Purpose Despite increasing female representation in integrated plastic surgery training programs, independent programs have lower representation and slow improvement in female enrollment. Self-reported resident data were used to investigate trends of female representation in integrated and independent programs. Methods Data were collected from Accreditation Council of Graduate Medical Education resources of active residents' characteristics. Self-reported gender data were collected for integrated, independent, and general surgery programs from annual reports since 2009. χ2 analysis was conducted to compare female enrollment of integrated programs, independent programs, general surgery programs, and general surgery programs with matriculation-year adjustment. Results In 2008, 89 independent programs had nearly identical percentage of female enrollment with 30 integrated programs at 23.8% and 23.1%, respectively. Differences in representation between independent and integrated programs became significant in 2012, with independent programs demonstrating 25.1% female enrollment compared with 30.5% in integrated programs. This trend of higher female representation in integrated programs has persisted since 2012. To correct for preexisting disparity in general surgery programs, we compared female enrollment of independent programs with female enrollment of that class' general surgery matriculation-year 5 years earlier. In all examined years, general surgery still had proportionally higher female enrollment compared with independent programs, even with conservative 5-year matriculation adjustment. Conclusions Dramatic differences in female enrollment were found between integrated and independent programs, with representation in integrated programs rising more quickly. Adjustments for previous rates of female enrollment in general surgery did not yield explanation for low independent program enrollment. Increasing female representation in independent training models will continue to create a more diverse workforce.
PRS Global Open • 2023 supportiveness. Questions were also asked regarding effects of relocation on affected trainees' personal lives. RESULTS:The response rate was 14/23 (61%). Only half of respondents were informed of closure by program leadership (n=7). Five residents were never given formal notice; 3 of them discovered the closure via the ACGME website. No incoming intern was aware of potential program closure prior to submitting rank-lists. Nearly all displaced residents reported lack of support and/or outright antagonism from their faculty, program directors, and chairs. In contrast, ASPS and ACGME were most often considered neither helpful nor hurtful, and ACAPS was most often considered supportive but not proactive. The median relocation cost was $8,000 (IQR $15,125). No residents required additional loans, but 6/10 residents who owned homes were forced to sell. All residents reported moderate (n=6, 43%) or severe (n=8, 57%) mental health burden from displacement. In free-text responses (n=10, 71%), residents reported that programs did not allow them to step out for interviews, and threatened non-promotion if residents attempted to use vacation time to relocate prior to the end of the academic year. Receiving-institution GME offices were unsure how to intake relocating residents, causing delays.
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