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Trends in Underrepresented Fellows in Gastroenterology
Judy Daboul1, Gavisha Waidyaratne1, Sean G Kelly1
1The Ohio State University Wexner Medical Center, Division of Gastroenterology, Hepatology, and Nutrition; and.
The American Journal of Gastroenterology
|June 16, 2025
Summary
Diversity initiatives in gastroenterology (GI) have yielded limited success. The proportion of underrepresented minorities in medicine (UIM) fellows in GI did not significantly increase from 2011 to 2021.
Area of Science:
- Medical Education
- Gastroenterology Workforce Diversity
Background:
- Gastroenterology societies advocate for improved diversity.
- Previous diversity efforts' effectiveness in GI remains unquantified.
- This study analyzes trends in underrepresented minorities in medicine (UIM) within GI fellowships.
Purpose of the Study:
- To assess the national trends of UIM in gastroenterology (GI) fellowships.
- To compare UIM representation in GI with other Internal Medicine fellowships.
Main Methods:
- Retrospective cohort study utilizing Accreditation Council for Graduate Medical Education (ACGME) data (2011-2021).
- Fellows identifying as Hispanic, African American, or Native American/Alaskan were classified as UIM.
Main Results:
- Gastroenterology (GI) had lower average percentages of UIM and female fellows compared to most internal medicine specialties.
- The proportion of UIM fellows in GI showed no significant increase during the study period (P=0.98).
- A slight, non-significant increase was observed in female fellows in GI (P=0.06).
Conclusions:
- Initiatives to enhance workforce inclusivity in GI have shown limited success over the last decade.
- Institutions can implement interventions such as supporting minority applicants, structured mentorship, and bias mitigation training to improve diversity.
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