Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Canada.
Department of Radiation Oncology, University of Calgary, Calgary, Canada.
J Otolaryngol Head Neck Surg. 2023 Jul 19;52(1):46. doi: 10.1186/s40463-023-00650-9.
The Canadian landscape of racial diversity in academic OHNS programs is currently unknown, as to date Canadian medical organizing bodies have refrained from collecting race-based data. However, new policy guidelines by the Canadian Medical Association support the collection of data that may be used to support equity, diversity and inclusion programs. This study aims to describe the representation of visible minorities amongst academic OHNS departments and divisions in Canada at various levels of academic seniority.
An online survey was distributed to members of the 13 academic OHNS department in Canada in 2022. The survey collected demographic data as well as each participant's self-reported race and gender. The primary outcome was the comparison of the racial demographics of Canadian academic OHNS programs to Canadian census data. Secondary outcome measures assessed how demographics varied based on academic position and gender. Simple descriptive statistics were tabulated for all demographic variables. Chi-square goodness of fit analysis was used to compare survey results to anticipated demographics based on 2016 Canadian census data.
Of 545 surveys distributed, 224 surveys were completed (response rate of 41%); 67.9% or respondents were male and 32.1% were female. Of these respondents, 71 were residents, 26 lecturers, 54 assistant professors, 39 associate professors, and 34 full professors. There was significantly greater minority representation amongst residents (47.9%), assistant professors (39.6%), and lecturers (40.7%) compared to the Canadian population (25.3%) p < 0.001. Results also showed that there were significantly fewer female lecturers (25.9%, p = 0.01), assistant professors (31.5%, p = 0.006), and full professors (2.9%, p < 0.001) compared to an assumed even proportion of men and women in the population.
Academic OHNS programs in Canada are more racially diverse than the Canadian population. However, women continue to be under-represented in more senior positions, especially women who are visible minorities. Further investigation into the systemic factors that may contribute to this disparity is needed as well as effective ways to promote diversity amongst academic OHNS departments at all levels of academic seniority.
目前，加拿大耳鼻喉科学学术项目中的种族多样性情况尚不清楚，因为迄今为止，加拿大医学组织一直避免收集基于种族的数据。然而，加拿大医师协会的新政策指南支持收集可能用于支持公平、多样性和包容性计划的数据。本研究旨在描述加拿大耳鼻喉科学学术部门和单位中各级学术资历的少数族裔代表情况。
2022 年，向加拿大 13 个耳鼻喉科学学术部门的成员分发了在线调查。该调查收集了人口统计学数据以及每位参与者的自我报告种族和性别。主要结果是比较加拿大耳鼻喉科学学术项目的种族人口统计学与加拿大人口普查数据。次要结果衡量了根据学术职位和性别，人口统计学的差异。对所有人口统计学变量进行了简单的描述性统计。卡方拟合优度分析用于比较调查结果与基于 2016 年加拿大人口普查数据的预期人口统计学数据。
在分发的 545 份调查中，完成了 224 份调查（响应率为 41%）；67.9%的受访者为男性，32.1%为女性。在这些受访者中，71 人为住院医师，26 人为讲师，54 人为助理教授，39 人为副教授，34 人为教授。与加拿大人口（25.3%）相比，住院医师（47.9%）、助理教授（39.6%）和讲师（40.7%）的少数族裔代表比例明显更高，p<0.001。结果还表明，与人口中男女比例相等相比，讲师（25.9%，p=0.01）、助理教授（31.5%，p=0.006）和教授（2.9%，p<0.001）中女性人数明显较少。
加拿大的耳鼻喉科学学术项目比加拿大人口更加多样化。然而，女性在更高的职位中仍然代表不足，尤其是少数族裔女性。需要进一步调查可能导致这种差异的系统性因素，以及在各级学术资历的耳鼻喉科学学术部门中促进多样性的有效方法。
