Aligning our actions with our words: A systematic review of gender and racial diversity in surgical subspecialties.

Autor:	Lewis JE; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Pride LC; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Luk HG; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Oyejide K; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Wilson IM; Howard University School of Medicine, Washington, DC, USA., Tawiah WE; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Watkins CM; John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA., Lee WC; Department of Family Medicine, University of Texas Medical Branch John Sealy Hospital, Galveston, TX, USA.
Jazyk:	angličtina
Zdroj:	The journal of medicine access [J Med Access] 2024 Nov 02; Vol. 8, pp. 27550834241293022. Date of Electronic Publication: 2024 Nov 02 (Print Publication: 2024).
DOI:	10.1177/27550834241293022
Abstrakt:	Introduction: Persistent racial and gender disparities are prevalent within the higher education and medical training system, notably seen in the underrepresentation of Hispanic or Latinos, Black Americans, and female surgeons compared to their respective population proportions. This study aims to quantify publications addressing ethnic or gender diversity across various surgical specialties, analyze publication trends, and explore specific topics within medical literature. Database: The Database includes PubMed, Google Scholar, and Scopus. Methods: Employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), we conducted a systematic literature review utilizing the PubMed, Google Scholar, and Scopus databases. A broad inclusion criterion for both ethnic and gender diversity of plastic surgery, neurosurgery, otolaryngology, dermatology, orthopedic surgery, and gender surgery was utilized. The literature was selected between 2014 and 2024. In the content of our study, diversity in articles was defined as any article that focused on addressing gender or racial/ethnicity in the subspecialty. Results: Of 1529 initially screened articles, 346 were included. Orthopedic surgery had the most diversity publications (n = 86), followed by general surgery (n = 67) and plastic surgery (n = 51). Significant increases in diversity publications were observed across all specialties. Orthopedic surgery showed the highest growth (+0.17 publications/year, p < 0.001), followed by plastic surgery (+0.12, p = 0.002) and general surgery (+0.11, p = 0.003). Race/ethnicity was the primary focus (51.4%), with fewer articles on gender (19.7%) or both (28.9%). Diversity topics included demographics, pipeline/recruitment, application process, training experience, leadership, and workplace treatment. Conclusion: These insights underscore the importance of continued efforts to promote diversity within surgical specialties to enhance patient care and outcomes. Further research and initiatives are needed to ensure equitable representation in surgical fields. Addressing diversity issues in surgical specialties is essential for improving healthcare outcomes and reducing disparities. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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