2007年至2024年骨科外科运动医学奖学金的种族、民族和性别多样性趋势。

Aziz Shittu,Kiera Lunn,Delano R Trenchfield,Henson Destine,Christopher J Murdock,Nichelle M Enata,Joshua J Wright-Chisem,Eric W Carson,Aaron M Brandt,Justin J Hicks
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引用次数: 0

摘要

背景:尽管医学院中性别、种族和民族的比例有所增加,但骨科仍然被认为是医学中多元化程度最低的领域之一,因为在实现更多元化的骨科社区方面的进展并没有那么快。目的了解和探讨2007 - 2024年骨科外科运动医学奖学金的种族、民族和性别人口趋势。研究设计描述性流行病学研究。方法通过研究生医学教育认证委员会收集奖学金人口统计数据。数据包括性别、种族和民族,以及骨科运动医学研究员的总数。从2007年到2024年,计算了每组的百分比当量。对趋势进行χ2检验,以确定在研究期间各种族、民族和性别的百分比是否有显著变化。P < 0.05认为结果有统计学意义。未报告性别的114名研究员(3.2%)和报告其他或未知的468名研究员(16.8%)被排除在各自的分析之外。结果从2007年到2024年,白人非西班牙裔男性占运动医学研究员职位的大多数。非西班牙裔白人的比例从74.9%到88.2%,亚洲人从6.6%到16.3%,西班牙裔从0.0%到8.4%,非西班牙裔黑人从1.5%到6.9%。西班牙裔骨科运动医学研究员的比例显著增加(P = .001),但在研究员的种族和民族构成中没有其他显著变化。女性研究员的比例显著增加(P = 0.041),范围为5.4%至13.2%。结论:本研究显示,从2007年到2024年,骨科运动医学研究员中女性和西班牙裔的比例显著增加,而其他种族或族裔没有显著变化。在我们的研究中发现的差异表明,整个骨科教育管道的系统干预可能是必要的,以提高运动医学奖学金的多样性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Sports Medicine Fellowships From 2007 to 2024.
BACKGROUND Despite increases in gender, racial, and ethnic representation in medical school, orthopaedics continues to be recognized as one of the least diverse fields in medicine, as progress in achieving a more diverse orthopaedic community has not occurred nearly as rapidly. PURPOSE To ascertain and discuss the current state of racial, ethnic, and gender demographic trends in orthopaedic surgery sports medicine fellowships from 2007 to 2024. STUDY DESIGN Descriptive epidemiology study. METHODS Fellowship demographic data were collected through the Accreditation Council for Graduate Medical Education. Data include gender, race and ethnicity, and total number of orthopaedic sports medicine fellows. Percentage equivalents were calculated for each group from 2007 to 2024. A χ2 test for trend was conducted to determine if there was a significant change in the percentages of each race, ethnicity, and gender during the study period. Results were considered statistically significant at P < .05. The 114 fellows (3.2%) who did not report gender and 468 fellows (16.8%) who reported other or unknown were excluded from their respective analyses. RESULTS From 2007 to 2024, White non-Hispanic males composed the majority of sports medicine fellowship positions. White non-Hispanic representation ranged from 74.9% to 88.2%, Asian from 6.6% to 16.3%, Hispanic from 0.0% to 8.4%, and Black non-Hispanic from 1.5% to 6.9%. There was a significant increase in the proportion of Hispanic orthopaedic sports medicine fellows (P = .001) but no other significant changes among the racial and ethnic makeup of fellows. There was a significant increase in the representation of female fellows (P = .041), with a range of 5.4% to 13.2%. CONCLUSION Our study reveals a significant increase in female and Hispanic representation among orthopaedic sports medicine fellows from 2007 to 2024, but no other racial or ethnic groups showed significant change. The disparities identified in our study suggest that systemic interventions throughout the orthopaedic education pipeline may be necessary to improve sports medicine fellowship diversity.
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