Jason Silvestre, Kola George, Elizabeth K Nadeau, Daniel J Scott, Christopher E Gross
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Participation-to-prevalence ratios (PPRs) were calculated and analyzed to classify representation of demographic groups in orthopaedic foot and ankle surgery training as overrepresented (PPR > 1.2), equivalent (PPR = 0.8-1.2), and underrepresented (PPR < 0.8).</p><p><strong>Results: </strong>Disparities existed in demographic representation among medical students, orthopaedic surgery residents, and ACGME-accredited orthopaedic foot and ankle fellows among women (48.4% vs 16.1% vs 20.1, P < .001), black (6.9% vs 4.6% vs 4.5%, P < .001), Asian (23.9% vs 14.1% vs 23.9%, P < .001), and Hispanic (6.1% vs 4.6% vs 3.0%, P < .001) trainees. There were no self-reported American Indian/Alaska Native and Native Hawaiian/Pacific Islander trainees in orthopaedic foot and ankle fellowship training (PPR = 0). Women (PPR = 0.40), black (PPR = 0.36), and Hispanic (PPR = 0.16) trainees were underrepresented in orthopaedic foot and ankle training relative to the US population. In contrast, Asian (PPR = 3.45), men (PPR = 1.61), and white (PPR = 1.21) trainees were overrepresented in orthopaedic foot and ankle relative to the US population.</p><p><strong>Discussion: </strong>There is a lack of gender, racial, and ethnic diversity in orthopaedic foot and ankle training relative to the US patient population and earlier stages of medical training. Increased efforts to recruit underrepresented groups may promote diversity and inclusion in the emerging orthopaedic foot and ankle surgery workforce.</p><p><strong>Levels of evidence: </strong>III.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400241312945"},"PeriodicalIF":2.1000,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diversity in Medical School, Orthopaedic Surgery Residency, and ACGME-Accredited Foot and Ankle Orthopaedic Surgery Fellowship Training by Gender, Race, and Ethnicity.\",\"authors\":\"Jason Silvestre, Kola George, Elizabeth K Nadeau, Daniel J Scott, Christopher E Gross\",\"doi\":\"10.1177/19386400241312945\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Increasing diversity in the US health care workforce is a topic of increasing scrutiny and interest. This study analyzes the pipeline of demographic diversity for Accreditation Council for Graduate Medical Education (ACGME)-accredited foot and ankle orthopaedic surgery fellowship training.</p><p><strong>Methods: </strong>This was a cross-sectional study of medical students, orthopaedic surgery residents, and orthopaedic foot and ankle fellows at US-accredited training programs from 2013 to 2022. Self-reported demographic data were available for trainees and compared with the 2020 US Census according to federal guidelines. Participation-to-prevalence ratios (PPRs) were calculated and analyzed to classify representation of demographic groups in orthopaedic foot and ankle surgery training as overrepresented (PPR > 1.2), equivalent (PPR = 0.8-1.2), and underrepresented (PPR < 0.8).</p><p><strong>Results: </strong>Disparities existed in demographic representation among medical students, orthopaedic surgery residents, and ACGME-accredited orthopaedic foot and ankle fellows among women (48.4% vs 16.1% vs 20.1, P < .001), black (6.9% vs 4.6% vs 4.5%, P < .001), Asian (23.9% vs 14.1% vs 23.9%, P < .001), and Hispanic (6.1% vs 4.6% vs 3.0%, P < .001) trainees. There were no self-reported American Indian/Alaska Native and Native Hawaiian/Pacific Islander trainees in orthopaedic foot and ankle fellowship training (PPR = 0). Women (PPR = 0.40), black (PPR = 0.36), and Hispanic (PPR = 0.16) trainees were underrepresented in orthopaedic foot and ankle training relative to the US population. In contrast, Asian (PPR = 3.45), men (PPR = 1.61), and white (PPR = 1.21) trainees were overrepresented in orthopaedic foot and ankle relative to the US population.