Michael Lesgart, Alexander An Nguyen, Anastasiia K Tompkins, Kathleen S Berfield, Richard Kim, Douglas E Wood, David T Cooke, Cherie P Erkmen
{"title":"从谜到公平：亚裔美国人和太平洋岛民的心胸外科。","authors":"Michael Lesgart, Alexander An Nguyen, Anastasiia K Tompkins, Kathleen S Berfield, Richard Kim, Douglas E Wood, David T Cooke, Cherie P Erkmen","doi":"10.1016/j.athoracsur.2025.01.036","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Promoting physician diversity is crucial for addressing healthcare disparities in the United States. Asian Americans and Pacific Islanders (AAPIs) constitute 5.7% of the US population and 20% of physicians. However, their experiences in cardiothoracic surgery remain underexplored. This work examines historical context, representation, salary data, and AAPIs' personal experiences elaborating on biases and misconceptions faced in academic cardiothoracic surgery.</p><p><strong>Methods: </strong>We conducted a literature review, analyzed representation from the Accreditation Council for Graduate Medical Education Data Resource Book (2022-2023) and salary data from the Association of American Medical Colleges Faculty Salary Reports (2021-2023).</p><p><strong>Results: </strong>AAPI trainees constitute 20.7% of thoracic surgery fellows and 25.7% of integrated thoracic surgery residents. AAPI faculty representation was 32.3% of assistant professors, 33.9% of associate professors, and 18.9% of professors. Salary analysis revealed disparities, with AAPI assistant professors earning significantly less than their White counterparts (90.2%; p = 0.018).</p><p><strong>Conclusions: </strong>Despite representation in the trainee and faculty cardiothoracic workforce, AAPIs face challenges in cultural biases and salary equity. Individual, institutional and national efforts valuing diversity and equity of career opportunities in cardiothoracic surgery are needed.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"From Enigma to Equity: Asian American and Pacific Islanders in Cardiothoracic Surgery.\",\"authors\":\"Michael Lesgart, Alexander An Nguyen, Anastasiia K Tompkins, Kathleen S Berfield, Richard Kim, Douglas E Wood, David T Cooke, Cherie P Erkmen\",\"doi\":\"10.1016/j.athoracsur.2025.01.036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Promoting physician diversity is crucial for addressing healthcare disparities in the United States. Asian Americans and Pacific Islanders (AAPIs) constitute 5.7% of the US population and 20% of physicians. However, their experiences in cardiothoracic surgery remain underexplored. This work examines historical context, representation, salary data, and AAPIs' personal experiences elaborating on biases and misconceptions faced in academic cardiothoracic surgery.</p><p><strong>Methods: </strong>We conducted a literature review, analyzed representation from the Accreditation Council for Graduate Medical Education Data Resource Book (2022-2023) and salary data from the Association of American Medical Colleges Faculty Salary Reports (2021-2023).</p><p><strong>Results: </strong>AAPI trainees constitute 20.7% of thoracic surgery fellows and 25.7% of integrated thoracic surgery residents. AAPI faculty representation was 32.3% of assistant professors, 33.9% of associate professors, and 18.9% of professors. Salary analysis revealed disparities, with AAPI assistant professors earning significantly less than their White counterparts (90.2%; p = 0.018).</p><p><strong>Conclusions: </strong>Despite representation in the trainee and faculty cardiothoracic workforce, AAPIs face challenges in cultural biases and salary equity. Individual, institutional and national efforts valuing diversity and equity of career opportunities in cardiothoracic surgery are needed.</p>\",\"PeriodicalId\":50976,\"journal\":{\"name\":\"Annals of Thoracic Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2025-03-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Thoracic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.athoracsur.2025.01.036\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Thoracic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.athoracsur.2025.01.036","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
From Enigma to Equity: Asian American and Pacific Islanders in Cardiothoracic Surgery.
Background: Promoting physician diversity is crucial for addressing healthcare disparities in the United States. Asian Americans and Pacific Islanders (AAPIs) constitute 5.7% of the US population and 20% of physicians. However, their experiences in cardiothoracic surgery remain underexplored. This work examines historical context, representation, salary data, and AAPIs' personal experiences elaborating on biases and misconceptions faced in academic cardiothoracic surgery.
Methods: We conducted a literature review, analyzed representation from the Accreditation Council for Graduate Medical Education Data Resource Book (2022-2023) and salary data from the Association of American Medical Colleges Faculty Salary Reports (2021-2023).
Results: AAPI trainees constitute 20.7% of thoracic surgery fellows and 25.7% of integrated thoracic surgery residents. AAPI faculty representation was 32.3% of assistant professors, 33.9% of associate professors, and 18.9% of professors. Salary analysis revealed disparities, with AAPI assistant professors earning significantly less than their White counterparts (90.2%; p = 0.018).
Conclusions: Despite representation in the trainee and faculty cardiothoracic workforce, AAPIs face challenges in cultural biases and salary equity. Individual, institutional and national efforts valuing diversity and equity of career opportunities in cardiothoracic surgery are needed.
期刊介绍：
The mission of The Annals of Thoracic Surgery is to promote scholarship in cardiothoracic surgery patient care, clinical practice, research, education, and policy. As the official journal of two of the largest American associations in its specialty, this leading monthly enjoys outstanding editorial leadership and maintains rigorous selection standards.
The Annals of Thoracic Surgery features:
• Full-length original articles on clinical advances, current surgical methods, and controversial topics and techniques
• New Technology articles
• Case reports
• "How-to-do-it" features
• Reviews of current literature
• Supplements on symposia
• Commentary pieces and correspondence
• CME
• Online-only case reports, "how-to-do-its", and images in cardiothoracic surgery.
An authoritative, clinically oriented, comprehensive resource, The Annals of Thoracic Surgery is committed to providing a place for all thoracic surgeons to relate experiences which will help improve patient care.
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