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从神秘到公平:亚裔美国人和太平洋岛民在心胸外科手术中

Michael Lesgart¹, Alexander An Nguyen¹, Anastasiia K Tompkins¹

¹Center for Asian Health, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.

The Annals of thoracic surgery

|March 7, 2025

概括

亚裔美国人和太平洋岛民 (AAPI) 在心胸外科培训和教师中都有代表,但面临着工资不平等和文化偏见. 解决这些差异需要系统性努力,以促进多样性和公平.

科学领域:

心胸外科手术心胸外科手术
医疗保健不平等医疗保健不平等
医生的多样性医生的多样性

背景情况:

亚裔美国人和太平洋岛民 (AAPI) 占美国人口的5.7%,但占医生的20%.
他们在心胸外科手术方面的经验并没有得到充分的记录.
本研究探讨了AAPI在学术心胸外科手术中的历史背景,代表性,薪水和个人经验.

研究的目的:

检查亚裔美国人和太平洋岛民 (AAPI) 在心胸外科手术中的代表性和薪水.
为了确定在学术心胸外科手术中AAPI所面临的偏见和误解.
强调在现场需要多样性和公平.

主要方法:

进行了文献综述.
从医学研究生教育数据资源书 (2022-2023) 的认证委员会分析了代表性数据.
从美国医学院协会的教师薪资报告 (2021-2023) 中分析了薪资数据.

主要成果:

AAPI实习生占胸部外科研究员的20.7%,整合住院人员的25.7%.
AAPI教师代表包括32.3%的助理教授,33.9%的副教授和18.9%的教授.
AAPI助理教授的收入明显低于他们的白人同行 (90.2%),这表明工资差异 (P = .018).

结论:

尽管在培训和教师职位上有足够的代表,但AAPI在心胸外科手术中遇到文化偏见和工资不平等.
个人,机构和国家倡议是必要的,以促进多样性和确保公平的职业机会.
应对这些挑战对于减少医疗保健差距至关重要.

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