Department of Obstetrics and Gynecology (Hamilton, Schneyer, Truong, Wright, Siedhoff), Cedars Sinai Medical Center, Los Angeles, California.
University of California (Bakhit), Riverside School of Medicine, Riverside, California.
J Minim Invasive Gynecol. 2024 Sep;31(9):761-768. doi: 10.1016/j.jmig.2024.05.015. Epub 2024 May 19.
To study the race, ethnicity, and sex representation and annual trends of AAGL FMIGS fellows and graduates.
A retrospective cross-sectional study.
AAMC databases were queried for demographic information between 2011 and 2023.
PATIENTS/SUBJECTS: AAGL FMIGS fellows and graduates.
N/A MEASUREMENTS AND MAIN RESULTS: Descriptive statistical analysis and the actual-to-expected (AE) ratio of each race, ethnicity, and sex were performed. AE ratio was calculated by dividing the 13-year average actual percentage of FMIGS trainees and graduates by the expected percentage based demographics of OBGYN residents and the US general population. 477 fellows graduated or were in training between 2011 and 2023; race and ethnicity information was obtained for 347 (72.7%) individuals, and sex information was available for 409 (85.7%). Representation of females ranged from 66.7% in 2017 to 93.3% in 2022. There was a significantly increasing slope for the representation of females (+1.3% per year; 95% CI 0.00-0.03; p = .027). Compared to their distribution among US OBGYN residents, White fellows' representation was lower [AE ratio, 95% CI 0.60 (0.44-0.81)] and of Asian fellows was higher [AE ratio, 95% CI 2.17 (1.47-3.21)]. Female fellows' representation was lower than expected [AE ratio, 95% CI 0.68 (0.48-0.96)] compared to their distribution among US OBGYN residents. Compared to the general US population, White fellows [AE ratio, 95% CI 0.65 (0.48-0.87)] and Hispanic fellows [AE ratio, 95% CI 0.53 (0.34-0.83)] representation was lower. Asian fellows' representation was higher compared to the general US population [AE ratio, 95% CI 5.87 (3.48-9.88)].
White and Hispanic fellows' representation was lower than expected, while Asian fellows' representation was higher in AAGL-accredited FMIGS programs. Female representation increased throughout the years, but overall, female fellows' representation was lower than expected compared to their distribution among OBGYN residents. These findings may help develop equitable recruitment strategies for FMIGS programs and reduce health disparities within complex gynecology.
研究 AAGL FMIGS 研究员和毕业生的种族、族裔和性别代表性以及年度趋势。
回顾性横断面研究。
AAMC 数据库在 2011 年至 2023 年期间查询人口统计信息。
患者/受试者：AAGL FMIGS 研究员和毕业生。
无
进行了描述性统计分析和每个种族、族裔和性别的实际与预期（AE）比率。AE 比率通过将 FMIGS 受训者和毕业生 13 年的实际平均百分比除以基于 OBGYN 居民和美国总人口的人口统计学的预期百分比来计算。2011 年至 2023 年期间，有 477 名研究员毕业或正在接受培训；获得了 347 名（72.7%）个人的种族和族裔信息，409 名（85.7%）个人的性别信息可用。女性的代表性从 2017 年的 66.7%到 2022 年的 93.3%。女性的代表性呈显著上升趋势（每年增加 1.3%；95%CI 0.00-0.03；p=0.027）。与美国 OBGYN 居民中的分布相比，白人研究员的代表性较低[AE 比率，95%CI 0.60（0.44-0.81）]，而亚洲研究员的代表性较高[AE 比率，95%CI 2.17（1.47-3.21）]。与美国 OBGYN 居民中的分布相比，女性研究员的代表性低于预期[AE 比率，95%CI 0.68（0.48-0.96）]。与美国总人口相比，白人研究员[AE 比率，95%CI 0.65（0.48-0.87）]和西班牙裔研究员[AE 比率，95%CI 0.53（0.34-0.83）]的代表性较低。与美国总人口相比，亚洲研究员的代表性较高[AE 比率，95%CI 5.87（3.48-9.88）]。
AAGL 认可的 FMIGS 项目中，白人研究员和西班牙裔研究员的代表性低于预期，而亚洲研究员的代表性较高。女性代表人数逐年增加，但总体而言，与 OBGYN 居民中的分布相比，女性研究员的代表性低于预期。这些发现可能有助于为 FMIGS 项目制定公平的招聘策略，并减少复杂妇科领域的健康差距。
