A Comparison of Demographic Diversity Between Orthopaedic Surgery Residents and ACGME Foot and Ankle Fellows From 2007 to 2022.

Foot & Ankle Orthopaedics Pub Date : 2024-07-29 eCollection Date: 2024-07-01 DOI:10.1177/24730114241263056

Aditya Joshi, Andrew Kim, Nigel Hsu, Amiethab Aiyer, John M Thompson

{"title":"A Comparison of Demographic Diversity Between Orthopaedic Surgery Residents and ACGME Foot and Ankle Fellows From 2007 to 2022.","authors":"Aditya Joshi, Andrew Kim, Nigel Hsu, Amiethab Aiyer, John M Thompson","doi":"10.1177/24730114241263056","DOIUrl":null,"url":null,"abstract":"Background: Academic medicine emphasizes the need to recruit a diverse workforce in graduate medical education. Orthopaedic surgery residency has demonstrated efforts to model program compositions with evolving US demographics. However, it remains unclear whether orthopaedic fellowships, particularly foot and ankle, also reflect these efforts.Methods: Using the publicly available Accreditation Council for Graduate Medical Education (ACGME) Data Resource Book, a census of the gender and racial/ethnic identities of orthopaedic foot and ankle fellows, as well as active orthopaedic surgery residents, were compiled from 2007 to 2022. Linear trend analysis was conducted to evaluate the trends of orthopaedic residents and foot and ankle fellows, with a Pearson correlation for comparison.Results: Prior analysis demonstrated no significant change in sex and ethnic diversity of fellows from 2006 to 2015. The majority of foot and ankle fellows were White (31%-69%) and male (63%-88%). Linear analysis demonstrated growing diversity in female and non-White active orthopaedic surgery residents. Similarly, there was an increasing number of female foot and ankle fellows (0%-38%) reflective of the trend in orthopaedic residency (12%-20%); however, there was no significant change among racial/ethnic identities. Pearson correlation analysis between the trend of orthopaedic residency residents and foot and ankle fellows suggests moderate correlation among female, Asian, and \"Unknown\" racial/ethnic categories.Conclusion: The proportion of foot and ankle female fellows in ACGME-accredited fellowships has matched or exceeded the percentage of female orthopaedic residents. Despite increased diversity of orthopaedic surgery residents over the past 2 decades, ACGME-accredited foot and ankle fellowships do not yet reflect similar trends among racial/ethnic minorities.Level of evidence: Level III, retrospective cohort study.","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241263056"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289798/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & Ankle Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/24730114241263056","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Academic medicine emphasizes the need to recruit a diverse workforce in graduate medical education. Orthopaedic surgery residency has demonstrated efforts to model program compositions with evolving US demographics. However, it remains unclear whether orthopaedic fellowships, particularly foot and ankle, also reflect these efforts.

Methods: Using the publicly available Accreditation Council for Graduate Medical Education (ACGME) Data Resource Book, a census of the gender and racial/ethnic identities of orthopaedic foot and ankle fellows, as well as active orthopaedic surgery residents, were compiled from 2007 to 2022. Linear trend analysis was conducted to evaluate the trends of orthopaedic residents and foot and ankle fellows, with a Pearson correlation for comparison.

Results: Prior analysis demonstrated no significant change in sex and ethnic diversity of fellows from 2006 to 2015. The majority of foot and ankle fellows were White (31%-69%) and male (63%-88%). Linear analysis demonstrated growing diversity in female and non-White active orthopaedic surgery residents. Similarly, there was an increasing number of female foot and ankle fellows (0%-38%) reflective of the trend in orthopaedic residency (12%-20%); however, there was no significant change among racial/ethnic identities. Pearson correlation analysis between the trend of orthopaedic residency residents and foot and ankle fellows suggests moderate correlation among female, Asian, and "Unknown" racial/ethnic categories.

Conclusion: The proportion of foot and ankle female fellows in ACGME-accredited fellowships has matched or exceeded the percentage of female orthopaedic residents. Despite increased diversity of orthopaedic surgery residents over the past 2 decades, ACGME-accredited foot and ankle fellowships do not yet reflect similar trends among racial/ethnic minorities.

Level of evidence: Level III, retrospective cohort study.

查看原文本刊更多论文

2007 年至 2022 年矫形外科住院医师与 ACGME 足踝研究员之间的人口统计学多样性比较。

背景：医学学术界强调，在研究生医学教育中需要招收多元化的人才。矫形外科住院医师已努力根据不断变化的美国人口结构来模拟项目组成。然而，矫形外科奖学金，尤其是足踝奖学金，是否也反映了这些努力，目前仍不清楚：方法：利用可公开获得的毕业后医学教育认证委员会（ACGME）数据资源手册，对2007年至2022年的足踝矫形研究员以及在职矫形外科住院医师的性别和种族/民族身份进行了普查。对骨科住院医师和足踝研究员的趋势进行了线性趋势分析，并进行了皮尔逊相关性比较：先前的分析表明，从 2006 年到 2015 年，研究员的性别和种族多样性没有明显变化。大多数足踝研究员为白人（31%-69%）和男性（63%-88%）。线性分析表明，女性和非白人骨科外科住院医师的多样性在不断增加。同样，足踝外科女住院医师的人数也在增加（0%-38%），这反映了骨科住院医师的趋势（12%-20%）；但是，种族/民族身份没有显著变化。骨科住院医师和足踝研究员趋势之间的皮尔逊相关性分析表明，女性、亚裔和 "未知 "种族/民族类别之间存在适度的相关性：结论：在 ACGME 认可的研究机构中，足踝科女性研究员的比例已经达到或超过了骨科女性住院医师的比例。尽管在过去20年中骨科住院医师的多样性有所增加，但ACGME认可的足踝研究员尚未反映出少数种族/人种的类似趋势：证据级别：III级，回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Foot & Ankle Orthopaedics Medicine-Orthopedics and Sports Medicine

CiteScore

1.20

自引率

0.00%

发文量

1152