Annesi Chandler A, Diaconescu Andrada, Lucy Adam, Wong Kristen, Chen Herbert
University of Alabama at Birmingham, Department of Surgery, 1808 7th Ave S, Boshell Diabetes Building #505, Birmingham, AL, 35233, USA.
Am J Surg. 2025 Feb;240:115891. doi: 10.1016/j.amjsurg.2024.115891. Epub 2024 Aug 6.
Lesbian, Gay, Bisexual, Transgender, Queer, and more(LGBTQ+) trainees are underrepresented in medicine, and their experiences in surgery have not been well studied. We sought to examine the practices of general surgery residency programs by region regarding representation of LGBTQ+ support online.
Retrospective, two-person review of 100 general surgery residency programs stratified by Electronic Residency Application Service(ERAS) region comparing data on Diversity, Equity, and Inclusion(DEI) and LGBTQ+ -specific webpages.
The Middle Atlantic and South Atlantic regions had 20% of programs each, with fewer programs found in other regions. Of the 100 institutions, 92% had DEI webpages, and 43% had LGBTQ+ -specific webpages. There was a significant difference in the likelihood of a program being an Human Rights Campaign(HRC) LGBTQ+ leader when compared by region(p < 0.01).
Few general surgery residency programs share LGBTQ+-specific DEI content online with no regional difference observed. Recommendations such as updating websites to highlight LGBTQ+ inclusion should aid recruitment of a diverse, surgical residency as well as create a welcoming environment for prospective residents.
女同性恋、男同性恋、双性恋、跨性别者、酷儿及其他群体（LGBTQ+）的医学生数量不足，且他们在外科领域的经历尚未得到充分研究。我们试图通过地区研究普通外科住院医师培训项目在网上对LGBTQ+支持的呈现情况。
由两人对100个普通外科住院医师培训项目进行回顾性审查，这些项目按电子住院医师申请服务（ERAS）地区分层，比较多样性、公平性和包容性（DEI）以及LGBTQ+特定网页的数据。
中大西洋地区和南大西洋地区各有20%的项目，其他地区的项目较少。在100个机构中，92%有DEI网页，43%有LGBTQ+特定网页。按地区比较时，一个项目成为人权运动（HRC）LGBTQ+领导者的可能性存在显著差异（p < 0.01）。
很少有普通外科住院医师培训项目在网上分享LGBTQ+特定的DEI内容，未观察到地区差异。诸如更新网站以突出LGBTQ+包容性的建议，应有助于招募多样化的外科住院医师，并为未来的住院医师创造一个友好的环境。
