Gender and Racial Disparity Among Liver Transplantation Professionals: Report of a Global Survey.

Gender and Racial Disparity Among Liver Transplantation Professionals: Report of a Global Survey.
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DOI:
10.3389/ti.2022.10506
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发表时间:
2022
影响因子:
3.1
通讯作者:
Selzner, Nazia
Selzner, Nazia
中科院分区:
医学3区
文献类型:
--
作者:
Aguilera, Victoria;Andacoglu, Oya;Francoz, Claire;Berlakovich, Gabriela;Pai, Sher-Lu;Adelmann, Dieter;Ghosh, Simantika;Lunsford, Keri E.;Montenovo, Martin;Mrzljak, Anna;Scalera, Irene;Xie, Qinfen;Becchetti, Chiara;Berenguer, Marina;Selzner, Nazia

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平等、多样性和包容性(EDI)是基本原则。关于肝移植(LT)提供者对EDI的实践模式和看法知之甚少。国际肝移植学会(ILTS)EDI委员会围绕歧视,指导和性别相关主题进行调查。答案是匿名收集和分析的。还通过公开数据对全球女性领导力进行了调查。该调查通过电子邮件发送给1312名ILTS成员,从38个国家收集了199份回复(40.7%女性)(回复率为15.2%)。近一半是外科医生(45.7%),27.6%是肝病学家,26.6%是麻醉师。在全球856个LT项目中,8.2%的领导职位由女性担任,所有专业的部门负责人中有22%是女性。68%的受访者(34.7%)报告在培训期间或在目前的职位上受到某种形式的歧视,可能与性别/性取向(20.6%)、种族/原籍国(25.2%)和其他(7.1%)有关。不到一半(43.7%)的人在歧视发生时得到指导。女性的反应和歧视之间的关联,薪酬差异,和工作晋升。这项调查揭示了种族和性别不平等、缺乏指导的惊人比例,以及LT领域女性领导的比例非常低,并呼吁采取行动实现公平和包容。
Equality, diversity, and inclusion (EDI) are fundamental principles. Little is known about the pattern of practice and perceptions of EDI among liver transplant (LT) providers. International Liver Transplant Society (ILTS) EDI Committee survey around topics related to discrimination, mentorship, and gender. Answers were collected and analyzed anonymously. Worldwide female leadership was also queried via publicly available data. The survey was e-mailed to 1312 ILTS members, 199 responses (40.7% female) were collected from 38 countries (15.2% response rate). Almost half were surgeons (45.7%), 27.6% hepatologists and 26.6% anesthetists. Among 856 LT programs worldwide, 8.2% of leadership positions were held by females, and 22% of division chiefs were female across all specialties. Sixty-eight of respondents (34.7%) reported some form of discrimination during training or at their current position, presumably related to gender/sexual orientation (20.6%), race/country of origin (25.2%) and others (7.1%). Less than half (43.7%) received mentorship when discrimination occurred. An association between female responses and discrimination, differences in compensation, and job promotion was observed. This survey reveals alarmingly high rate of experience with racial and gender disparity, lack of mentorship, and very low rates of female leadership in the LT field and calls to action to equity and inclusion.
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