2007年至2022年骨科住院医师与美国毕业后医学教育认证委员会足踝专科住院医师的人口统计学多样性比较
A Comparison of Demographic Diversity Between Orthopaedic Surgery Residents and ACGME Foot and Ankle Fellows From 2007 to 2022.
作者信息
Joshi Aditya, Kim Andrew, Hsu Nigel, Aiyer Amiethab, Thompson John M
机构信息
Department of Orthopaedic Surgery, Johns Hopkins University Schools of Medicine, Baltimore, MD, USA.
出版信息
Foot Ankle Orthop. 2024 Jul 29;9(3):24730114241263056. doi: 10.1177/24730114241263056. eCollection 2024 Jul.
BACKGROUND
Academic medicine emphasizes the need to recruit a diverse workforce in graduate medical education. Orthopaedic surgery residency has demonstrated efforts to model program compositions with evolving US demographics. However, it remains unclear whether orthopaedic fellowships, particularly foot and ankle, also reflect these efforts.
METHODS
Using the publicly available Accreditation Council for Graduate Medical Education (ACGME) Data Resource Book, a census of the gender and racial/ethnic identities of orthopaedic foot and ankle fellows, as well as active orthopaedic surgery residents, were compiled from 2007 to 2022. Linear trend analysis was conducted to evaluate the trends of orthopaedic residents and foot and ankle fellows, with a Pearson correlation for comparison.
RESULTS
Prior analysis demonstrated no significant change in sex and ethnic diversity of fellows from 2006 to 2015. The majority of foot and ankle fellows were White (31%-69%) and male (63%-88%). Linear analysis demonstrated growing diversity in female and non-White active orthopaedic surgery residents. Similarly, there was an increasing number of female foot and ankle fellows (0%-38%) reflective of the trend in orthopaedic residency (12%-20%); however, there was no significant change among racial/ethnic identities. Pearson correlation analysis between the trend of orthopaedic residency residents and foot and ankle fellows suggests moderate correlation among female, Asian, and "Unknown" racial/ethnic categories.
CONCLUSION
The proportion of foot and ankle female fellows in ACGME-accredited fellowships has matched or exceeded the percentage of female orthopaedic residents. Despite increased diversity of orthopaedic surgery residents over the past 2 decades, ACGME-accredited foot and ankle fellowships do not yet reflect similar trends among racial/ethnic minorities.
LEVEL OF EVIDENCE
Level III, retrospective cohort study.
背景
学术医学强调在毕业后医学教育中招募多样化劳动力的必要性。骨科住院医师培训已努力使项目组成与美国不断变化的人口结构相匹配。然而，尚不清楚骨科专科培训，尤其是足踝专科培训，是否也反映了这些努力。
方法
利用公开可得的毕业后医学教育认证委员会（ACGME）数据资源手册，汇编了2007年至2022年骨科足踝专科培训学员以及在职骨科住院医师的性别和种族/族裔身份普查数据。进行线性趋势分析以评估骨科住院医师和足踝专科培训学员的趋势，并进行Pearson相关性分析以作比较。
结果
先前的分析表明，2006年至2015年期间，专科培训学员的性别和种族多样性没有显著变化。大多数足踝专科培训学员为白人（31%-69%）且为男性（63%-88%）。线性分析表明，在职骨科手术住院医师中的女性和非白人的多样性在增加。同样，女性足踝专科培训学员的数量也在增加（从0%增至38%），反映了骨科住院医师培训的趋势（从12%增至20%）；然而，种族/族裔身份方面没有显著变化。骨科住院医师和足踝专科培训学员趋势之间的Pearson相关性分析表明，女性、亚洲人和“未知”种族/族裔类别之间存在中度相关性。
结论
ACGME认证的专科培训中，足踝专科女性学员的比例已达到或超过骨科女性住院医师的比例。尽管在过去20年中骨科手术住院医师的多样性有所增加，但ACGME认证的足踝专科培训尚未反映出少数族裔中的类似趋势。
证据水平
三级，回顾性队列研究。
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