A cross sectional analysis of residents by race/ethnicity and specialty from 2020-2023.

Autor:	Swain WH; Department of Internal Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, United States. Electronic address: swain.william@mayo.edu., Calac AJ; University of California San Diego School of Medicine and Herbert Wertheim School of Public Health and Human Longevity Science, 9500 Gilman Dr, La Jolla, CA 92093, United States., Gasca LR; Department of Internal Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, United States., Harris BR; Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, United States., de Moraes AG; Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, United States.
Jazyk:	angličtina
Zdroj:	Journal of the National Medical Association [J Natl Med Assoc] 2024 Nov 07. Date of Electronic Publication: 2024 Nov 07.
DOI:	10.1016/j.jnma.2024.10.006
Abstrakt:	Background: Minorities are underrepresented in all areas of medical education relative to the United States general population, and minority physicians are more likely to practice in disadvantaged areas and in primary care settings. Many individual and structural factors contribute to this discrepancy. We aimed to demonstrate how resident race/ethnicity representation differs across the various resident specialties. Methods: We used publically available data from the Association of American Medical College's Report on Residents data series and averaged the four academic years from 2019 to 2020 through 2022-2023. We then calculated the odds ratio (OR) of self-reported race/ethnicity (alone and in combination) in thirty-four specialties. Results: Across the four-year study period, there were, on average, 147026 unduplicated resident trainees. The average number of duplicated residents by self-identified ethnic category (alone and in combination) include: American Indian or Alaska Native (839, 0.6%), Asian (31627, 21.5%), Black or African American (7935, 5.4%), Hispanic, Latino, or of Spanish Origin (10900, 7.4%), Native Hawaiian or Other Pacific Islander (296, 0.2%), White (76289, 51.9%), Other (4879, 3.3%), Unknown (522, 0.4%), and Non-US Citizens (23914, 16.3%). Across race/ethnicity, there are differences in ORs of representation in different specialties. Key findings include high representation in Public Health and Preventative Medicine by Black and African American (OR=3.7) and Native Hawaiian (OR=2.6) residents, and Family Medicine in Native Americans (OR=1.9), Native Hawaiian (OR=1.7), Black (OR=1.5), and Hispanic (OR=1.3) residents. Psychiatry also had high ORs of representation in minority residents. Conclusion: This study illustrates relative resident ethnic representation across training specialties. Minorities ethnicities were more likely to be represented in primary care and public health domains. This has implications for creating a physician workforce suitable to serve the United States Population. (Copyright © 2024 National Medical Association. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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