In Search of Workforce Diversity? A Program's Successful Approach
Monica Llado-Farrulla1, Joshua Fosnot1, Javier Couto1
1From the Divisions of Plastic Surgery and Colon and Rectal Surgery, Department of Surgery, University of Pennsylvania Health System; and the Department Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia.
Racial and ethnic disparities in healthcare persist due to a lack of diverse physicians. A multifaceted strategy significantly increased underrepresented-in-medicine residents in a plastic surgery program, exceeding national averages.
Area of Science:
- Medical Education
- Health Disparities
- Surgical Training
Background:
- Health care disparities persist along racial and ethnic lines.
- A shortage of physicians from underrepresented minority groups exacerbates these disparities.
- Improving diversity in medical specialties is crucial for equitable patient care.
Purpose of the Study:
- To implement and assess a multifaceted approach to enhance the representation of physicians underrepresented in medicine (URM) within a plastic and reconstructive surgery residency program.
- To evaluate the program's success in increasing URM resident numbers over a defined period.
Main Methods:
- A comprehensive recruitment and retention strategy focused on diversity and inclusion was implemented from 2015 to 2020.
- A retrospective analysis of resident demographics was conducted over nine academic years (2011-2020).
- Demographic data of residents in the plastic and reconstructive surgery program were compared before and after the intervention.
Main Results:
- The representation of URM residents in the plastic surgery program significantly increased after implementing the multifaceted approach.
- URM representation reached an unprecedented high, with 29% of residents identifying as URM.
- Representation of African American and Latino residents notably surpassed national averages, while Native American and Alaskan Native representation remained low.
Conclusions:
- A targeted, multifaceted strategy can effectively enhance URM representation in plastic surgery residency programs.
- Institutions can adopt similar approaches to improve diversity among surgical trainees.
- Continued efforts are needed to address persistent underrepresentation for all minority groups, including Native American and Alaskan Native populations.
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