</p><p><strong>Discussion: </strong>There is a lack of gender, racial, and ethnic diversity in orthopaedic foot and ankle training relative to the US patient population and earlier stages of medical training. 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引用次数: 0
摘要
简介：美国卫生保健工作人员日益增加的多样性是一个日益受到关注和关注的话题。本研究分析了研究生医学教育认证委员会（ACGME）认可的足部和踝关节整形外科奖学金培训的人口多样性管道。方法：这是一项横断面研究，研究对象是2013年至2022年在美国认可的培训项目中就读的医学生、骨科住院医师和骨科足部和踝关节研究员。根据联邦指导方针，学员可以获得自我报告的人口统计数据，并与2020年美国人口普查进行比较。计算和分析参与-患病率比率（PPR），将骨科足和踝关节手术培训的人口统计学群体的代表性分为代表性过高（PPR为bb0 1.2）、代表性相当（PPR为0.8-1.2）和代表性不足（PPR < 0.8）。结果：在医学学生、骨科住院医师和acgme认证的骨科足踝研究员中，女性（48.4% vs 16.1% vs 20.1, P < .001）、黑人（6.9% vs 4.6% vs 4.5%, P < .001）、亚洲人（23.9% vs 14.1% vs 23.9%, P < .001）和西班牙裔（6.1% vs 4.6% vs 3.0%, P < .001）实习生的人口统计学代表性存在差异。没有自我报告的美国印第安人/阿拉斯加原住民和夏威夷原住民/太平洋岛民接受矫形足部和踝关节研究培训（PPR = 0）。相对于美国人口，女性（PPR = 0.40）、黑人（PPR = 0.36）和西班牙裔（PPR = 0.16）受训者在矫形足部和踝关节培训中的代表性不足。相比之下，亚洲（PPR = 3.45）、男性（PPR = 1.61）和白人（PPR = 1.21）受训人员在足部和踝关节矫形手术中的比例高于美国人口。讨论：与美国患者群体和早期医疗培训相比，骨科足和踝关节培训缺乏性别、种族和民族多样性。增加招募代表性不足的群体的努力可能会促进新兴骨科足部和踝关节手术队伍的多样性和包容性。证据等级：III。
Diversity in Medical School, Orthopaedic Surgery Residency, and ACGME-Accredited Foot and Ankle Orthopaedic Surgery Fellowship Training by Gender, Race, and Ethnicity.
Introduction: Increasing diversity in the US health care workforce is a topic of increasing scrutiny and interest. This study analyzes the pipeline of demographic diversity for Accreditation Council for Graduate Medical Education (ACGME)-accredited foot and ankle orthopaedic surgery fellowship training.
Methods: This was a cross-sectional study of medical students, orthopaedic surgery residents, and orthopaedic foot and ankle fellows at US-accredited training programs from 2013 to 2022. Self-reported demographic data were available for trainees and compared with the 2020 US Census according to federal guidelines. Participation-to-prevalence ratios (PPRs) were calculated and analyzed to classify representation of demographic groups in orthopaedic foot and ankle surgery training as overrepresented (PPR > 1.2), equivalent (PPR = 0.8-1.2), and underrepresented (PPR < 0.8).
Results: Disparities existed in demographic representation among medical students, orthopaedic surgery residents, and ACGME-accredited orthopaedic foot and ankle fellows among women (48.4% vs 16.1% vs 20.1, P < .001), black (6.9% vs 4.6% vs 4.5%, P < .001), Asian (23.9% vs 14.1% vs 23.9%, P < .001), and Hispanic (6.1% vs 4.6% vs 3.0%, P < .001) trainees. There were no self-reported American Indian/Alaska Native and Native Hawaiian/Pacific Islander trainees in orthopaedic foot and ankle fellowship training (PPR = 0). Women (PPR = 0.40), black (PPR = 0.36), and Hispanic (PPR = 0.16) trainees were underrepresented in orthopaedic foot and ankle training relative to the US population. In contrast, Asian (PPR = 3.45), men (PPR = 1.61), and white (PPR = 1.21) trainees were overrepresented in orthopaedic foot and ankle relative to the US population.
Discussion: There is a lack of gender, racial, and ethnic diversity in orthopaedic foot and ankle training relative to the US patient population and earlier stages of medical training. Increased efforts to recruit underrepresented groups may promote diversity and inclusion in the emerging orthopaedic foot and ankle surgery workforce.
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