Kabangu Jean-Luc K, Fowler Danny L, Dugan John, Hernandez Amanda, Graham Delaney, Newsome-Cuby Takara, Bah Momodou G, Eden Sonia V
1Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, Kansas.
2New York Institute of Technology College of Osteopathic Medicine at Arkansas State University, Jonesboro, Arkansas.
J Neurosurg. 2025 Jan 31;142(6):1810-1817. doi: 10.3171/2024.9.JNS241585. Print 2025 Jun 1.
The objective of this study was to determine the prevalence of diversity, equity, and inclusion (DEI) information on neurosurgery residency program websites and examine the association between program size, ranking, and DEI information presence.
A cross-sectional review of 115 US neurosurgery residency program websites was conducted from January 1 to March 2, 2024. Websites were evaluated based on six DEI criteria: 1) diversity commitment in mission/leadership statements, 2) separate diversity mission statement, 3) rotations/fellowships for underrepresented minority students, 4) diversity initiatives, 5) diversity page/section, and 6) appointed diversity leadership positions. Associations between program size, ranking, and DEI information were analyzed.
Among the 115 programs, only 35 (30.43%) met at least one DEI criterion. Specifically, 18.26% had a separate diversity mission statement and 15.65% included a DEI statement in mission/leadership messages. Programs with more than 13 residents were significantly more likely to meet at least one DEI criterion (OR 2.96, 95% CI 1.16-7.56; p = 0.022) and to include a DEI statement in mission/leadership messages (OR 5.38, 95% CI 1.71-24.72; p = 0.018). Top 25-ranked programs by U.S. News & World Report were more likely to have diversity initiatives (OR 6.23, 95% CI 1.78-23.97; p = 0.007). Programs meeting any DEI criterion had a higher percentage of female (29.67% vs 22.55%, p = 0.013) and Black (7.85% vs 4.49%, p = 0.019) residents. There was no statistically significant difference in the percentage of White residents (p = 0.206) across programs, and programs with a mention of DEI in the mission statement had a lower percentage of Asian residents (24.08% vs 33.29%, p = 0.042).
Most US neurosurgery residency programs lack DEI information on their websites. Larger programs and those with higher rankings are more likely to include DEI content, particularly standalone statements. Programs meeting DEI criteria tend to have a higher representation of female and Black residents. These findings highlight the need for greater transparency and commitment to DEI in neurosurgery residency programs, ensuring prospective applicants have access to comprehensive DEI information.
本研究的目的是确定神经外科住院医师培训项目网站上多样性、公平性和包容性（DEI）信息的普及情况，并研究项目规模、排名与DEI信息存在之间的关联。
于2024年1月1日至3月2日对115个美国神经外科住院医师培训项目网站进行了横断面审查。根据六个DEI标准对网站进行评估：1）使命/领导声明中的多样性承诺；2）单独的多样性使命声明；3）为代表性不足的少数族裔学生提供的轮转/奖学金；4）多样性倡议；5）多样性页面/板块；6）任命的多样性领导职位。分析了项目规模、排名与DEI信息之间的关联。
在115个项目中，只有35个（30.43%）符合至少一项DEI标准。具体而言，18.26%有单独的多样性使命声明，15.65%在使命/领导信息中包含DEI声明。住院医师超过13人的项目更有可能符合至少一项DEI标准（比值比2.96，95%置信区间1.16 - 7.56；p = 0.022），并且在使命/领导信息中包含DEI声明（比值比5.38，95%置信区间1.71 - 24.72；p = 0.018）。《美国新闻与世界报道》排名前25的项目更有可能有多样性倡议（比值比6.23，95%置信区间1.78 - 23.97；p = 0.007）。符合任何DEI标准的项目中女性住院医师（29.67%对22.55%，p = 0.013）和黑人住院医师（7.85%对4.49%，p = 0.019）的比例更高。各项目中白人住院医师的比例没有统计学上的显著差异（p = 0.206），并且在使命声明中提及DEI的项目中亚洲住院医师的比例较低（24.08%对33.29%，p = 0.042）。
大多数美国神经外科住院医师培训项目在其网站上缺乏DEI信息。规模较大的项目和排名较高的项目更有可能包含DEI内容，特别是单独的声明。符合DEI标准的项目中女性和黑人住院医师的代表性往往更高。这些发现凸显了神经外科住院医师培训项目在DEI方面提高透明度和做出承诺的必要性，确保未来的申请者能够获取全面的DEI信息。
