Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties

Background:. Diversity within the healthcare workforce is essential to improve quality of care, although evaluation of diversity within surgical training remains limited. This study analyzed diversity in recruitment of residents into surgical subspecialties at a large academic medical institution an...

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Main Authors: Anita T. Mohan, MBBS, PhD, Joseph Banuelos, MD, Omar Cespedes-Gomez, MPH, Trishul Kapoor, MD, Steven L. Moran, MD, Stephanie F. Heller, MD, Eric J. Dozois, MD, Heidi Nelson, MD, John M. Stulak, MD, Jorys Martinez-Jorge, MD
Format: Article
Language:English
Published: Wolters Kluwer Health 2021-12-01
Series:Annals of Surgery Open
Online Access:http://journals.lww.com/10.1097/AS9.0000000000000100
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author Anita T. Mohan, MBBS, PhD
Joseph Banuelos, MD
Omar Cespedes-Gomez, MPH
Trishul Kapoor, MD
Steven L. Moran, MD
Stephanie F. Heller, MD
Eric J. Dozois, MD
Heidi Nelson, MD
John M. Stulak, MD
Jorys Martinez-Jorge, MD
author_facet Anita T. Mohan, MBBS, PhD
Joseph Banuelos, MD
Omar Cespedes-Gomez, MPH
Trishul Kapoor, MD
Steven L. Moran, MD
Stephanie F. Heller, MD
Eric J. Dozois, MD
Heidi Nelson, MD
John M. Stulak, MD
Jorys Martinez-Jorge, MD
author_sort Anita T. Mohan, MBBS, PhD
collection DOAJ
description Background:. Diversity within the healthcare workforce is essential to improve quality of care, although evaluation of diversity within surgical training remains limited. This study analyzed diversity in recruitment of residents into surgical subspecialties at a large academic medical institution and national trends. Methods:. A 21-year cross-sectional study of medical school graduates accepted into all surgical subspecialty training programs was performed. The institutional cohort was divided into two groups (1997–2006, 2007–2017). Subspecialty acceptance rates were determined between 2011 and 2018. Data on candidate demographics including gender, race, ethnicity, citizenship, and origin of medical education at a single institution and nationally were extracted. Results:. Two thousand found hundred seventy-two residents were included in this study. From 1997 to 2018, female acceptances increased from 21.1% to 29.7% (p < 0.01), non-White increased from 27.9% to 31.8% (p = 0.01), and international medical graduates decreased from 28.8% to 25.5% (p = 0.02). There was no significant change in accepted Hispanic and Non-US candidates. Female subspecialty rates for subspecialties increased nationally and was comparable to our cohort, except in general surgery. Hispanic subspecialty acceptance rates were less than 10% and Black/African American acceptance rates remained less than 5% across subspecialties nationally and at our institution. Conclusion:. Diversity in surgical training has modestly progressed over the last two decades, but the degree of positive change has not been universal and highlights the critical need for improvement and action. Continued institution driven and collaborative strategies are essential to promote diversity in recruitment across all surgical specialties that has implications on our future workforce and surgical leadership.
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spelling doaj.art-b435a2eab34b46b6b8d214e9da1297222023-08-30T06:09:12ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932021-12-0124e10010.1097/AS9.0000000000000100202112000-00004Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical SpecialtiesAnita T. Mohan, MBBS, PhD0Joseph Banuelos, MD1Omar Cespedes-Gomez, MPH2Trishul Kapoor, MD3Steven L. Moran, MD4Stephanie F. Heller, MD5Eric J. Dozois, MD6Heidi Nelson, MD7John M. Stulak, MD8Jorys Martinez-Jorge, MD9* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN† Department of Surgery, Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN‡ Department of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.‡ Department of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.‡ Department of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.* Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MNBackground:. Diversity within the healthcare workforce is essential to improve quality of care, although evaluation of diversity within surgical training remains limited. This study analyzed diversity in recruitment of residents into surgical subspecialties at a large academic medical institution and national trends. Methods:. A 21-year cross-sectional study of medical school graduates accepted into all surgical subspecialty training programs was performed. The institutional cohort was divided into two groups (1997–2006, 2007–2017). Subspecialty acceptance rates were determined between 2011 and 2018. Data on candidate demographics including gender, race, ethnicity, citizenship, and origin of medical education at a single institution and nationally were extracted. Results:. Two thousand found hundred seventy-two residents were included in this study. From 1997 to 2018, female acceptances increased from 21.1% to 29.7% (p < 0.01), non-White increased from 27.9% to 31.8% (p = 0.01), and international medical graduates decreased from 28.8% to 25.5% (p = 0.02). There was no significant change in accepted Hispanic and Non-US candidates. Female subspecialty rates for subspecialties increased nationally and was comparable to our cohort, except in general surgery. Hispanic subspecialty acceptance rates were less than 10% and Black/African American acceptance rates remained less than 5% across subspecialties nationally and at our institution. Conclusion:. Diversity in surgical training has modestly progressed over the last two decades, but the degree of positive change has not been universal and highlights the critical need for improvement and action. Continued institution driven and collaborative strategies are essential to promote diversity in recruitment across all surgical specialties that has implications on our future workforce and surgical leadership.http://journals.lww.com/10.1097/AS9.0000000000000100
spellingShingle Anita T. Mohan, MBBS, PhD
Joseph Banuelos, MD
Omar Cespedes-Gomez, MPH
Trishul Kapoor, MD
Steven L. Moran, MD
Stephanie F. Heller, MD
Eric J. Dozois, MD
Heidi Nelson, MD
John M. Stulak, MD
Jorys Martinez-Jorge, MD
Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
Annals of Surgery Open
title Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
title_full Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
title_fullStr Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
title_full_unstemmed Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
title_short Diversity Matters: A 21-Year Review of Trends in Resident Recruitment into Surgical Specialties
title_sort diversity matters a 21 year review of trends in resident recruitment into surgical specialties
url http://journals.lww.com/10.1097/AS9.0000000000000100
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