Society of Black Academic Surgeons (SBAS) diversity, equity, and inclusion series: Microaggressions - Lessons Learned from Black Academic Surgeons

Butler, Paris D.; Wexner, Steven D.; Alimi, Yewande; Dent, Daniel L.; Fayanju, Oluwadamilola M.; Gantt, Nancy L.; Johnston, Fabian M.; Pugh, Carla M.

doi:10.1016/j.amjsurg.2022.09.001

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Throughout medical school, more than half of medical students will change from an initial interest in surgery to a nonsurgical specialty. The rate of sustained paths in surgery observed in Black students was similar to that in White students, suggesting that current efforts in diversity and inclusion for Black trainees, 20 including visibility and initiatives by the Society of Black Academic Surgeons, 21,22 are effective in maintaining interest for Black students. However, female, Asian, Hispanic, and low-income students were significantly less likely than their peers to have a sustained path in surgery, even after adjusting for satisfaction with surgery clerkship experiences.…”

Section: Discussionmentioning

confidence: 75%

Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

et al. 2023

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Objective: Examine the association between sex, race, ethnicity, and family income, and the intersectionality between these identities, and sustained or cultivated paths in surgery in medical school. Methods: This retrospective cohort study examines U.S. medical students who matriculated in academic years 2014-2015 and 2015-2016. Data was provided by the Association of American Medical Colleges, including self-reported sex, race, ethnicity, family income, interest in surgery at matriculation, and successful placement into a surgical residency at graduation. This study examined two outcomes: 1) sustained path in surgery between matriculation and graduation for students who entered medical school with an interest in surgery, and 2) cultivated path in surgery for students who entered medical school not initially interested in surgery and who applied to and were successfully placed into a surgical residency at graduation. Results: Among the 5,074 students who reported interest in surgery at matriculation, 2,108 (41.5%) had sustained path in surgery. Compared to male students, female students were significantly less likely to have sustained path in surgery (aRR: 0.92 (0.85-0.98)), while Asian (aRR: 0.82, 95%CI: 0.74-0.91), Hispanic (aRR: 0.70, 95%CI: 0.59-0.83), and low-income (aRR: 0.85, 95%CI: 0.78-0.92) students were less likely to have a sustained path in surgery compared to their peers. Among the 17,586 students who reported an initial interest in a non-surgical specialty, 1,869 (10.6%) were placed into a surgical residency at graduation. Female students, regardless of race/ethnic identity and income, were significantly less likely to have cultivated paths in surgery compared to male students, with URiM female students reporting the lowest rates. Conclusion and Relevance: This study demonstrates significant disparity in sustained and cultivated paths in surgery during undergraduate medical education. Innovative transformation of the surgical learning environment to promote surgical identity development and belonging for female, URiM, and low-income students is essential to diversify the surgical workforce.

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Section: Discussionmentioning

confidence: 75%

Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

et al. 2023

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“…Critical elements discussed include attrition in surgical training, 2 workforce diversity, 3 racial concordance, and surgical outcomes. 4 Butler et al 5,6 have been leaders in this space with numerous noteworthy contributions. Despite these many contributions, one ongoing challenge has been the relative lack of robust and granular data sets to allow meaningful interventions.The current article titled "Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery" by Mytien Nguyen (first author) and Paris Butler (senior author) uses a rather unique approach to better understand the factors and that has led to a more diverse surgical workforce or lack thereof.…”

mentioning

confidence: 99%

“…Critical elements discussed include attrition in surgical training, 2 workforce diversity, 3 racial concordance, and surgical outcomes 4 . Butler et al 5,6 have been leaders in this space with numerous noteworthy contributions. Despite these many contributions, one ongoing challenge has been the relative lack of robust and granular data sets to allow meaningful interventions.…”

mentioning

confidence: 99%

Editorial: Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

Martin

2023

Annals of Surgery

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From the Editor – in – Chief: Top papers from the association of women surgeons

Chen¹

2023

The American Journal of Surgery

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Society of Black Academic Surgeons (SBAS) diversity, equity, and inclusion series: Microaggressions - Lessons Learned from Black Academic Surgeons

Cited by 3 publications

References 8 publications

Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

Editorial: Association of Socioeconomic Status, Sex, Racial, and Ethnic Identity with Sustained and Cultivated Careers in Surgery

From the Editor – in – Chief: Top papers from the association of women surgeons

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