Price Alexis L, Chow William D, Bauman Megan M J, Daniels David J
Drexel University College of Medicine, Philadelphia, PA, USA.
Mayo Clinic Alix School of Medicine, Rochester, MN, USA.
Neurosurg Rev. 2024 Dec 21;47(1):906. doi: 10.1007/s10143-024-03148-8.
Residency websites can often be crucial for influencing neurosurgery applicants' first impressions of programs. This study explores the representation of diversity on neurological surgery residency program websites and evaluates the impact of Diversity, Equity, and Inclusion (DEI) statements. The websites of 117 neurological surgery residency programs were evaluated for the presence of 12 diversity and inclusion elements. Univariate analysis was conducted to determine significant differences in DEI scores between neurological surgery residency program websites. Program analysis revealed a mean diversity score of 7.9 out of a maximum score of 12, equating to the presence of 66% of possible DEI elements in our scoring system. Top-50 ranked programs (Doximity) exhibited a significantly higher mean diversity score (8.6 +/- 2.7) compared to those outside the top-50 (7.2 +/- 2.9) (p = 0.009). Accessibility of DEI content varied, with most program websites either having a direct link to a separate DEI webpage (41%) or lacking any DEI elements (42%). A secondary analysis found that the presence of a DEI statement on a program's webpage was not significantly associated with Doximity ranking, NIH funding, geographic region, or hospital funding. However, programs with a DEI statement were significantly more likely to have various additional DEI elements (p < 0.001). While many neurological surgery residencies include elements of DEI on their websites, this is not currently a consistent practice across all programs. We advocate that these initiatives should be prominently featured on program websites to aid applicants in making informed decisions about their training journey.
住院医师培训项目网站对于影响神经外科申请者对各项目的第一印象往往至关重要。本研究探讨了神经外科住院医师培训项目网站上的多样性呈现情况，并评估了多样性、公平性和包容性（DEI）声明的影响。对117个神经外科住院医师培训项目的网站进行了评估，以确定是否存在12个多样性和包容性元素。进行单因素分析以确定神经外科住院医师培训项目网站之间DEI得分的显著差异。项目分析显示，在满分12分的情况下，平均多样性得分为7.9分，相当于我们评分系统中66%的可能DEI元素存在。排名前50的项目（Doximity）的平均多样性得分（8.6 +/- 2.7）显著高于排名前50之外的项目（7.2 +/- 2.9）（p = 0.009）。DEI内容的可访问性各不相同，大多数项目网站要么有直接链接到单独的DEI网页（41%），要么缺乏任何DEI元素（42%）。二次分析发现，项目网页上DEI声明的存在与Doximity排名、美国国立卫生研究院（NIH）资金、地理区域或医院资金没有显著关联。然而，有DEI声明的项目更有可能拥有各种额外的DEI元素（p < 0.001）。虽然许多神经外科住院医师培训项目在其网站上包含了DEI元素，但目前并非所有项目都一致这样做。我们主张这些举措应在项目网站上突出展示，以帮助申请者就其培训历程做出明智的决定。
