Surgical time out: Our counts are still short on racial diversity in academic surgery.

Autor: Abelson JS; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA., Symer MM; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA., Yeo HL; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA; Department of Healthcare Policy and Research, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA., Butler PD; Department of Surgery, University of Pennsylvania, 3400 Civic Center Boulevard, PCAM South Tower 14, Philadelphia, PA, 19104, USA., Dolan PT; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA., Moo TA; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA., Watkins AC; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 525 East 68th St., New York, NY, 10065, USA. Electronic address: acw9003@med.cornell.edu.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2018 Apr; Vol. 215 (4), pp. 542-548. Date of Electronic Publication: 2017 Jul 01.
DOI: 10.1016/j.amjsurg.2017.06.028
Abstrakt: Background: This study provides an updated description of diversity along the academic surgical pipeline to determine what progress has been made.
Methods: Data was extracted from a variety of publically available data sources to determine proportions of minorities in medical school, general surgery training, and academic surgery leadership.
Results: In 2014-2015, Blacks represented 12.4% of the U.S. population, but only 5.7% graduating medical students, 6.2% general surgery trainees, 3.8% assistant professors, 2.5% associate professors and 2.0% full professors. From 2005-2015, representation among Black associate professors has gotten worse (-0.07%/year, p < 0.01). Similarly, in 2014-2015, Hispanics represented 17.4% of the U.S. population but only 4.5% graduating medical students, 8.5% general surgery trainees, 5.0% assistant professors, 5.0% associate professors and 4.0% full professors. There has been modest improvement in Hispanic representation among general surgery trainees (0.2%/year, p < 0.01), associate (0.12%/year, p < 0.01) and full professors (0.13%/year, p < 0.01).
Conclusion: Despite efforts to promote diversity in surgery, Blacks and Hispanics remain underrepresented. A multi-level national focus is imperative to elucidate effective mechanisms to make academic surgery more reflective of the US population.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE