Mapping the Impact of Anti-LGBT Legislation on Graduate Surgical Education

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-01 DOI:10.1016/j.jsurg.2024.103372

Aron Egelko MD, MGH , Natalie Florescu BA, MPH , Jacob Siegel BS , Anastasiia Tomkins BS , Cherie Erkmen MD

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引用次数: 0

Abstract

Background

LGBTQ medical students and surgery residents face myriad structural barriers. The American Civil Liberties Union (ACLU) reports 492 pieces of state-level legislation targeting Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) people in the past year. These bills including bans on medical care, “don't say gay” bills, exclusion from anti-discrimination protections, and more. These bills may limit where medical students pursue surgical training

Study Design

The Movement Advancement Project and the ACLU legislative databases were consulted to determine whether states (plus Puerto Rico and the District of Columbia) currently had or were actively considering anti-LGBTQ legislation. This information was then mapped against data from the 2023 National Residency Match Program. US News rankings of top surgical training programs were utilized as well.

Results

There were 2803 general surgical training spots, of which 1597 (57%) were located in states which currently have anti-LGBTQ legislation in place. 245 (9%) of training spots are in states which do not have such legislation but are currently considering anti-LGBTQ legislation. Of the top 20 residency programs, 11 (55%) were in states with anti-LGBTQ legislation. In affiliated specialties, 50 (54%), 118 (57%), and 24 (49%) surgical training positions for integrated vascular, plastic, and thoracic surgery, respectively, are in states that currently have anti-LGBTQ legislation in place. In total, 63% of fellowship opportunities were in states with Anti-LGBTQ legislation in place

Conclusion

A majority of graduate surgical education occurs in states with anti-LGBTQ legislation, potentially limiting residency options for people who value protection of LGBTQ rights

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反lgbt立法对外科研究生教育的影响。

背景：LGBTQ医科学生和外科住院医师面临着无数的结构性障碍。美国公民自由联盟（ACLU）报告称，去年有492项州级立法针对女同性恋、男同性恋、双性恋、变性人和酷儿（LGBTQ）群体。这些法案包括禁止医疗保健、“不要说同性恋”法案、排除在反歧视保护之外等等。研究设计：我们咨询了运动进步项目和美国公民自由联盟立法数据库，以确定各州（加上波多黎各和哥伦比亚特区）目前是否已经或正在积极考虑反lgbtq立法。然后将这些信息与2023年国家住院匹配计划的数据进行比对。我们还利用了《美国新闻》对顶级外科培训项目的排名。结果：共有2803个普外科培训点，其中1597个（57%）位于目前有反lgbtq立法的州。245个（9%）培训点位于没有此类立法但目前正在考虑反lgbtq立法的州。在排名前20位的住院医师项目中，有11个（55%）位于有反lgbtq立法的州。在附属专业中，分别有50个（54%）、118个（57%）和24个（49%）的综合血管外科、整形外科和胸外科的外科培训职位位于目前有反lgbtq立法的州。总的来说，63%的奖学金机会是在有反LGBTQ立法的州。结论：大多数外科研究生教育发生在有反LGBTQ立法的州，这可能限制了那些重视保护LGBTQ权利的人的住院医师选择。

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

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.