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Diversity in the US Academic Microsurgery Pathway.

Leila Musavi1, Sri Harshini Malapati2, Kshipra Hemal3

  • 1From the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, Los Angeles, Calif.

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Summary
This summary is machine-generated.

Women and ethnic minority surgeons face underrepresentation in academic microsurgery faculty and leadership. Non-White surgeons have lower odds of academic positions, and women faculty are earlier in their careers, indicating significant diversity gaps.

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Area of Science:

  • Microsurgery
  • Surgical Education
  • Diversity in Medicine

Background:

  • Disparities persist in plastic surgery resident and faculty representation despite increased diversity in medical schools.
  • Diversity in academic microsurgery, specifically sex and ethnic representation, is under-investigated.

Purpose of the Study:

  • To assess sex, race, and ethnicity demographics among academic microsurgeons.
  • To identify underrepresentation in leadership pathways within academic microsurgery.

Main Methods:

  • Collected data from US-based microsurgery fellowship programs (2006-2020) via anonymous electronic surveys.
  • Gathered demographic, training, mentorship, and career path data.
  • Reviewed program websites for nationwide academic microsurgery faculty data.

Main Results:

  • Non-White surgeons had a lower probability of securing academic positions post-fellowship and reported fewer advancement opportunities compared to White surgeons.
  • Women faculty were earlier in their careers than men, with a notable lack of senior female faculty.
  • White surgeons held the majority of academic leadership positions (72%), and male faculty had higher leadership rates than female faculty.

Conclusions:

  • Women and non-White surgeons are significantly underrepresented in academic microsurgery faculty and leadership.
  • Addressing these diversity gaps is crucial for improving equitable reconstructive care delivery.