脊柱外科培训路径上的多样性转变：从医学院到研究员的种族、民族和性别代表。

IF 4.7 1区医学 Q1 CLINICAL NEUROLOGY

Spine Journal Pub Date : 2025-08-26 DOI:10.1016/j.spinee.2025.08.332

Jason Silvestre, Jaslyn A Hernandez, Robert A Ravinsky, James D Kang, Hao Hua Wu, Charles A Reitman, James P Lawrence

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引用次数: 0

摘要

背景背景：在美国（US）的医疗保健提供者中，种族和少数民族的代表性不足。目的：本研究分析了相对于早期培训阶段和美国人口，未被充分代表的脊柱外科群体的培训途径。研究设计/环境：这是一项对医学学生、骨科住院医师和脊柱外科研究员的横断面分析（2014年至2024年）。结果测量：代表性（%）和参与率-患病率（ppr）定义为人口统计学组在脊柱外科培训中的参与率超过其在培训队列早期阶段的患病率。ppr 1.2被归类为代表性过高。方法：比较美国人口、医学生、骨科住院医师和脊柱外科研究员自我报告的人口统计数据。结果：医学生、骨科住院医师和脊柱外科研究员（包括女性）之间存在人口统计学差异（48.7% vs 16.7% vs 6.6%）。结论：相对于美国人口，经认证的脊柱外科培训中性别、种族和民族的多样性是有限的。在医学培训的早期阶段，可能有机会招募代表性不足的群体，以促进新兴脊柱外科工作人员的多样性、公平性和包容性。

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Shifts in diversity along the spine surgery training pathway: racial, ethnic, and gender representation from medical school to fellowship.

Background context: Racial and ethnic minorities are underrepresented among healthcare providers in the United States (US).

Purpose: This study analyzed the training pathway of underrepresented groups in spine surgery relative to earlier stages of training and the US population.

Study design/setting: This was a cross-sectional analysis of medical students, orthopedic surgery residents, and spine surgery fellows at accredited training programs (2014-2024).

Patient sample: N/A.

Outcome measures: Representation (%) and participation-to-prevalence ratios (PPRs) defined as the participation of demographic groups in spine surgery training over their prevalence in earlier stages of training cohorts. PPRs <0.80 were classified as underrepresented and PPRs>1.2 were classified as overrepresented.

Methods: Self-reported demographics were compared between the US population, medical students, orthopedic surgery residents, and spine surgery fellows.

Results: There were demographic disparities between medical students, orthopedic surgery residents, and spine surgery fellows including female (48.7% vs. 16.7% vs. 6.6%, p<.001), White (54.7% vs. 73.1% vs. 52.6%, p<.001), Black (6.1% vs. 4.4% vs. 8.4%, p<.001), Native Hawaiian/Pacific Islander (0.04% vs. 0.08% vs. 0.70%, p<.001), and Asian (21.3% vs. 13.0% vs. 17.1%, p<.001) trainees. There were no significant disparities among Hispanic (5.4% vs. 5.3% vs. 7.7%, p=.292) and American Indian/Alaska Native (0.15% vs. 0.13% vs. 0.35%, p=.888) trainees. Relative to the US population, female (PPR=0.13), Hispanic (PPR=0.41), American Indian/Alaska Native (PPR=0.64), and Black (PPR=0.68) trainees were underrepresented in spine surgery. In contrast, Asian (PPR=2.85), male (PPR=1.89), Native Hawaiian/Pacific Islander (PPR=1.75) were overrepresented in accredited spine surgery training relative to the US population.

Conclusions: Diversity by gender, race, and ethnicity in accredited spine surgery training is limited relative to the US population. There may be opportunities to recruit underrepresented groups during earlier stages of medical training to promote diversity, equity, and inclusion in the emerging spine surgery workforce.

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来源期刊

Spine Journal 医学-临床神经学

CiteScore

8.20

自引率

6.70%

发文量

680

审稿时长

13.1 weeks

期刊介绍： The Spine Journal, the official journal of the North American Spine Society, is an international and multidisciplinary journal that publishes original, peer-reviewed articles on research and treatment related to the spine and spine care, including basic science and clinical investigations. It is a condition of publication that manuscripts submitted to The Spine Journal have not been published, and will not be simultaneously submitted or published elsewhere. The Spine Journal also publishes major reviews of specific topics by acknowledged authorities, technical notes, teaching editorials, and other special features, Letters to the Editor-in-Chief are encouraged.