National trends in distribution of underrepresented minorities within United States general surgery residency programs: A longitudinal panel study

Cultural affinity with a provider improves satisfactoriness of healthcare. We examined 2005–2019 trends in racial/ethnic diversity/inclusion within general surgery residency programs. We triangulated 2005–2019 race/ethnicity data from Association of American Medical Colleges surveys of 4th-year medi...

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Published in:The American journal of surgery 2023-06, Vol.225 (6), p.1000-1008
Main Authors: Carter, Brittany D., Badejo, Megan A., Ogola, Gerald O., Waddimba, Anthony C., Fleshman, James W., Harrington, Melvyn A.
Format: Article
Language:English
Subjects:
African Americans
Colleges & universities
Diversity
Education, Medical, Graduate
Equity
Ethnicity
General surgery residency training
Hispanic Americans
Humans
Inclusion
Internship and Residency
Investigations
Longitudinal Studies
Mann-Kendall trend test
Medical education
Medical schools
Medical students
Minority & ethnic groups
Minority Groups
Race
Representations
Response rates
Surgeons
Surgery
Time series
Trends
Underrepresented minorities in medicine
United States
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description Cultural affinity with a provider improves satisfactoriness of healthcare. We examined 2005–2019 trends in racial/ethnic diversity/inclusion within general surgery residency programs. We triangulated 2005–2019 race/ethnicity data from Association of American Medical Colleges surveys of 4th-year medical students, the Electronic Residency Application Service, and Accreditation Council for Graduate Medical Education-affiliated general surgery residencies. Temporal trends in minority representation were tested for significance. Underrepresented racial/ethnic minorities in medicine (URiMs) increased among graduating MDs from 7.6% in 2005 to 11.8% in 2019 (p 
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Growing URiM proportions among medical school graduates and surgery residency applicants did not improve URiM representation among surgery trainees nor shrink the percentage of programs without URiMs. Deeper research into motivators underlying URiMs’ residency program preferences is warranted. •Providers attuned to a patient's cultural heritage enhance the patient's experience.•Lagging diversity among surgeons foments racial/ethnic inequities in surgical care.•Minority representation within surgery residency was examined from 2005 to 2019.•Program applicants increased in diversity but actual minority recruitment stagnated.•Surgery residency diversification efforts must be expanded to be effective nationally.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2023.01.011</identifier><identifier>PMID: 36646598</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>African Americans ; Colleges &amp; universities ; Diversity ; Education, Medical, Graduate ; Equity ; Ethnicity ; General surgery residency training ; Hispanic Americans ; Humans ; Inclusion ; Internship and Residency ; Investigations ; Longitudinal Studies ; Mann-Kendall trend test ; Medical education ; Medical schools ; Medical students ; Minority &amp; ethnic groups ; Minority Groups ; Race ; Representations ; Response rates ; Surgeons ; Surgery ; Time series ; Trends ; Underrepresented minorities in medicine ; United States</subject><ispartof>The American journal of surgery, 2023-06, Vol.225 (6), p.1000-1008</ispartof><rights>2023</rights><rights>Copyright © 2023. 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ispartof The American journal of surgery, 2023-06, Vol.225 (6), p.1000-1008
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subjects African Americans
Colleges & universities
Diversity
Education, Medical, Graduate
Equity
Ethnicity
General surgery residency training
Hispanic Americans
Humans
Inclusion
Internship and Residency
Investigations
Longitudinal Studies
Mann-Kendall trend test
Medical education
Medical schools
Medical students
Minority & ethnic groups
Minority Groups
Race
Representations
Response rates
Surgeons
Surgery
Time series
Trends
Underrepresented minorities in medicine
United States
title National trends in distribution of underrepresented minorities within United States general surgery residency programs: A longitudinal panel study
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