Examining the Outliers: Characteristics of the Most and Least Diverse Programs in Orthopaedics.

IF 2.6 2区 医学 Q1 ORTHOPEDICS
Akinola Oladimeji, Monique Chambers, Tyler N Kelly, Chisa Hidaka, Gabriella E Ode
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引用次数: 0

Abstract

Introduction: In 2021, the American Orthopaedic Association (AOA) Orthopaedic Research Information Network (ORIN)was created to give applicants insight into orthopaedic surgery residency programs nationwide. This study uses this database to investigate the characteristics of residency programs based on their proportion of female and underrepresented minority in medicine (URiM) trainees.

Methods: The number and proportion of URiM and female residents at 172 programs during the 2020-2021 academic year and 179 programs each during the 2021-2022 and 2022-2023 academic years were recorded. Each program was ranked based on the proportion of URiM or female residents and grouped into quintiles and deciles. Characteristics of programs (institution type, proportion of URiM or female faculty, United States Medical Licensing Exam (USMLE) scores, American Board of Orthopedic Surgery (ABOS) Part I board pass rates) were compared between the top and bottom deciles or quintiles.

Results: Programs among the top decile for URiM representation had a mean 35% representation, whereas representation in the bottom decile ranged from 0% to 7%. Programs within the top decile for female representation ranged from a mean of 35% to 40%. The mean proportion of female residents among the bottom decile ranged from 0% to 7%. Top decile programs for racial diversity had a greater proportion of URiM faculty, whereas those in the top decile for female representation had more female faculty compared with bottom decile counterparts. Only four programs were in the top decile for both URiM and female representation. Top and bottom decile programs differed little regarding USMLE scores or ABOS Part I pass rates of their residents.

Discussion: The results of this study support the notion that recruitment and retention methods among programs with more female and URiM representation are potentially different. In addition, programs with more diverse faculties tend to have more diverse residency classes and that programs with the highest and lowest diversity do not differ regarding standardized testing scores among matriculated residents.

检验异常值:骨科最多样化和最多样化项目的特征。
简介:2021年,美国骨科协会(AOA)骨科研究信息网络(ORIN)成立,为申请人提供全国骨科住院医师项目的深入了解。本研究使用此资料库来调查住院医师计划中女性及未被充分代表的医学少数族群(URiM)受训人员的比例。方法:记录2020-2021学年172个专业、2021-2022学年和2022-2023学年各179个专业的女性住院医师人数和比例。每个项目都根据女性居民的比例进行排名,并按五分位数和十分位数分组。项目的特点(机构类型、URiM或女教员比例、美国医师执照考试(USMLE)分数、美国骨科委员会(ABOS)第一部分委员会通过率)在前十分位数和后五分位数之间进行了比较。结果:URiM代表性最高的十分之一的程序平均有35%的代表性,而代表性最低的十分之一的程序从0%到7%不等。在排名前十分之一的项目中,女性代表的平均比例从35%到40%不等。底部十分之一的女性居民的平均比例从0%到7%不等。种族多样性排名前十分之一的项目拥有更大比例的URiM教员,而女性比例排名前十分之一的项目拥有更多的女性教员。只有四个项目在男女学生比例上都排在前十分之一。最高和最低的十分之一项目在USMLE分数或ABOS第一部分通过率方面差别不大。讨论:本研究的结果支持这样一种观点,即女性和URiM代表较多的项目之间的招聘和保留方法可能不同。此外,院系更多样化的项目往往有更多样化的住院医师课程,多样性最高和最低的项目在被录取的住院医师的标准化测试分数上没有差异。
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
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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