Matthew Newman, Neil Scott, Phyo Kyaw Myint, Ricky Ellis
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Data were categorised and missing data excluded as per pre-specified protocols.</p><p><strong>Results: </strong>The proportion of Non-White CST entrants rose from 36.5 % in 2012 to 54.3 % in 2022 (X<sup>2</sup> = 124.421, p < 0.001). Entrants declaring a disability increased from 4.8 % in 2016 to 10.4 % in 2019 (X<sup>2</sup> = 22.225, p = 0.014). No significant trends were observed for gender (X<sup>2</sup> = 15.338, p = 0.120) or sexuality (X<sup>2</sup> = 9.880, p = 0.451).</p><p><strong>Conclusions: </strong>This study highlights positive trends in the ethnic and disability diversity of successful CST applicants over the past decade. However, gender and sexuality diversity showed no significant change. 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引用次数: 0
摘要
背景和目的：多样化的医疗保健工作队伍是确保服务反映和满足多样化人口需求的一个重要目标。核心外科培训（CST）是英国外科培训的第一阶段，但这一阶段的多样性趋势以前没有描述过。我们的目标是描述2012年至2022年间成功的CST申请者在性别、种族、残疾和性取向方面的趋势。方法：回顾性队列研究使用来自英国医学教育数据库（UKMED）的匿名数据，对2012年至2022年间所有成功申请CST的患者进行研究。趋势的卡方检验用于评估人口统计学特征随时间的显著变化。根据预先指定的方案对数据进行分类并排除缺失数据。结果：非白人CST进入者比例由2012年的36.5%上升至2022年的54.3% （X2 = 124.421, p 2 = 22.225, p = 0.014）。性别（X2 = 15.338, p = 0.120）和性向（X2 = 9.880, p = 0.451）无明显变化趋势。结论：这项研究突出了过去十年中成功申请CST的申请人的种族和残疾多样性的积极趋势。然而，性别和性向多样性没有明显变化。需要进一步的研究来探索进入壁垒，并确保向包容性外科劳动力的持续发展。
Diversity in core surgical training: Trends between 2012 and 2022.
Background and purpose: A diverse healthcare workforce is an important goal in ensuring that services reflect and meet the needs of a diverse population. Core Surgical Training (CST) is the first stage of surgical training in the UK, but diversity trends at this level have not been previously described. We aim to describe trends in gender, ethnicity, disability, and sexuality among successful CST applicants between 2012 and 2022.
Methods: A retrospective cohort study was conducted using anonymised data from the UK Medical Education Database (UKMED) for all successful CST applicants between 2012 and 2022. Chi-squared tests for trend were used to assess statistically significant changes in demographic characteristics over time. Data were categorised and missing data excluded as per pre-specified protocols.
Results: The proportion of Non-White CST entrants rose from 36.5 % in 2012 to 54.3 % in 2022 (X2 = 124.421, p < 0.001). Entrants declaring a disability increased from 4.8 % in 2016 to 10.4 % in 2019 (X2 = 22.225, p = 0.014). No significant trends were observed for gender (X2 = 15.338, p = 0.120) or sexuality (X2 = 9.880, p = 0.451).
Conclusions: This study highlights positive trends in the ethnic and disability diversity of successful CST applicants over the past decade. However, gender and sexuality diversity showed no significant change. Further research is needed to explore barriers to entry and ensure continued progress towards an inclusive surgical workforce.
期刊介绍：
Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field.
Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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