Major Deficit in the Number of Underrepresented Minority Academic Surgeons Persists
Major Deficit in the Number of Underrepresented Minority Academic Surgeons Persists
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DOI：
10.1097/sla.0b013e31817f2c30
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发表时间：
2008-11-01
影响因子：
9
通讯作者：
Britt, L. D.
中科院分区：
文献类型：
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作者：
Butler, Paris D.;Longaker, Michael T.;Britt, L. D.
简介：消除美国的医疗保健差距需要采取多方面的方法，包括增加医疗保健工作人员的多样性。从历史上看，医学领域，特别是外科领域，有一个严重歪曲患者群体的现任者。描述美国外科住院医师和教师的确切人口统计数据可以提供出色的信息，深入了解可能存在的缺陷，如果通过医学教育系统进行纠正，可能会改变外科和整个医疗保健系统的面貌。方法：关于医学生，外科住院医生，从美国医学院校协会1966年以来的数据文件中检索和分析外科教师。白人占美国外科住院医生的64.4%，而亚裔美国人，非洲裔美国人和拉丁裔美国人分别占17.2%，4.7%和5.1%。白人占学术外科医生的74.1%，而亚裔美国人，非洲裔美国人和拉丁美洲人分别占10.8%，2.9%和3.6%。非洲裔美国人和拉丁裔美国人分别占美国外科医生总数的5.4%和4.8%，但仅占学术外科医生的2.9%和3.6%。白人包括85.7%的终身外科教授，而亚裔美国人，非洲裔美国人和拉丁裔美国人包括4.9%，1.8%和2.7%，respectively.Conclusion：学术手术是非常缺乏的少数民族居民，初级教师和教授。纠正这种错误的陈述将有助于为那些不寻求护理的患者建立一个更具文化和种族敏感性的医疗保健环境。此外，随着越来越多的少数民族学术外科医生，调查研究可能会相应增加，突出少数民族的具体医疗保健需求，并为未来的少数民族外科医生提供更多的榜样和导师。
Introduction: Eliminating health care disparities in the United States will require a multifaceted approach that will include increasing diversity in the health care workforce. Historically, the field of medicine, and particularly surgery, has had an incumbent that grossly misrepresents the patient population. Delineating the exact demographics of the U.S. surgical residents and faculty could provide outstanding information, yielding insight into a possible deficit that, if rectified by the medical education system, could change the face of surgery and the entire health care system.Methods: Demographic information regarding medical students, surgical residents, and surgical faculty was retrieved and analyzed from the Association of American Medical Colleges data files dating back to 1966.Results: Whites comprise 64.4% of U.S. surgical residents, whereas Asian Americans, African Americans, and Latino Americans comprise 17.2%, 4.7%, and 5.1%, respectively. Whites comprise 74.1%, of academic surgeons, whereas Asian Americans, African Americans, and Latino Americans comprise 10.8%, 2.9%, and 3.6%, respectively. African Americans and Latino Americans comprise 5.4% and 4.8% of all U.S. surgeons, but only 2.9% and 3.6% of the academic surgeons, respectively. Whites comprise 85.7% of tenured surgical professors, whereas Asian Americans, African Americans, and Latino Americans comprise 4.9%, 1.8%, and 2.7%, respectively.Conclusion: Academic surgery is exceedingly deficient of minority residents, junior faculty, and professors. Correcting this misrepresentation would facilitate establishing a more culturally and ethnically sensitive health care environment for patients who otherwise would not seek care. Additionally, with more minority academic surgeons, there will likely be a commensurate increase in investigative studies highlighting minority specific health care needs and provide additional role models and mentors for future minority surgeons.