13. PREPPED: Plastic Surgery Research, Education, and Preparation Promoting Equity and Diversity

Reghunathan, Meera; Blum, Jessica D.; Davis, Greta; Ayyala, Haripriya S.; Leis, Amber; Butler, Paris D.; Gosman, Amanda

doi:10.1097/01.gox.0000921600.59389.4f

Cited by 4 publications

(7 citation statements)

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“…There are innovative programs, such as PREPPED through the American Council of Academic Plastic Surgeons, aimed at addressing these socioeconomic, racial, and ethnic disparities in the plastic surgery match process. 47 Furthermore, implementation of equity-focused tools like holistic review 48,49 in the residency application process will actively promote diverse and inclusive recruitment. For the select, motivated plastic surgery applicants who are pursuing an academic career, EREs remain an exceptional way to develop a research skillset and pursue a topic of interest.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Research Participation: Bias in Plastic Surgery Residency Match

Lin,

Huttinger,

Butler

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Integrated plastic surgery residency applicants have increased at a rate disproportionate to available positions. Research productivity has become a surrogate marker for competitiveness, and many applicants pursue it to distinguish themselves. To date, no study has investigated socioeconomic disparities in extended research experience (ERE) participation. Methods: A 35-question cross-sectional survey was distributed to applicants to United States-based integrated plastic surgery residency programs during the 2019–2022 application cycles. Summary tables, student t test, and chi-square tests were used for statistical analysis. Results: A total of 161 responses (response rate: 20.9%) were recorded. Fifty-nine (40.7%) respondents participated in an ERE. The most common reason for ERE participation was strengthening one’s application. The most common reason against participation was avoiding delays in career progression. A greater percentage of respondents from Northeastern medical schools participated in EREs (P = 0.019). There were no significant differences in debt burden between those who did or did not participate in an ERE. A greater percentage of applicants whose parents had advanced degrees participated in EREs (P = 0.053). Conclusions: There may be geographic and socioeconomic biases present in access to ERE for students interested in plastic surgery. The growing popularity of EREs may have unintended consequences for applicant diversity. As most plastic surgeons ultimately practice in nonacademic settings, applicants and plastic surgeons may consider the financial hardships and possible socioeconomic disparities in research opportunities before participating in or recommending them.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Research Participation: Bias in Plastic Surgery Residency Match

Lin,

Huttinger,

Butler

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…18 One example of a mentorship program that has been established is PREPPED, which is directed toward those who are underrepresented, come from socioeconomically disadvantaged backgrounds, or do not have a home plastic surgery residency program. 19 Additionally, distance mentorship has been trialed previously, which may be able to reach those interested in plastic surgery that do not have an established network nearby. 20 National societies may also play a significant role in the promotion of underrepresented minority students.…”

Section: Discussionmentioning

confidence: 99%

Ethnic and Sex Diversity in Academic Plastic Surgery: A Cross-sectional Study

Tolson,

Raikar,

Morris

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Ethnic, racial, and sex disparities continue to persist in medicine despite efforts to diversify the profession. In competitive surgical specialties such as plastic surgery, those disparities are particularly pronounced. This study aims to evaluate racial, ethnic, and sex diversity in academic plastic surgery. Methods: We compiled a list of major plastic surgery professional societies, plastic surgery journal editorial boards, and plastic surgery accreditation boards to evaluate ethnic and sex diversity in society, research, and accreditation domains, respectively. Demographic data were collected and analyzed using the Mann–Whitney U test and the Kruskal–Wallis test. Results: White individuals are significantly overrepresented across the professional and research domains, and Asian individuals are overrepresented in the professional domain when compared to non-white races. White individuals make up a total of 74% of the society domain, 67% of the research domain, and 86% of the accreditation domain when compared to all non-white surgeons. Male surgeons made up 79% of the society domain, 83% of the research domain, and 77% of the accreditation domain when compared to all non-male surgeons. Conclusions: Ethnic, racial, and sex disparities persist in academic plastic surgery. This study, which looked at societies, editorial boards, and accreditation boards, demonstrated a persistent ethnic, racial, and sex homogeneity among leadership. Changes are required to continue to diversify the field and provide women and underrepresented minorities the tools needed to succeed.

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“…147 Many publications advocated minority-focused financial support to underrepresented minorities, in the form of scholarships, clerkships, funded subinternships, funded research fellowships, subsidized travel and lodging, and grants. 37,55,72,78,80,94,101,102,105,113,115,124 Increasing diversity content in patient photographs and Web sites was a frequent theme.…”

Section: Recommendations To Increase Diversitymentioning

confidence: 99%

“…Many authors support gender and race "concordant care." 10,24,27,47,79,86,118,124,125 Reghunathan et al 124 believe that patient-physician racial and gender concordance is associated with higher patient satisfaction, improved health care utilization, and superior patient compliance. The authors did not provide supportive evidence in plastic surgery, but rather cited a study published in the Journal of Racial Ethic Health Disparities.…”

Section: Race Concordancementioning

confidence: 99%

“…142 The recent emphasis on diversity coincides with the introduction of new terminology. In addition to diversity, equity, and inclusion, new catchwords and phrases include antiracism, 19,60 implicit bias, 19,59,77,128 race concordance, 10,27,28,47,79,86,118,124,125 cultural competency, 10,14,18,19,61,77,89,90,110,117 cultural humility, 19 intersectionality, 11,41,53,114 microaggressions, 19,23,62,69,79,83 White privilege, 19 allyship, 19 toxic mentorship, 67 and hypermasculinity. 67 The word "merit" infrequently appears.…”

Section: Language Of Diversitymentioning

confidence: 99%

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Diversity, Equity, and Inclusion in Plastic Surgery

Swanson

2024

Ann Plast Surg

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Background The number of publications on the subject of diversity, equity, and inclusion has surged in the last 5 years. However, a systematic review of this topic has not been published. Method Six top plastic surgery journals were queried from 2018 to 2023 using the search term “diversity.” Methods, conclusions, and recommendations were tabulated. Results A total of 138 publications were identified; 68 studies presented data suitable for analysis. All studies were retrospective. Currently, over 40% of plastic surgery residency applicants are women. The proportion of women in integrated plastic surgery residents is now 43%. In 2021 and 2022, the percentage of female first-year residents exceeded men. The percentage of female presenters at meetings (34%) is double the number in the workforce (17%). Twenty-five percent of academic faculty positions and 22% of program director positions are now held by women. Underrepresented minorities account for fewer than 10% of applicants to integrated plastic surgery residencies. Discussion The proportion of Black and Hispanic applicants to integrated plastic surgery residencies (6% and 8%, respectively) mirrors the proportion of Black and Hispanic medical students (7% and 6%, respectively). Numerous recommendations have been made to increase the proportion of underrepresented minorities in plastic surgery programs. Conclusions The representation of women in plastic surgery has increased dramatically. A lack of Hispanics and Blacks reflects a small pool of applicants, as opposed to a “leaky pipeline.”

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13. PREPPED: Plastic Surgery Research, Education, and Preparation Promoting Equity and Diversity

Cited by 4 publications

References 0 publications

Socioeconomic Disparities in Research Participation: Bias in Plastic Surgery Residency Match

Socioeconomic Disparities in Research Participation: Bias in Plastic Surgery Residency Match

Ethnic and Sex Diversity in Academic Plastic Surgery: A Cross-sectional Study

Diversity, Equity, and Inclusion in Plastic Surgery

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