Underrepresented in medicine (URiM) residents: A scoping review on prevalence trends & improving recruitment

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-08-22 DOI:10.1016/j.amjsurg.2024.115924

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引用次数: 0

Abstract

Background

Disparities exist in underrepresented in medicine (URiM) resident representation. This review examines recent trends in resident diversity, URiM recruitment strategies, and identifies research gaps in equity, diversity, and inclusion (EDI) for URiM residents.

Methods

MEDLINE, EMBASE, Web of Science, and ERIC databases were searched for studies published from 2017 to 2022 on URiM resident prevalence and recruitment initiatives.

Results

3634 abstracts were reviewed, and 52 articles were included. 35 (67 %) studies reported on prevalence of URiM residents, demonstrating URiM resident composition is lower than residency applicant demographics, particularly in surgery. Seventeen (33 %) studies reported on URiM recruitment interventions, such as visiting clerkship programs, holistic review, and targeted outreach, and demonstrated success in increasing recruitment of URiM candidates to programs.

Conclusions

URiM residents remain disproportionately underrepresented, and markedly so among surgical residency programs. Further research should focus on implementing EDI interventions in surgery and assess URiM resident attrition post-matriculation.

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医学界代表性不足（URiM）的住院医师：关于流行趋势和改善招聘的范围审查

背景医学界代表性不足（URiM）住院医师的代表性存在差异。本综述研究了住院医师多样性的最新趋势、URiM 招聘策略，并确定了URiM 住院医师公平性、多样性和包容性（EDI）方面的研究缺口。方法检索了MEDLINE、EMBASE、Web of Science 和 ERIC 数据库中 2017 年至 2022 年发表的有关URiM 住院医师流行率和招聘措施的研究。35篇（67%）研究报告了URiM住院医师的流行率，表明URiM住院医师的构成低于住院医师申请者的人口统计，尤其是在外科。17项（33%）研究报告了URiM住院医师招募干预措施，如访问实习项目、整体审查和有针对性的外联活动，并证明成功增加了URiM住院医师候选人的招募人数。进一步的研究应侧重于在外科中实施 EDI 干预措施，并评估 URiM 住院医师在入学后的流失情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.