在美国的学术外科领导人中种族,种族和性别的多样性
Yoshiko Iwai1, Alice Yunzi L Yu2, Nikki C Daniels3
1The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill.
JAMA surgery
|October 11, 2023
概括
外科领导仍然以男性为主,代表性不足的少数民族 (URM) 和女性医生集中在非推广性角色中. 这限制了手术椅的多样性,并延续了劳动力不平等.
科学领域:
- 医疗劳动力的多样性 医疗劳动力的多样性
- 外科手术的领导力
- 健康 公平 卫生 公平
背景情况:
- 外科部门的领导缺乏多样性,影响了医生人力.
- 非主席外科手术领导职位的多样性在很大程度上是未经探索的.
研究的目的:
- 评估美国手术系主任,副主任 (VC) 和部门主任 (DC) 的种族,种族和性别多样性.
- 识别不同外科专业的多样性模式.
主要方法:
- 一项横截面研究分析了来自美国医学院和附属医院的公开数据 (2022年1月至7月).
- 收集和审查了154个部门的2165名外科教师的人口统计和领导数据.
- 种族,种族和性别多样性比例计算了椅子,VC和DC的比例.
主要成果:
- 男性医生占领导职位的83.8%;只有8.9%来自医学 (URiM) 代表性不足的种族/民族群体.
- 女性作为风险投资者 (31.6%) 比担任主席 (14.1%) 或主管 (12.9%) 更多,特别是在多样性,公平性和包容性 (DEI) 角色中.
- 没有美国印第安人,阿拉斯加原住民或夏威夷原住民/其他太平洋岛民在任何领导职位上被确定.
结论:
- 在外科领导层中存在着持续的性别和种族/种族差异,URiM和女性医生集中在特定的,潜在的非推广性角色中.
- 在DEI的副主席等职位上聚合URiM和女性领导者可能会阻碍他们晋升到部门主席职位.
- 解决这些差异对于实现真正多元化和公平的外科工作人员至关重要.
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