دورية أكاديمية
أعرض في EDS

Examining Diversity Recruitment Efforts in US-Based Physical Medicine and Rehabilitation Residencies: A Survey of Program Directors on Gender, Ethnic and Racial Diversity, and Implications for Recruitment Efforts.

التفاصيل البيبلوغرافية
العنوان: Examining Diversity Recruitment Efforts in US-Based Physical Medicine and Rehabilitation Residencies: A Survey of Program Directors on Gender, Ethnic and Racial Diversity, and Implications for Recruitment Efforts.
المؤلفون: Barylski N; From the Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York (NB); Icahn School of Medicine at Mount Sinai, New York, New York (PH); Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas (MV); and Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York (MXE)., Henson P, Verduzco-Gutierrez M, Escalon MX
المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Feb 01; Vol. 103 (2), pp. 166-171. Date of Electronic Publication: 2023 Sep 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
مواضيع طبية MeSH: Internship and Residency* , Medicine* , Physical and Rehabilitation Medicine*, Humans ; Female ; United States ; Cross-Sectional Studies ; Ethnicity
مستخلص: As the population of the United States continues to grow and diversify, it is critical that the medical profession follows. This study aimed to evaluate aspects of the current landscape of diversity within physical medicine and rehabilitation by surveying program directors of US-based physical medicine and rehabilitation residencies. The secondary aim was to identify program characteristics that correlate with more diverse residency classes. An online, cross-sectional 17-question survey was distributed to program directors of all US-based physical medicine and rehabilitation residencies with known contact information (95/100), with a completed survey response rate of 53% (50/95). Race and ethnicity categories of the survey were based on those used by the US Census. The percentages of individuals identifying as women or those underrepresented in medicine in this survey were below those of the general US population, a trend also seen within the field of physical medicine and rehabilitation overall. Linear regression revealed no statistically significant association between the percentage of underrepresented in medicine residents and commonly used diversity recruitment initiatives. There was a significant association between the presence of a departmental role for diversity, equity and inclusion and the percentage of women residents (odds ratio, 1.13; P = 0.017). Continued research is required to identify additional strategies with demonstrated efficacy in recruiting diverse residency applicants.
Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
References: Boatright DH, Samuels EA, Cramer L, et al.: Association between the Liaison Committee on Medical Education’s diversity standards and changes in percentage of medical student sex, race, and ethnicity. JAMA 2018;320:2267–9 OR Liaison Committee on Medical Education Liaison Committee on Medical Education (LCME) Standards on Diversity. Washington, DC: American Association of Medical Colleges; 2009. Available at: https://health.usf.edu/~/media/Files/Medicine/MD%20Program/Diversity/LCMEStandardsonDiversity1.ashx?la=en . Accessed May 8, 2023.
Accreditation Council for Graduate Medical Education (ACGME): Common Program Requirements (Residency). ACGME approved major revision: June 10, 2018; effective: July 1, 2019. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRResidency2019.pdf . Accessed May 8, 2023.
Accreditation Council for Graduate Medical Education (ACGME): Common Program Requirements (Residency). ACGME approved focused revision: June 13, 2021; effective: July 1, 2022. Available at: https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2022v3.pdf . Accessed May 8, 2023.
Association of American Medical Colleges: Underrepresented in medicine definition. Available at: https://www.aamc.org/what-we-do/equity-diversity-inclusion/underrepresented-in-medicine . Accessed January 24, 2023.
Census Bureau: U.S. Census Bureau QuickFacts: United States. Available at https://www.census.gov/quickfacts . Accessed January 24, 2023.
Accreditation Council for Graduate Medical Education: Data resource book, academic year 2021–2022. Available at https://www.acgme.org/globalassets/pfassets/publicationsbooks/2021-2022_acgme__databook_document.pdf . Accessed January 24, 2023.
Association of American Medical Colleges: AAMC launches new initiative to address and eliminate gender inequities. January 29, 2020. Available at https://www.aamc.org/news-insights/aamc-launches-new-initiative-address-and-eliminate-gender-inequities . Accessed January 24, 2023.
Association of American Medical Colleges: Current trends in medical education. . Available at https://www.aamcdiversityfactsandfigures2016.org/report-section/section-3/#:~:text=The%202015%20medical%20school%20acceptance,lower%20acceptance%20rate%20of%2034%25 . Accessed January 24, 2023.
Association of American Medical Colleges Diversity in Medicine: Facts and figures 2019. Figure 19. Percentage of physicians by sex, 2018. . Available at https://www.aamc.org/data-reports/workforce/interactive-data/figure-19-percentage-physicians-sex-2018 . Accessed January 24, 2023.
