دورية أكاديمية
أعرض في EDS

International medical graduates in orthopaedic surgery: An opportunity to improve diversity and inclusion?

التفاصيل البيبلوغرافية
العنوان: International medical graduates in orthopaedic surgery: An opportunity to improve diversity and inclusion?
المؤلفون: Silvestre J; Medical University of South Carolina, Charleston, SC, USA., Fernandez CA; HCA Florida Atlantis Orthopedics, Palm Beach, FL, USA., Oni JK; Johns Hopkins University School of Medicine, Baltimore, MD, USA., Sabesan VJ; HCA Florida Atlantis Orthopedics, Palm Beach, FL, USA., Nelson CL; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA., Slone HS; Medical University of South Carolina, Charleston, SC, USA.
المصدر: Journal of clinical orthopaedics and trauma [J Clin Orthop Trauma] 2024 Aug 29; Vol. 56, pp. 102522. Date of Electronic Publication: 2024 Aug 29 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier India Country of Publication: India NLM ID: 101559469 Publication Model: eCollection Cited Medium: Print ISSN: 0976-5662 (Print) Linking ISSN: 09765662 NLM ISO Abbreviation: J Clin Orthop Trauma Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Delhi] : Elsevier India
مستخلص: Background/aims: Racial and ethnic minorities are under-represented in orthopaedic surgery despite efforts to promote diversity and inclusion in the specialty. The purpose of this study was to determine the proportion of international medical graduates (IMGs) in the surgical workforce and future residency pipeline. We further analyze IMG applicant qualifications relative to their US-based counterparts to assess the viability of recruiting IMG candidates as one strategy to advance diversity and inclusion in orthopaedic surgery.
Methods: Physician workforce data from the American Medical Association and residency match data from the National Resident Match Program were analyzed for Orthopaedic Surgery. Trends in the proportion of IMG applicants were compared with those from other specialties. Qualifications of applicants were compared including board exam scores, number of abstracts/publications, and additional graduate degrees.
Results: In 2020, orthopaedic surgery had the lowest percentage of IMGs relative to otolaryngology (5.8 %, p < 0.001), neurosurgery (12.1 %, p < 0.001), obstetrics & gynecology (14.0 %, p < 0.001), and general surgery (19.1 %, p < 0.001). From 1986 to 2021, IMG Graduates who matched into orthopaedic surgery increased from 1 (0.3 %) to 8 (0.9 %). Compared to other surgical specialties, orthopaedic surgery had among the lowest annual rates of incoming IMG residents. In 2021, most respondents to the orthopaedic surgery residency program directors survey reported never selecting IMG applicants for interview (74 % for non-US IMG applicants and 53 % for US IMG applicants). From 2020 to 2021, non-US IMG applicants (17 %) and US IMG applicants (26 %) had lower match rates than DO Senior (74 %) and MD Senior (80 %) applicants (p < 0.001). In 2020, matched non-US IMGs had similar board scores as matched US MD Senior applicants, but more abstracts/publications.
Conclusion: The recruitment of IMGs into orthopaedic surgery residency remains limited and lower than other surgical specialties. IMGs have similar board scores and more abstracts/publications, thus representing a potential pipeline for workforce diversity. More research is needed to understand the special needs of IMGs in the orthopaedic surgery match.
Competing Interests: Each author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members.
(© 2024 Delhi Orthopedic Association. All rights are reserved, including those for text and data mining, AI training, and similar technologies.)
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فهرسة مساهمة: Keywords: Foreign medical graduate; IMG; International; Orthopedics; Residency; Surgery
تواريخ الأحداث: Date Created: 20240917 Latest Revision: 20240918
رمز التحديث: 20240918
مُعرف محوري في PubMed: PMC11402300
DOI: 10.1016/j.jcot.2024.102522
PMID: 39286006
قاعدة البيانات: MEDLINE
الوصف
تدمد:0976-5662
DOI:10.1016/j.jcot.2024.102522