Representation of minorities in European neurosurgical leadership

Introduction: Ethnic diversity has significantly increased within European countries since World War II for several reasons. However, there continues to be a contrasting lag in leadership positions within healthcare circles, and neurosurgery is no exception. Under-representation of minorities is a c...

Full description

Bibliographic Details
Main Authors: Fozia Saeed, Tijana Ilic, Makinah Haq, Gargi Sarmath, Nikolaos Syrmos, Andrew F. Alalade, Silvia Hernández-Durán
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Brain and Spine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772529423000760
_version_ 1797398938259554304
author Fozia Saeed
Tijana Ilic
Makinah Haq
Gargi Sarmath
Nikolaos Syrmos
Andrew F. Alalade
Silvia Hernández-Durán
author_facet Fozia Saeed
Tijana Ilic
Makinah Haq
Gargi Sarmath
Nikolaos Syrmos
Andrew F. Alalade
Silvia Hernández-Durán
author_sort Fozia Saeed
collection DOAJ
description Introduction: Ethnic diversity has significantly increased within European countries since World War II for several reasons. However, there continues to be a contrasting lag in leadership positions within healthcare circles, and neurosurgery is no exception. Under-representation of minorities is a contributory factor to recurring problems of healthcare inequality. Research question: The European Association of Neurosurgical Societies (EANS) Diversity Committee (DC) set out to examine trends in underrepresented minority (URM) representation in leadership positions across Europe. Material and methods: Data on the race and ethnicity of departmental heads across the units in the European nations was collated. We defined the term ‘ethnic minority’ in line with the criteria set by the European Commission against Racism and Intolerance (ECRI). The percentage of URM among the European neurosurgical units was analysed against the demographics of the respective countries to assess whether there was a corresponding association. Results: The percentage of URM representation was low across most European countries. Countries with the highest immigration rates e.g. Great Britain and Germany had the highest rates of representation within the neurosurgical leadership in comparison to other countries. The Balkan states had zero rates of URM representation within the neurosurgical leadership. Discussion and conclusion: Our findings demonstrate that URM representation in neurosurgical leadership across European countries is significantly low. Selection policies, training curricula and recruitment processes aimed at improving health inequality are necessary. Further studies are needed to elucidate the factors contributing to the low participation of URM in neurosurgical leadership.
first_indexed 2024-03-09T01:33:45Z
format Article
id doaj.art-f4c3cae5277d4ab09ccab947f71484c4
institution Directory Open Access Journal
issn 2772-5294
language English
last_indexed 2024-03-09T01:33:45Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Brain and Spine
spelling doaj.art-f4c3cae5277d4ab09ccab947f71484c42023-12-09T06:09:09ZengElsevierBrain and Spine2772-52942023-01-013101788Representation of minorities in European neurosurgical leadershipFozia Saeed0Tijana Ilic1Makinah Haq2Gargi Sarmath3Nikolaos Syrmos4Andrew F. Alalade5Silvia Hernández-Durán6Department of Neurosurgery, Leeds General Infirmary, Leeds, LS1 3EX, United KingdomNational Department of Neurosurgery, Center Hospitalier de Luxembourg, LuxembourgKing's College London, Strand Campus, Strand, London, WC2R 2LS, United KingdomDepartment of Surgery, University Hospital Southampton NHS Foundation Trust, United KingdomAristotle University of Thessaloniki, Thessaloniki, Macedonia, GreeceDepartment of Neurosurgery, Royal Preston Hospital, Preston, PR2 9HT, United Kingdom; Corresponding author. Department of Neurosurgery, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, PR2 9HT, United Kingdom.Department of Neurosurgery, Gottingen University Hospital, Gottingen, GermanyIntroduction: Ethnic diversity has significantly increased within European countries since World War II for several reasons. However, there continues to be a contrasting lag in leadership positions within healthcare circles, and neurosurgery is no exception. Under-representation of minorities is a contributory factor to recurring problems of healthcare inequality. Research question: The European Association of Neurosurgical Societies (EANS) Diversity Committee (DC) set out to examine trends in underrepresented minority (URM) representation in leadership positions across Europe. Material and methods: Data on the race and ethnicity of departmental heads across the units in the European nations was collated. We defined the term ‘ethnic minority’ in line with the criteria set by the European Commission against Racism and Intolerance (ECRI). The percentage of URM among the European neurosurgical units was analysed against the demographics of the respective countries to assess whether there was a corresponding association. Results: The percentage of URM representation was low across most European countries. Countries with the highest immigration rates e.g. Great Britain and Germany had the highest rates of representation within the neurosurgical leadership in comparison to other countries. The Balkan states had zero rates of URM representation within the neurosurgical leadership. Discussion and conclusion: Our findings demonstrate that URM representation in neurosurgical leadership across European countries is significantly low. Selection policies, training curricula and recruitment processes aimed at improving health inequality are necessary. Further studies are needed to elucidate the factors contributing to the low participation of URM in neurosurgical leadership.http://www.sciencedirect.com/science/article/pii/S2772529423000760NeurosurgeryDiversityEthnic minorityLeadershipRepresentation
spellingShingle Fozia Saeed
Tijana Ilic
Makinah Haq
Gargi Sarmath
Nikolaos Syrmos
Andrew F. Alalade
Silvia Hernández-Durán
Representation of minorities in European neurosurgical leadership
Brain and Spine
Neurosurgery
Diversity
Ethnic minority
Leadership
Representation
title Representation of minorities in European neurosurgical leadership
title_full Representation of minorities in European neurosurgical leadership
title_fullStr Representation of minorities in European neurosurgical leadership
title_full_unstemmed Representation of minorities in European neurosurgical leadership
title_short Representation of minorities in European neurosurgical leadership
title_sort representation of minorities in european neurosurgical leadership
topic Neurosurgery
Diversity
Ethnic minority
Leadership
Representation
url http://www.sciencedirect.com/science/article/pii/S2772529423000760
work_keys_str_mv AT foziasaeed representationofminoritiesineuropeanneurosurgicalleadership
AT tijanailic representationofminoritiesineuropeanneurosurgicalleadership
AT makinahhaq representationofminoritiesineuropeanneurosurgicalleadership
AT gargisarmath representationofminoritiesineuropeanneurosurgicalleadership
AT nikolaossyrmos representationofminoritiesineuropeanneurosurgicalleadership
AT andrewfalalade representationofminoritiesineuropeanneurosurgicalleadership
AT silviahernandezduran representationofminoritiesineuropeanneurosurgicalleadership