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首页> 外文期刊>The Journal of the American Academy of Orthopaedic Surgeons >Orthopaedic Faculty and Resident Racial/Ethnic Diversity is Associated With the Orthopaedic Application Rate Among Underrepresented Minority Medical Students
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Orthopaedic Faculty and Resident Racial/Ethnic Diversity is Associated With the Orthopaedic Application Rate Among Underrepresented Minority Medical Students

机译：骨科教师和居民的种族/民族多样性与少数少数群体医学生的骨科申请率有关

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Introduction: Orthopaedic surgery is among the least diverse fields in all of medicine. To promote the recruitment of minorities, a commonly proposed strategy is to increase the exposure of minority medical students to orthopaedic surgeons and residents who are minorities themselves. This study examines the degree to which the racial/ethnic diversity of the orthopaedic faculty and residency program influences underrepresented in medicine (URM) medical students at that institution to pursue a career in orthopaedics. Methods: Using data provided by the Association of American Medical Colleges, we identified all US medical schools that were affiliated with an orthopaedic department and an orthopaedic residency program (n = 110). For each institution, data were collected on URM representation among the orthopaedic faculty and residents (2013 to 2017), as well as the proportion of URM medical students who applied to an orthopaedic residency program (2014 to 2018). The association between institutional factors and the URM medical student orthopaedic application rate was then assessed. Results: Of 11,887 URM students who graduated from medical school during the 5-year study period, 647 applied to an orthopaedic residency program (5.4%). URM students who attended medical school at institutions with high URM representation on the orthopaedic faculty were more likely to apply in orthopaedics (odds ratio 1.27, 95% confidence interval 1.04 to 1.55, P = 0.020), as were URM students at institutions with high URM representation in the residency program (odds ratio 1.45, 95% confidence interval 1.17 to 1.79, P < 0.001). Discussion: The benefits of a diverse orthopaedic workforce are widely acknowledged. In this study, we found that increased URM representation among the orthopaedic faculty and residents was associated with a greater likelihood that URM medical students at that institution would apply in orthopaedics. We also suggest a set of strategies to break the cycle and promote the recruitment of minorities into the field of orthopaedic surgery.
机译：简介：矫形外科是所有医学中最少不同的领域。为促进少数民族的招募，普遍提出的战略是将少数民族医学生暴露给欧形外科医生和少数民族自己的居民。本研究探讨了矫形教职队和居住计划的种族/族裔多样性的程度，在该机构追求骨科的医学（URM）医学生中所谓的历史。方法：使用美国医学院协会提供的数据，我们确定了所有与骨科部门和整形外居民（N = 110）隶属的美国医学院。对于每个机构，数据被收集到矫形教师和居民（2013年至2017年）中的urm代表上，以及申请矫形居住计划的URM医学生（2014年至2018）的比例。然后评估制度因素与URM医学学生骨科申请率之间的协会。结果：在5年的学习期间毕业于医学院的11,887名URM学生，647适用于矫形居住计划（5.4％）。在骨科教师的高urm代表中参加医学院的urm学生更有可能适用于骨科（赔率比1.27,95％的置信区间1.04至1.55，p = 0.020），urm学生在高urm的机构中是urm学生居住计划中的代表（赔率比1.45,95％置信区间1.17至1.79，P <0.001）。讨论：各种骨科劳动力的好处被广泛承认。在这项研究中，我们发现，骨科教师和居民之间的提高题目增加与该机构的荨麻医学生适用的骨科医学生将适用于骨科的更大可能性。我们还建议了一系列策略来打破周期，并促进少数群体进入整形外科领域。

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