Diversity bias in colorectal surgery: a global perspective

Area of Science:

• Medical Specialties
• Surgical Practice
• Diversity and Inclusion

Background:

• Limited data exists on diversity, equity, and injustices within colorectal surgery.
• Understanding the lived experiences of colorectal surgeons regarding bias is essential.

Purpose of the Study:

• To explore colorectal surgeons' experiences with diversity bias, focusing on gender, sexual orientation or gender identity, and race or religion.
• To assess the prevalence of bias and awareness of diversity guidelines in the field.

Main Methods:

• A bespoke questionnaire was developed and distributed globally to colorectal surgeons and trainees via professional networks and social media.
• Quantitative and qualitative data were collected and analyzed from 306 respondents.

Main Results:

• 39.2% reported experiencing or witnessing gender inequality, 4.9% experienced bias due to sexual orientation, and 7.5% due to race or religion.
• Common biases included sexist jokes, pregnancy-related comments, homophobic remarks, and offensive language.
• A significant portion (44.4%) felt their institution did not guarantee a respectful environment for diversity, with low awareness (20%) of existing guidelines.

Conclusions:

• Diversity bias is prevalent in colorectal surgery, impacting surgeons across various demographic groups.
• There is a clear need to foster greater equality, inclusivity, and embrace diversity within the specialty.
• Promoting diversity is vital for both professional equity among surgeons and enhancing the quality of patient surgical care.