Surgical time out: Our counts are still short on racial diversity in academic surgery

Abelson, Jonathan S.; Symer, Matthew M.; Yeo, Heather; Butler, Paris D.; Dolan, Patrick; Moo, Tracy Ann; Watkins, Anthony C.

doi:10.1016/j.amjsurg.2017.06.028

Cited by 118 publications

(94 citation statements)

References 32 publications

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“…Academics with 50-99 peer-reviewed manuscripts (OR 3.4, CI 1. [5][6][7][8] and those with 100 and greater (OR 6.9, CI 3.2-14.8) were more likely to achieve a rapid promotion than urologists with less than 50 (P <.001). PIs had a faster promotion than non-PIs (OR 0.4, CI 0.2-0.8, P = .01).…”

Section: Resultsmentioning

confidence: 99%

“…2 Evidence exists that racial/ethnic minority patients have higher satisfaction scores, better compliance, and increased clinical trial participation when a member of the clinical team is from a concordant racial/ethnic group. [3][4][5][6] Groups who are under-represented in medicine (URM) include African American, Hispanic/ Latino, Alaskan and Hawaiian Natives, American Indian, and other Pacific Island populations. URM physicians are more likely to treat the underinsured and the uninsured, and are more likely to work in underserved communities.…”

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confidence: 99%

“…7,8 Training more URM physicians has been suggested as a key mechanism to reduce health disparities. 5 While URM represent 32%-35% of the US population, they accounted for only 9% of all US medical faculty in 2017. 9,10 Similarly, only 8.1% of urologists identified as an URM according to the 2017 American Urological Association (AUA) Census.…”

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confidence: 99%

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Promotion Disparities in Academic Urology

Breyer

Butler

Fang

et al. 2020

Urology

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OBJECTIVE To better understand promotion timelines across gender and race/ethnicity and how academic output impacts promotion in urology. METHODS We examined the 2017 census. An academic subset was asked questions regarding their promotion timeline. We obtained demographic, academic output, and family responsibility data. RESULTS Of 2926 academic urologists who identified a position of Assistant, Associate, or Full professor, 11.2% were women, 75% were White, and 94% were non-Hispanic. Men authored more papers and achieved principal investigator status more often than women. Non-Hispanics authored more papers than Hispanics. On average, women took 1.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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Promotion Disparities in Academic Urology

Breyer

Butler

Fang

et al. 2020

Urology

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“…[1][2][3] Attrition is costly to both programs and residents and has a tendency to decrease diversity in surgery. [4][5][6][7] Several risk factors have been identified, but it remains challenging to identify individuals at risk of attrition before they drop out. 8 Medical school training familiarizes students with potential areas of practice and prepares them for residency.…”

Section: Introductionmentioning

confidence: 99%

Impact of Medical School Experience on Attrition From General Surgery Residency

Abelson

Wong

Mao

et al. 2018

Journal of Surgical Research

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Medical Undergraduate medical education Clinical clerkship General surgery Residency a b s t r a c t Background: Medical school experience informs the decision to pursue graduate surgical education. However, it is possible that inadequate preparation in medical school is responsible for the high rate of attrition seen in general surgery residency. Materials and methods: We performed a national prospective cohort study of all categorical general surgery interns who entered training in the 2007-2008 academic year. Interns answered questions about their medical school experience and reasons for pursuing general surgery residency. Responses were linked with American Board of Surgery residency completion data. Multivariable logistic regression was used to evaluate the association between medical school experiences and residency attrition.Results: Seven hundred and ninety-two surgery interns participated, and the overall attrition rate was 19.3%. Most interns had performed 8 wk of third year surgery clerkships (53.2% of those who completed versus 49.7% of those who dropped out, P ¼ 0.08). After multivariable adjustment, shorter duration of third year rotations was protective from attrition (OR: 0.53, 95% CI: 0.29-0.99; P ¼ 0.05). There was no difference in attrition based on whether a surgical subinternship was performed (OR: 0.67, 95% CI: 0.38-1.19; P ¼ 0.18).Residents who perceived that their medical school surgical faculty were happy with their careers were less likely to experience attrition (OR: 0.57, 95% CI: 0.34-0.96; P ¼ 0.03), but those who had gotten along well with attending surgeons had higher odds of attrition (OR: 2.93, 95% CI: 1.34-6.39, P < 0.01).Conclusions: Increased quality, rather than quantity, of clerkships is associated with improved rates of residency completion. Learner relationships with positive yet demanding role models were associated with a reduced risk of attrition. ª j o u r n a l o f s u r g i c a l r e s e a r c h d e c e m b e r 2 0 1 8 ( 2 3 2 ) 7 e1 4

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“…While the degree of diversity in surgical departments and surgical leadership is improving, there is much more populations are increasing, Black and Hispanic medical school graduates are decreasing [10].…”

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confidence: 99%