Owuor Hans K, Strauss Eric J, McLaurin Toni, Zuckerman Joseph D, Egol Kenneth A
Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York.
CUNY School of Medicine, New York, New York.
JB JS Open Access. 2024 Oct 4;9(4). doi: 10.2106/JBJS.OA.24.00077. eCollection 2024 Oct-Dec.
African American, Hispanic, Asian, and Pacific Islanders are groups who are underrepresented in medicine (URM groups). Similarly, although women comprise more than 50% of medical students in the United States, women comprise a smaller percentage of all orthopaedic surgery trainees. Therefore, underrepresented in orthopaedics (URiO) represents the URM groups and women. The purpose of this study is to examine the impact of specific steps to recruit a qualified, diverse trainee complement within a single academic orthopaedic surgery residency program between 2000 and 2023. We aim to explore changes in the representation of URiO during this period as well as explore the strategies and programs implemented by the department that may have impacted recruitment of a diverse complement of trainees.
Match lists from a large, academic, orthopaedic surgery residency between 2000 and 2023 were collected and reviewed for racial and gender data. Match lists were then divided into 6-year quantiles to identify any trends in the recruitment of URiO students. Self-reported racial and gender data from Electronic Residency Application Service applicant reports and the Accreditation Council for Graduate Medical Education (ACGME) data books between 2018 and 2022 were collected and reviewed. In addition, the department's strategies implemented during the study period with the goal of enhancing URiO exposure to orthopaedic surgery were also explored.
The department implemented proactive strategies to increase exposure to orthopaedic surgery for URiO students. An increase in URiO representation was noted between 2000 and 2023 with Hispanic, Black/African American, and Native Hawaiian/Pacific Islander resident representation increasing by 5%, 11%, and 1%, respectively. In addition, women representation increased by 27% between 2000 and 2023. The overall attrition rate among URiO residents was 1% with only one resident not completing the program. Self-reported racial and gender data from ACGME data books demonstrated that Black/African American, Hispanic, and Native Hawaiian/Pacific Islander residents comprised 5%, 4%, and 0.04%, respectively, of orthopaedic surgery residents between 2018 and 2022.
These results provide insight for other programs to use similar strategies to potentially improve recruitment, retain, and provide support to URiO residents.
非裔美国人、西班牙裔、亚裔和太平洋岛民群体在医学领域的代表性不足（医学领域代表性不足群体）。同样，尽管在美国，女性占医学生的比例超过50%，但在所有骨科手术实习生中，女性所占比例较小。因此，骨科领域代表性不足（骨科代表性不足）群体包括医学领域代表性不足群体和女性。本研究的目的是考察2000年至2023年期间，在一个学术性骨科手术住院医师培训项目中，采取特定措施招募合格、多样化实习生群体所产生的影响。我们旨在探究这一时期骨科领域代表性不足群体代表性的变化，以及该部门实施的可能影响多样化实习生群体招募的策略和项目。
收集并审查了2000年至2023年期间一个大型学术性骨科手术住院医师培训项目的匹配名单，以获取种族和性别数据。然后将匹配名单分为6年的分位数，以确定骨科领域代表性不足学生招募方面的任何趋势。收集并审查了2018年至2022年期间电子住院医师申请服务申请人报告和毕业后医学教育认证委员会（ACGME）数据手册中的自我报告种族和性别数据。此外，还探讨了该部门在研究期间为增加骨科领域代表性不足群体接触骨科手术机会而实施的策略。
该部门实施了积极主动的策略，以增加骨科领域代表性不足学生接触骨科手术的机会。2000年至2023年期间，骨科领域代表性不足群体的代表性有所增加，其中西班牙裔、黑人/非裔美国人以及夏威夷原住民/太平洋岛民住院医师的代表性分别增加了5%、11%和1%。此外，2000年至2023年期间，女性的代表性增加了27%。骨科领域代表性不足群体住院医师的总体流失率为1%，只有一名住院医师未完成该项目。ACGME数据手册中的自我报告种族和性别数据显示，2018年至2022年期间，黑人/非裔美国人、西班牙裔和夏威夷原住民/太平洋岛民住院医师分别占骨科手术住院医师的5%、4%和0.04%。
这些结果为其他项目提供了参考，可采用类似策略来潜在地改善骨科领域代表性不足群体住院医师的招募、留存并为其提供支持。
