Increasing Pediatric Residency Class Diversity to Improve Patient Outcomes and Address Structural Racism

Escalante, Enrique; Smiley, Yael; Agrawal, Dewesh; Teach, Stephen J.; Cora‐Bramble, Denice; Barber, Aisha

doi:10.1097/acm.0000000000004468

Cited by 12 publications

(18 citation statements)

References 6 publications

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“…Our study indicates an increase in Asian/Pacific Islander, Black (non-Hispanic), and Hispanic representation while a decrease in Native American/Alaskan representation in the last decade. This trend is consistent with existing studies [14,15]. Not all Asian subgroups are underrepresented in medicine.…”

Section: Discussionsupporting

confidence: 92%

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Working Towards Gender and Racial Diversity in Pediatric Residency Programs in the United States

Saboor¹,

Sattar²,

Safdar³

et al. 2022

Cureus

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The gender and racial profile of the pediatric population in the United States (US) is more diverse than that of the pediatricians that cater to their healthcare needs. Gender and racial diversity remains limited among pediatric residents and fellows, faculty, and leadership. Our study objectives were to explore the gender and racial disparity among pediatric residents in the US. MethodsThis was a retrospective analysis of the Accreditation Council for Graduate Medical Education (ACGME) database. The database encompassed all residents in US pediatrics residency programs from 2007 to 2021, categorizing them into White (non-Hispanic), Asian/Pacific Islander, Hispanic, African American/Black (non-Hispanic), Native American/Alaskan, others (races not included in the mentioned categories), and unknown. Gender was grouped into male, female, and not reported. ResultsFrom 2011 to 2021, the greatest increase in relative change (%) was seen for Asian or Pacific Islander (+58.42%), followed by Black (non-Hispanic) (+45.24%), White (non-Hispanic) (+43.37%), and Hispanic (+42.18%) races. The Native American/Alaskan relatively decreased 50%. The representation of female residents relatively increased by 13.27% as compared to the relative increase of male residents (+14.77%) from 2007 to 2021. ConclusionIt is imperative to have a healthcare workforce that is representative of the existing communities in the US in terms of race, ethnicity, and gender to provide culturally sensitive care to the diverse patient population of the US.

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Section: Discussionsupporting

confidence: 92%

“…Many studies have been done in recent years to analyze the recruitment of URiM in pediatric residency programs [14,15]. However, in this study, we explored the trends of recruitment of residents not only according to race but also the percentage of women in the US pediatric residency programs from 2007-2008 to 2020-2021.…”

Section: Introductionmentioning

confidence: 99%

Working Towards Gender and Racial Diversity in Pediatric Residency Programs in the United States

Saboor¹,

Sattar²,

Safdar³

et al. 2022

Cureus

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“…After removal of duplicate articles and abstract screening, 73 full-text articles were reviewed, of which 27 articles published between November 2012 and October 2021 met inclusion in this review. Nineteen studies described data in medical specialties 9,[20][21][22][23]27,28,[30][31][32][33][35][36][37][38][39]41,43,44 and 9 in surgical specialties. 21,[24][25][26]29,34,40,42,45 Two studies focused on fellowship programs.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…21,[24][25][26]29,34,40,42,45 Two studies focused on fellowship programs. 22,43 Six of the 27 studies were in emergency medicine, 23,27,30,35,38,39 while family medicine 31,33,44 and pediatrics 9,37,41 had 3 articles each.…”

Section: Study Characteristicsmentioning

confidence: 99%

Interventions Associated With Racial and Ethnic Diversity in US Graduate Medical Education

et al. 2023

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ImportanceRacially and ethnically minoritized individuals remain underrepresented in graduate medical education relative to their proportion in the population. While many programs and initiatives have been developed to address this problem, there is little consensus regarding strategies that work to improve representation across specialties.ObjectiveTo examine and synthesize evidence-based practices that have been used to increase the proportions of underrepresented in medicine (URiM) trainees at US residency and fellowship programs.Evidence ReviewThe authors searched PubMed, Google Scholar, Embase, PsycInfo, ERIC, Cochrane Reviews, Cochrane Trials, CINAHL, Scopus, and PROSPERO electronic databases to identify relevant studies published through January 2022. They screened all titles and abstracts for relevance and read full-text articles to identify articles reporting reliable data describing the outcomes of interventions to improve racial and ethnic diversity among trainees.FindingsTwenty-seven articles were included in this review. Two studies reported on fellowship programs. The most common interventions included holistic review (48%), decreased emphasis on United States Medical Licensing Examination Step 1 scores (48%), and explicit institutional messaging regarding the importance of diversity (37%). A combination of interventions was associated with an increased number of URiM applicants, interviewees, and matriculants across various medical and surgical specialties.Conclusions and RelevanceIn this scoping review, approaches and interventions associated with increased diversity in residency and fellowship programs were identified. Continued efforts are necessary to sustain such efforts and assess long-term outcomes.

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“…Common themes for programs that have increased the number of URM residents is early engagement and ongoing mentorship [ 24 ]. Attendance at URM fairs and conferences, such as the American Medical Education Conference, provides excellent opportunities to first engage potential applicants.…”

Section: Editorialmentioning

confidence: 99%

Increasing Diversity in Residency Training Programs

Crites¹,

Johnson²,

Scott³

et al. 2022

Cureus

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Improving diversity in the healthcare workforce holds promise in improving the health outcomes of our diverse patient population. Attracting, recruiting, and retaining physicians from races and ethnicities that are historically underrepresented in medicine are vital in this effort. Increasing diversity at the graduate medical education level has the potential to positively reshape our physician personnel. In this editorial, we discuss the current state of diversity-oriented recruitment strategies for residency programs and present opportunities for future efforts.

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Increasing Pediatric Residency Class Diversity to Improve Patient Outcomes and Address Structural Racism

Abstract: ProblemThe racial and ethnic makeup of physicians in the United States does not reflect that of the communities they serve. Addressing this disparity may improve patient outcomes and combat structural racism.

Cited by 12 publications

References 6 publications

Working Towards Gender and Racial Diversity in Pediatric Residency Programs in the United States

Working Towards Gender and Racial Diversity in Pediatric Residency Programs in the United States

Interventions Associated With Racial and Ethnic Diversity in US Graduate Medical Education

Increasing Diversity in Residency Training Programs

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