美国的外科医生交叉性和学术晋升和保留
Josh Johnson1, Andrea Mesiti1, Julianna Brouwer1
1Department of Surgery, New York Presbyterian Hospital, Weill Cornell Medicine, New York.
JAMA surgery
|February 14, 2024
概括
交叉性影响医学系 (UIM) 代表性不足的教师的晋升和退缩. UIM女性面临着最大的挑战,因为她们的晋升率最低,离开学术外科职位的风险最大.
科学领域:
- 医学教育 医学教育
- 手术学院的多样性 手术学院的多样性
- 健康 公平 卫生 公平
背景情况:
- 从历史上看,外科缺乏多样性,女性代表性在增加方面进展缓慢,在医学 (UIM) 医生中代表性不足.
- 关于交叉性 (种族,种族和性别的综合影响) 如何影响学术外科的职业发展的数据有限.
研究的目的:
- 分析种族/种族和性别对美国学术医学手术系教师的晋升率和退休率的综合影响.
- 根据交叉的人口因素,识别学术外科的职业进步和保留差异.
主要方法:
- 使用美国医学院协会从2005年到2020年的教师名单数据进行回顾性队列研究.
- 分析包括31,045名全职学术外科教师,使用Kaplan-Meier和Cox时间到事件分析检查晋升和消耗的趋势.
- 数据被分析为种族,种族,性别和职业成果之间的关联.
主要成果:
- 与其他群体相比,在医学领域代表性不足 (UIM) 的女性晋升的可能性最低,而且与其他群体相比,她们的退出风险最高.
- 与非西班牙裔白人男性相比,西班牙裔女性晋升的可能性降低了32%,而非西班牙裔白人女性晋升的可能性降低了25%.
- 非UIM男性的平均晋升时间最短 (6.9年),而UIM女性的平均退役时间最短 (8.2年).
结论:
- 交叉性显著影响学术外科的晋升和退出率,UIM女性遇到最严重的不利因素.
- 针对性干预对于解决UIM女性独特的脆弱性和促进在外科手术中公平的职业进步至关重要.
- 需要进一步的研究,以充分理解和减轻这些在学术外科部门的差异.
更多相关视频
相关概念视频
Psychosurgery
55
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
55
Stereotypes, Prejudice, and Discrimination
90.2K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.2K
Nurses' Legal Responsibilities III
657
Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
657
Standards of Care I
692
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
692
Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K


