独立整形外科匹配申请人中少数民族代表的趋势：对 11 年间 1000 名申请人的分析。

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.2024.103388

Maria J. Escobar-Domingo MD, Benjamin Rahmani MS, James E. Fanning BS, Angelica Hernandez Alvarez MD, Helen Xun MD, Iulianna C. Taritsa BA, Daniela Lee BS, Jose Foppiani MD, Samuel J. Lin MD, MBA, Bernard T. Lee MD, MBA, MPH

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引用次数: 0

摘要

背景：改善整形和重建外科（PRS）学员的多样性是减少提供者层面不平等的关键一步。在独立项目匹配申请者中，少数族裔代表的趋势尚未得到充分研究。我们分析了独立PRS匹配申请人的性别、种族和民族人口统计趋势。方法：经美国整形外科教育者委员会批准，旧金山赛会提供2013 - 2023年独立PRS赛会数据。我们回顾了独立PRS匹配的趋势，并采用Cochran-Armitage检验来评估少数族裔申请人（女性、黑人、亚洲人、其他种族、西班牙裔）随时间的匹配趋势的重要性。结果：在研究期间，共有1000名申请者参加了独立整形比赛，其中735人匹配。独立的PRS项目数量减少了31%。匹配率从86%下降到60%。根据种族（白人、黑人、亚洲人、其他）和匹配结果进行统计分析，发现2014年（p = 0.002）和2018年（p = 0.042）申请者和匹配参与者之间的种族分布存在显著差异。女性申请者和西班牙裔申请者的比例每年分别与匹配的女性和西班牙裔人数相关（p > 0.05）。科克伦-阿米蒂奇检验显示，随着时间的推移，女性参与者的匹配趋势显著增加（p = 0.004）。结论：我们发现在过去十年中，女性在独立PRS匹配中的代表性显著增加。然而，种族和少数民族的代表性多年来变化很小。需要不断努力确定障碍和减少不平等。

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Trends in Minority Representation Among Independent Plastic Surgery Match Applicants: An Analysis of 1000 Applicants Over an 11-Year Period

Background

Improving diversity within plastic and reconstructive surgery (PRS) trainees is a crucial step to reduce inequities at the provider level. Trends in minority representation among independent program match applicants are understudied. We analyzed gender, racial, and ethnic demographic trends among independent PRS match applicants.

Methods

With the approval of the American Council of Educators in Plastic Surgery, the San Francisco Match provided data for the independent PRS match from 2013 to 2023. Trends in the independent PRS match were reviewed, and a Cochran–Armitage test was conducted to evaluate the significance of match trends in minority applicants (Female, Black, Asian, Other Race, Hispanic ethnicity) over time.

Results

A total of 1000 applicants participated in the independent plastic surgery match during the study period, of whom 735 matched. A 31% decrease in the number of independent PRS programs was observed. The match rate decreased from 86% to 60%. Statistical analysis by race (White, Black, Asian, Other) and match outcomes revealed significant differences in racial distributions between applicants and matched participants in 2014 (p = 0.002) and 2018 (p = 0.042). The proportion of female applicants and Hispanic applicants correlated yearly to the number of matched females and Hispanics, respectively (p > 0.05). Cochran–Armitage tests showed a significant increase in match trends among female participants over time (p = 0.004).

Conclusions

We show a significant increase in female representation in the independent PRS match in the last decade. However, representation of racial and ethnic minorities has shown minimal change over the years. Ongoing efforts are needed to identify barriers and reduce inequities.

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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.