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  3. The Diversity Of Surgical Trainees Index Identifies Racial And Ethnic Disparities Among Surgical Specialties.
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  3. The Diversity Of Surgical Trainees Index Identifies Racial And Ethnic Disparities Among Surgical Specialties.

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The Diversity of Surgical Trainees Index identifies racial and ethnic disparities among surgical specialties.

Christina L Cui1, Roberto S Loanzon1, Lauren N West-Livingston1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC.

Journal of Vascular Surgery
|April 17, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

The Diversity of Surgical Trainee Index (DoSTI) quantifies underrepresented in medicine (URiM) representation in surgical specialties. Findings reveal significant variations, highlighting opportunities to improve diversity in the surgical workforce.

Keywords:
DEIDiversitySurgical education

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Area of Science:

  • Medical Education
  • Surgical Specialties
  • Diversity and Inclusion

Background:

  • Racial and ethnic disparities are documented in surgical specialties.
  • Quantifying variations in underrepresented in medicine (URiM) representation across surgical specialties is lacking.

Purpose of the Study:

  • To quantify URiM representation across surgical specialties using the Diversity of Surgical Trainee Index (DoSTI).
  • To identify variations in URiM trainee proportions within different surgical fields.

Main Methods:

  • Utilized Accreditation Council for Graduate Medical Education (ACGME) annual reports (2013-2022).
  • Calculated DoSTI as the ratio of URiM residents/fellows in a specialty to the overall URiM trainee proportion.
  • Analyzed data from 1,296,204 residents and fellows across 108,193 programs.

Main Results:

  • Overall, 14.1% of trainees identified as URiM.
  • The mean DoSTI across surgical specialties was 0.80.
  • High DoSTI specialties showed significantly higher proportions of Hispanic and Black/African American trainees.
  • General surgery, plastic surgery, and vascular surgery demonstrated high DoSTI.
  • Ophthalmology, orthopedic surgery, otolaryngology, and pediatric surgery showed annual increases in DoSTI.

Conclusions:

  • DoSTI is a novel metric for quantifying URiM representation in surgical training.
  • Significant specialty-specific variations in URiM representation exist.
  • DoSTI can identify high-performing specialties to inform best practices for recruiting a diverse surgical workforce.