Association of American Medical Colleges Diversity in Medicine: Facts and figures 2019. Figure 18. Percentage of all active physicians by race/ethnicity, 2018. Available at https://www.aamc.org/data-reports/workforce/interactive-data/figure-18-percentage-all-active-physicians-race/ethnicity-2018 . Accessed January 24, 2023.
Lett E, Orji WU, Sebro R: Declining racial and ethnic representation in clinical academic medicine: a longitudinal study of 16 US medical specialties. PloS One 2018;13:e0207274.
Zhang Y, Silver JK, Tiwana S, et al.: Physical medicine and rehabilitation faculty diversity trends by sex, race, and ethnicity, 2007 to 2018 in the United States. PM R 2021;13:994–1004.
Sanchez AN, Martinez CI, Stampas A, et al.: Ethnic and racial diversity in academic physical medicine and rehabilitation compared with all other medical specialties. Am J Phys Med Rehabil 2021;100(2S suppl 1):S12–6.
Dixon G, McGeary D, Silver JK, et al.: Trends in gender, race, and ethnic diversity among prospective physical medicine and rehabilitation physicians. PM R 2023. doi: 10.1002/pmrj.12970. (PMID: 10.1002/pmrj.12970)
Cooper LA, Beach MC, Johnson RL, et al.: Delving below the surface. Understanding how race and ethnicity influence relationships in health care. J Gen Intern Med 2006;21(suppl 1(suppl 1)):S21–7.
Laveist TA, Nuru-Jeter A: Is doctor-patient race concordance associated with greater satisfaction with care? J Health Soc Behav 2002;43:296–306.
Cooper LA, Roter DL, Johnson RL, et al.: Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med 2003;139:907–15.
Pierre JM, Mahr F, Carter A, et al.: Underrepresented in medicine recruitment: rationale, challenges, and strategies for increasing diversity in psychiatry residency programs. Acad Psychiatry 2017;41:226–32.
Silver JK, Bean AC, Slocum C, et al.: Physician workforce disparities and patient care: a narrative review. Health Equity 2019;3:360–77.
Kelly-Blake K, Garrison NA, Fletcher FE, et al.: Rationales for expanding minority physician representation in the workforce: a scoping review. Med Educ 2018. doi:10.1111/medu.13618. (PMID: 10.1111/medu.13618)
Sanchez AN, Martinez CI, Lara AM, et al.: Evaluation of diversity and inclusion presence among US physical medicine and rehabilitation residency program websites. Am J Phys Med Rehabil 2021;100:1196–201.
National Resident Matching Program, Data Release and Research Committee: Results of the 2022 NRMP Applicant Survey . Washington, DC, National Resident Matching Program, 2022. Available at: https://www.nrmp.org/wp-content/uploads/2022/09/NRMP-2022-Applicant-Survey-Report-Final.pdf . Accessed May 8, 2023.
Harris PA, Taylor R, Thielke R, et al.: Research Electronic Data Capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377–81.
R Core Team: R: A Language and Environment for Statistical Computing . Vienna, Austria, R Foundation for Statistical Computing, 2022: Available at: https://www.R-project.org/ . Accessed May 17, 2022.
RStudio Team (2022). RStudio: Integrated Development for R. RStudio, PBC, Boston, MA. Available at: http://www.rstudio.com/ . Accessed May 17, 2022.
Bennett CL, Yiadom MYAB, Baker O, et al.: Examining parity among Black and Hispanic resident physicians. J Gen Intern Med 2021;36:1722–5.
DeBenedectis CM, Heitkamp DE, England E, et al.: A program director's guide to cultivating diversity and inclusion in radiology residency recruitment. Acad Radiol 2020;27:864–7.
White PB, Giordano JR, Chen M, et al.: Residency match rates in orthopaedic surgery based on sex, under-represented in medicine status, and degree type. JB & JS Open Access 2023;8:e22.00143.
Aguwa UT, Wang J, Woreta F, et al.: Residency program diversity recruitment and education: survey of efforts and barriers to implementation. J Surg Educ 2022;79:595–605.
Poon S, Kiridly D, Mutawakkil M, et al.: Current trends in sex, race, and ethnic diversity in orthopaedic surgery residency. J Am Acad Orthop Surg 2019;27:e725–33.
Newsome H, Faucett EA, Chelius T, et al.: Diversity in otolaryngology residency programs: a survey of otolaryngology program directors. Otolaryngol Head Neck Surg 2018;158:995–1001.
Mendiola M, Modest AM, Huang GC: Striving for diversity: national survey of OB-GYN program directors reporting residency recruitment strategies for underrepresented minorities. J Surg Educ 2021;78:1476–82.
تواريخ الأحداث: Date Created: 20230927 Date Completed: 20240115 Latest Revision: 20240819
رمز التحديث: 20240820
DOI: 10.1097/PHM.0000000000002342
PMID: 37752670
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-7385
DOI:10.1097/PHM.0000000000002342