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An Initiative to Increase Residency Program Diversity.

Monica L Hoff1,2, Nancy N Liao1,2, Claudia A Mosquera1,2

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Summary
This summary is machine-generated.

Increasing visibility of underrepresented in medicine (URM) trainees and faculty boosted URM resident representation in pediatric residency programs from 5% to a 22% four-year average. This demonstrates effective, low-resource strategies for achieving demographic parity.

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Area of Science:

  • Medical Education
  • Health Equity
  • Physician Workforce Diversity

Background:

  • Racial and ethnic disparities persist in US medical schools, leading to underrepresentation in medicine (URM).
  • A diverse physician workforce mirroring patient demographics is linked to improved outcomes and health equity.
  • Pediatric residency programs aimed to increase URM resident representation from a 5% baseline to 35%.

Purpose of the Study:

  • To implement and assess strategies for increasing the percentage of underrepresented in medicine (URM) residents in pediatric residency programs.
  • To achieve demographic parity between residents and the patient population served.

Main Methods:

  • A multifaceted, iterative approach focused on increasing the visibility of URM trainees and faculty to residency applicants.
  • Key strategies included URM faculty interviews, URM resident dinners, conference visibility, targeted marketing, and a visiting student program.
  • Outcome measured by the percentage of matched residents identifying as URM in categorical pediatrics, child neurology, and medical genetics programs.

Main Results:

  • The percentage of URM residents increased significantly, averaging 22% over four years (2018-2021).
  • Specific yearly percentages were 16% (2018), 26% (2019), 19% (2020), and 21% (2021).
  • Achieved a statistically significant increase in URM resident representation (P = .0002).

Conclusions:

  • Small, low-resource strategies can have a substantial cumulative impact on increasing URM resident representation.
  • The implemented tactics successfully enhanced diversity in pediatric residency programs, moving toward demographic parity.
  • Findings suggest these strategies are adaptable for other residency programs seeking to improve diversity.