Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs
Background:. Achieving health equity includes training surgeons in environments exemplifying access, treatment, and outcomes across the racial, ethnic, and socioeconomic spectrum. Increased attention on health equity has generated metrics comparing hospitals. To establish the quality of health equit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-04-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004900 |
| _version_ | 1797840139173494784 |
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| author | Priscila Cevallos, BS Uchechukwu O. Amakiri, BS Thomas Johnstone, BS Trudy Sea-Eun Kim Bhagvat Maheta, BS Rahim Nazerali, MD, MHS Clifford Sheckter, MD |
| author_facet | Priscila Cevallos, BS Uchechukwu O. Amakiri, BS Thomas Johnstone, BS Trudy Sea-Eun Kim Bhagvat Maheta, BS Rahim Nazerali, MD, MHS Clifford Sheckter, MD |
| author_sort | Priscila Cevallos, BS |
| collection | DOAJ |
| description | Background:. Achieving health equity includes training surgeons in environments exemplifying access, treatment, and outcomes across the racial, ethnic, and socioeconomic spectrum. Increased attention on health equity has generated metrics comparing hospitals. To establish the quality of health equity in plastic and reconstructive surgery (PRS) residency training, we determined the mean equity score (MES) across training hospitals of US PRS residencies.
Methods:. The 2021 Lown Institute Hospital Index database was merged with affiliated training hospitals of US integrated PRS residency programs. The Lown equity category is composed of three domains (community benefit, inclusivity, pay equity) generating a health equity grade. MES (standard deviation) was calculated and reported for residency programs (higher MES represented greater health equity). Linear regression modeled the effects of a program’s number of training hospitals, safety net hospitals, and geographical region on MES.
Results:. The MES was 2.64 (0.62). An estimated 5.9% of programs had an MES between 1–2. In total, 56.5% of programs had an MES between 2 and 3, and 37.7% had an MES of 3 or more. The southern region was associated with a higher MES compared with the reference group (Northeast) (P = 0.03). The number of safety net hospitals per program was associated with higher MES (P = 0.02).
Conclusions:. Two out of three programs train residents in facilities failing to demonstrate high equity healthcare. Programs should promote health equity by diversifying care delivery through affiliated hospitals. This will aid in the creation of a PRS workforce trained to provide care for a socioeconomically, racially, and ethnically diverse population. |
| first_indexed | 2024-04-09T16:09:49Z |
| format | Article |
| id | doaj.art-637a45dc237f40a7bae29bb70c11dad6 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T16:09:49Z |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-637a45dc237f40a7bae29bb70c11dad62023-04-24T10:07:51ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-04-01114e490010.1097/GOX.0000000000004900202304000-00017Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency ProgramsPriscila Cevallos, BS0Uchechukwu O. Amakiri, BS1Thomas Johnstone, BS2Trudy Sea-Eun Kim3Bhagvat Maheta, BS4Rahim Nazerali, MD, MHS5Clifford Sheckter, MD6From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif.† Icahn School of Medicine at Mount Sinai, New York, N.Y.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif.‡ College of Medicine, California Northstate University, Elk Grove, Calif.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, Calif.Background:. Achieving health equity includes training surgeons in environments exemplifying access, treatment, and outcomes across the racial, ethnic, and socioeconomic spectrum. Increased attention on health equity has generated metrics comparing hospitals. To establish the quality of health equity in plastic and reconstructive surgery (PRS) residency training, we determined the mean equity score (MES) across training hospitals of US PRS residencies. Methods:. The 2021 Lown Institute Hospital Index database was merged with affiliated training hospitals of US integrated PRS residency programs. The Lown equity category is composed of three domains (community benefit, inclusivity, pay equity) generating a health equity grade. MES (standard deviation) was calculated and reported for residency programs (higher MES represented greater health equity). Linear regression modeled the effects of a program’s number of training hospitals, safety net hospitals, and geographical region on MES. Results:. The MES was 2.64 (0.62). An estimated 5.9% of programs had an MES between 1–2. In total, 56.5% of programs had an MES between 2 and 3, and 37.7% had an MES of 3 or more. The southern region was associated with a higher MES compared with the reference group (Northeast) (P = 0.03). The number of safety net hospitals per program was associated with higher MES (P = 0.02). Conclusions:. Two out of three programs train residents in facilities failing to demonstrate high equity healthcare. Programs should promote health equity by diversifying care delivery through affiliated hospitals. This will aid in the creation of a PRS workforce trained to provide care for a socioeconomically, racially, and ethnically diverse population.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004900 |
| spellingShingle | Priscila Cevallos, BS Uchechukwu O. Amakiri, BS Thomas Johnstone, BS Trudy Sea-Eun Kim Bhagvat Maheta, BS Rahim Nazerali, MD, MHS Clifford Sheckter, MD Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs Plastic and Reconstructive Surgery, Global Open |
| title | Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs |
| title_full | Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs |
| title_fullStr | Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs |
| title_full_unstemmed | Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs |
| title_short | Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs |
| title_sort | is plastic surgery training equitable an analysis of health equity across us plastic surgery residency programs |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004900 |
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