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Intersectionality: Understanding the Interdependent Systems of Discrimination and Disadvantage.

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Summary
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Intersectionality in surgery reveals complex challenges beyond gender, impacting professionals and patient care. Further research on overlapping identities is crucial for improving surgical culture and outcomes.

Keywords:
LGBTQdiversityintersectionalitywomen in surgery

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Area of Science:

  • Medical Sociology
  • Surgical Education
  • Health Equity

Background:

  • Gender equity in surgery is more complex than a gender binary.
  • Intersectionality, a term coined by Kimberlé Crenshaw, describes how race, class, gender, and other characteristics interact.
  • Understanding these intersections is vital for addressing disparities in academic surgery and patient care.

Purpose of the Study:

  • To review intersectional identities among medical professionals in academic surgery.
  • To examine trends in difficulties faced at the intersections of identity within academic surgery and leadership.
  • To explore the effects of intersectional identities on patient outcomes in the United States.

Main Methods:

  • Literature review focusing on intersectionality in academic surgery.
  • Analysis of the interplay between race, ethnicity, religion, sexual orientation, family status, disability, and international status.
  • Examination of professional and patient care outcomes.

Main Results:

  • Current understanding of intersectional challenges in surgery is limited.
  • Specific data on the impact of overlapping identities on career progression and patient outcomes is scarce.
  • Qualitative insights suggest significant, yet under-researched, difficulties.

Conclusions:

  • More research is needed to statistically quantify the impact of intersectional identities on surgical professionals and patient care.
  • Recognizing and discussing intersectionality is essential for improving surgical culture.
  • Addressing these complex identities can lead to better patient outcomes and a more equitable surgical environment.