4.5 Article

Diversification of Academic Surgery, Its Leadership, and the Importance of Intersectionality

期刊

JAMA SURGERY
卷 156, 期 8, 页码 748-756

出版社

AMER MEDICAL ASSOC
DOI: 10.1001/jamasurg.2021.1546

关键词

-

类别

资金

  1. National Human Genome Research Institute [T32 HG008958]
  2. National Cancer Institute of the National Institutes of Health [R01CA242003]
  3. Joseph and Ann Matella Fund for Pancreatic Cancer Research

向作者/读者索取更多资源

The study found that a disproportionately small number of faculty from minority groups obtain leadership positions in academic surgery, with female members of racial/ethnic minority groups potentially facing greater challenges in achieving leadership roles compared to their male colleagues. These findings highlight the urgency to diversify surgical leadership.
IMPORTANCE Diversity in academic surgery is lacking, particularly among positions of leadership. OBJECTIVE To evaluate trends among racial/ethnical minority groups stratified by gender along the surgical pipeline, as well as in surgical leadership. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional and longitudinal analysis assessed US surgical faculty census data obtained from the Association of American Medical Colleges faculty roster in the Faculty Administrative Management Online User System database. Surgical faculty members captured in census data from December 31, 2013, to December 31, 2019, were included in the analysis. Faculty were identified from the surgery category of the faculty roster, which includes general surgeons and subspecialists, neurosurgeons, and urologists. MAIN OUTCOMES AND MEASURES Gender and race/ethnicity were obtained for surgical faculty stratified by rank. Descriptive statistics with annual percentage of change in representation are reported based on faculty rank. RESULTS A total of 15 653 US surgical faculty, including 3876 women (24.8%), were included in the data set for 2019. Female faculty from racial/ethnic minority groups experienced an increase in representation at instructor and assistant and associate professorship appointments, with a more favorable trajectory than male faculty from racial/ethnic minority groups across nearly all ranks. White faculty maintain most leadership positions as full professors (3105 of 3997 [77.7%]) and chairs (294 of 380 [77.4%]). The greatest magnitude of underrepresentation along the surgical pipeline has been among Black (106 of 3997 [2.7%]) and Hispanic/Latinx (176 of 3997 [4.4%]) full professors. Among full professors, although Black and Hispanic/Latinx male representation increased modestly (annual change, 0.07% and 0.10%, respectively), Black female representation remained constant (annual change, 0.00004%) and Hispanic/Latinx female representation decreased (annual change, -0.16%). Overall Hispanic/Latinx (20 of 380 [5.3%]) and Black (13 of 380 [3.4%]) representation as chairs has not changed, with only 1 Black and 1 Hispanic/Latinx woman ascending to chair from 2013 to 2019. CONCLUSIONS AND RELEVANCE A disproportionately small number of faculty from minority groups obtain leadership positions in academic surgery. Intersectionality may leave female members of racial/ethnic minority groups more disadvantaged than their male colleagues in achieving leadership positions. These findings highlight the urgency to diversify surgical leadership. (c) 2021 American Medical Association. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据