Trends in Race/Ethnicity of Pediatric Residents and Fellows: 2007-2019
Trends in Race/Ethnicity of Pediatric Residents and Fellows: 2007-2019
复制标题
DOI：
10.1542/peds.2020-026666
复制
发表时间：
2021-07-01
期刊：
影响因子：
8
通讯作者：
Russell, Christopher J.
中科院分区：
文献类型：
--
作者：
Montez, Kimberly;Omoruyi, Emma A.;Russell, Christopher J.
背景和目标：反映美国人口种族/民族代表性的多样化儿科工作人员是消除健康不平等的重要因素。研究表明，随着时间的推移，医学(URIM)医生比例的改善微乎其微；然而，评估儿科URIM实习生代表趋势的研究有限。我们的目标是评估美国儿科实习生中种族/民族代表性的纵向趋势，并将其与美国人口进行比较。方法：重复横断面研究2007-2019年儿科住院医生和专科研究员自报种族/民族的研究生医学教育普查数据。为了评估Urim比例随时间的变化趋势，进行了Cochran-Armitage测试。结果：居民中URIM比例的趋势没有变化(2007年为16%，2019年为16.5%；P=.98)，而研究员总体上有所下降(2007年为14.2%，2019年为13.5%；P=.002)。随着时间的推移，URIM在新生儿-围产期医学(P<；.001)、传染病(P<；.001)和危重护理(P=.006)方面的趋势显著减少，而在内分泌学(P=.002)和肺病学(P=.009)方面显著增加。随着时间的推移，与美国人口相比，URIM儿科实习生的比例相当低。结论：URIM儿科实习生的代表性持续偏低可能会使少数族裔儿科人口长期存在健康不平等。迫切需要招募和留住儿科URIM住院医生和专科研究员。
BACKGROUND AND OBJECTIVES: A diverse pediatric workforce reflecting the racial/ethnic representation of the US population is an important factor in eliminating health inequities. Studies reveal minimal improvements over time in the proportions of underrepresented in medicine (URiM) physicians; however, studies assessing trends in pediatric URiM trainee representation are limited. Our objective was to evaluate longitudinal trends in racial/ethnic representation among a cross-section of US pediatric trainees and to compare it to the US population.METHODS: Repeated cross-sectional study of graduate medical education census data on self-reported race/ethnicity of pediatric residents and subspecialty fellows from 2007 to 2019. To evaluate trends in URiM proportions over time, the Cochran-Armitage test was performed. Data on self-reported race/ethnicity of trainees were compared with the general population data over time by using US Census Bureau data.RESULTS: Trends in URiM proportions were unchanged in residents (16% in 2007 to 16.5% in 2019; P = .98) and, overall, decreased for fellows (14.2% in 2007 to 13.5% in 2019; P = .002). URiM fellow trends significantly decreased over time in neonatal-perinatal medicine (P < .001), infectious diseases (P < .001), and critical care (P = .006) but significantly increased in endocrinology (P = .002) and pulmonology (P = .009). Over time, the percentage of URiM pediatric trainee representation was considerably lower compared to the US population.CONCLUSIONS: The continued underrepresentation of URiM pediatric trainees may perpetuate persistent health inequities for minority pediatric populations. There is a critical need to recruit and retain pediatric URiM residents and subspecialty fellows.