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Update on workforce diversity in vascular surgery.

Chelsea Dorsey1, Elsie Ross2, Abena Appah-Sampong3

  • 1Department of Surgery, University of Chicago, Chicago, Ill.

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Summary
This summary is machine-generated.

Diversity in surgical fields is increasing, with more women and Hispanic trainees. However, black trainees remain underrepresented, and women are still underrepresented compared to medical school demographics.

Keywords:
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Area of Science:

  • Medical Education
  • Surgical Workforce Diversity
  • Health Equity

Background:

  • A diverse surgical workforce is crucial for meeting patient needs and driving innovation.
  • Orthopedic surgery (OS) implemented a diversity initiative over a decade ago, providing a benchmark for comparison.
  • Trends in diversity within vascular surgery (VS) and general surgery (GS) require assessment.

Purpose of the Study:

  • To assess workforce diversity trends in vascular surgery (VS) and general surgery (GS).
  • To compare diversity trends in VS and GS with orthopedic surgery (OS).
  • To evaluate the representation of female, Hispanic, and black trainees in surgical specialties relative to medical school demographics.

Main Methods:

  • Utilized U.S. Graduate Medical Education reports (1999-2017) for trainee data in VS, GS, and OS.
  • Obtained medical student demographic data from the Association of American Medical Colleges.
  • Normalized trainee representation by medical school demographics and performed statistical trend analysis.

Main Results:

  • Significant increases in female and Hispanic trainees were observed across all three surgical disciplines (P < .001).
  • The proportion of black trainees did not significantly change in any discipline.
  • Hispanic trainees were well-represented relative to medical school demographics (NR 0.95-1.53), while women and black trainees remained underrepresented (NR < 1).

Conclusions:

  • While female and Hispanic trainee numbers have increased, only Hispanic trainees enter at a rate exceeding their medical school representation.
  • The stagnation of black trainee representation is concerning.
  • Underrepresentation of women and black trainees suggests pipeline recruitment issues that require targeted interventions.