用于估计当年以及 URiM 和非白人女性和男性教员比例与 URiM 和非白人学生比例之间的关联。
与教员相比，医学生中白人（25.2%比 14.4%）、非白人（18.8%比 6.6%）和 URiM（9.6%比 2.8%）女性比例更高，男性比例也更高（所有 P < 0.01）。尽管女性白人和非白人教员的比例随着时间的推移而增加（均 P ≤ 0.001），但非白人 URiM 女性教员的比例没有变化，非白人男性教员的比例也没有变化，无论他们是否是 URiM。拥有更多的 URiM 男性教员与拥有更多的非白人女性学生相关（估计值=每增加 100%教员增加 14.5%学生，95%CI：1.0%至 8.1%，P=0.04），而这种关联在 URiM 女性学生中更为明显（估计值=每增加 100%教员增加 46.6%学生，95%CI：36.9%至 56.3%，P < 0.001）。
尽管拥有更多的 URiM 男性教员与拥有更多多样化的学生之间存在正相关关系，但 URiM 教员的代表性并没有改善。
