دورية أكاديمية
Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies: An 18-Year Analysis.
العنوان: | Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies: An 18-Year Analysis. |
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المؤلفون: | Hoyt BW; Uniformed Services University Department of Surgery, Bethesda, Maryland.; James A Lovell Federal Health Care Center Department of Orthopaedics, North Chicago, Illinois., Anderson AB; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Fort Belvoir Community Hospital Department of Orthopaedics, Fort Belvoir, Virginia., Dingle ME; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Carolinas Medical Center Department of Hand & Upper Extremity Surgery, Charlotte, North Carolina., Dickens JF; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Duke University, Department of Orthopaedic Surgery, Durham, North Carolina., Eckel TT; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Walter Reed National Military Medical Center Department of Orthopaedics, Bethesda, Maryland., Sterbis JR; Division of Urology, Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii., Potter BK; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Walter Reed National Military Medical Center Department of Orthopaedics, Bethesda, Maryland., Kilcoyne KG; Uniformed Services University Department of Surgery, Bethesda, Maryland.; Walter Reed National Military Medical Center Department of Orthopaedics, Bethesda, Maryland. |
المصدر: | JB & JS open access [JB JS Open Access] 2023 Jan 10; Vol. 8 (1). Date of Electronic Publication: 2023 Jan 10 (Print Publication: 2023). |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: The Journal of Bone and Joint Surgery, Inc Country of Publication: United States NLM ID: 101726219 Publication Model: eCollection Cited Medium: Internet ISSN: 2472-7245 (Electronic) Linking ISSN: 24727245 NLM ISO Abbreviation: JB JS Open Access Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Needham, MA : The Journal of Bone and Joint Surgery, Inc., [2016]- |
مستخلص: | Orthopaedic surgery ranks among the least racially and gender diverse medical/surgical specialties. United States military surgeons train in military or military-funded residency positions to care for a markedly diverse population; however, the composition and diversity of these training programs have not been previously assessed. The purpose of this study was to analyze the trends of physician diversity in military orthopaedics in comparison with other surgical specialties over time. Methods: We performed a retrospective cohort study evaluating matriculation into first year of residency training in US military surgical training programs between 2002 and 2020. In total, 9,124 applicants were reviewed. We collected matriculant self-reported race/ethnicity and sex and the medical/specialty program. We considered under-represented minorities as those who reported their race as African American, Indian/Alaskan Native, and Native, other, or who reported ethnicity as Hispanic. We calculated changes in persons accepted to training positions over time and used linear regression to model trends in diversity among orthopaedic matriculating residents when compared with other surgical subspecialities over time. Results: Across all surgical subspecialities, the average change in percent women was 0.94% per year for the study period (p < 0.01). The average annual percent women entering orthopaedic surgery residency programs was 14% for the 18-year study period. Across all surgical subspecialties, the average change for accepted applicants from groups underrepresented in medicine ( URiM ) was 1.01% per year for the study period (p < 0.01). The average annual percent URiM entering orthopaedic surgery residency programs was 17% for the 18-year study period. The annual change of women and URiM entering military orthopaedic residencies was 0.10% and 1.52%, respectively. Conclusions: Despite statistically significant improvements, recruitment efforts as used to date fall far short of reversing sexual, racial, and ethnic disparities in military orthopaedic residencies. Orthopaedics has a lower representation of both women and physicians with minority backgrounds when compared with many surgical subspecialties. Additional interventions are still necessary to increase diversity for military orthopaedic surgeons. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A454). (Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.) |
References: | Proc Natl Acad Sci U S A. 2018 Aug 21;115(34):8569-8574. (PMID: 30082406) Clin Orthop Relat Res. 2016 Sep;474(9):1950-6. (PMID: 27090259) Mil Med. 2018 Jan 1;183(1-2):e162-e166. (PMID: 29401339) Am J Public Health. 2003 Oct;93(10):1713-9. (PMID: 14534227) Cancer Epidemiol Biomarkers Prev. 2017 Dec;26(12):1804-1811. (PMID: 29021217) Mil Med. 2019 May 1;184(5-6):e158-e163. (PMID: 30295875) Clin Orthop Relat Res. 2021 Dec 1;479(12):2610-2617. (PMID: 34180873) JB JS Open Access. 2020 Jun 26;5(3):. (PMID: 32803101) J Am Acad Orthop Surg. 2019 Aug 15;27(16):e725-e733. (PMID: 30676512) Ethn Dis. 2020 Jul 9;30(3):389-398. (PMID: 32742141) J Gen Intern Med. 2016 Nov;31(11):1369-1372. (PMID: 27431386) J Bone Joint Surg Am. 2019 Jun 19;101(12):e56. (PMID: 31220032) JAMA. 2008 Sep 10;300(10):1135-45. (PMID: 18780842) Proc Natl Acad Sci U S A. 2020 Sep 1;117(35):21194-21200. (PMID: 32817561) J Surg Educ. 2018 Nov;75(6):1606-1614. (PMID: 29685787) Clin Orthop Relat Res. 2016 Sep;474(9):1979-85. (PMID: 27113596) J Bone Joint Surg Am. 2019 Sep 18;101(18):e96. (PMID: 31567811) Health Aff (Millwood). 2003 Jul-Aug;22(4):91-3. (PMID: 12889755) JB JS Open Access. 2020 May 11;5(2):. (PMID: 32832828) Clin Orthop Relat Res. 2021 Mar 1;479(3):434-444. (PMID: 33231939) J Racial Ethn Health Disparities. 2014 Dec 1;1(4):238-246. (PMID: 25396113) J Bone Joint Surg Am. 2010 Oct 6;92(13):2328-35. (PMID: 20926728) Med Care. 2008 Apr;46(4):410-6. (PMID: 18362821) Am J Obstet Gynecol. 2021 May;224(5):512.e1-512.e6. (PMID: 33689752) JAMA. 1999 Aug 11;282(6):583-9. (PMID: 10450723) Clin Orthop Relat Res. 2011 Jul;469(7):1829-37. (PMID: 21448775) Am J Surg. 2018 Apr;215(4):542-548. (PMID: 28693843) Clin Orthop Relat Res. 2016 Sep;474(9):1962-6. (PMID: 27245771) J Bone Joint Surg Am. 2022 Mar 2;104(5):465-472. (PMID: 34851322) Obstet Gynecol. 2020 Apr;135(4):925-934. (PMID: 32168221) J Trauma Acute Care Surg. 2016 May;80(5):764-75; discussion 775-7. (PMID: 26958790) Orthop Clin North Am. 2019 Jul;50(3):337-344. (PMID: 31084836) Am J Public Health. 2014 Sep;104 Suppl 4:S532-4. (PMID: 25100417) J Bone Joint Surg Am. 2011 Sep 21;93(18):e107. (PMID: 21938358) Mil Med. 2009 May;174(5):529-34. (PMID: 20731286) JAMA Surg. 2022 Feb 1;157(2):146-156. (PMID: 34878511) |
تواريخ الأحداث: | Date Created: 20230126 Latest Revision: 20230202 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC9831158 |
DOI: | 10.2106/JBJS.OA.22.00091 |
PMID: | 36698988 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2472-7245 |
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DOI: | 10.2106/JBJS.OA.22.00091 |