{"title":"微创妇科手术培训生和毕业生的种族、民族和性别代表性趋势。","authors":"","doi":"10.1016/j.jmig.2024.05.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><p>To study the race, ethnicity, and sex representation and annual trends of AAGL FMIGS fellows and graduates.</p></div><div><h3>Design</h3><p>A retrospective cross-sectional study.</p></div><div><h3>Setting</h3><p>AAMC databases were queried for demographic information between 2011 and 2023.</p></div><div><h3>Patients/subjects</h3><p>AAGL FMIGS fellows and graduates.</p></div><div><h3>Interventions</h3><p>N/A</p></div><div><h3>Measurements and Main Results</h3><p>Descriptive statistical analysis and the actual-to-expected (AE) ratio of each race, ethnicity, and sex were performed. AE ratio was calculated by dividing the 13-year average actual percentage of FMIGS trainees and graduates by the expected percentage based demographics of OBGYN residents and the US general population.</p><p>477 fellows graduated or were in training between 2011 and 2023; race and ethnicity information was obtained for 347 (72.7%) individuals, and sex information was available for 409 (85.7%). Representation of females ranged from 66.7% in 2017 to 93.3% in 2022. There was a significantly increasing slope for the representation of females (+1.3% per year; 95% CI 0.00–0.03; p = .027). Compared to their distribution among US OBGYN residents, White fellows’ representation was lower [AE ratio, 95% CI 0.60 (0.44–0.81)] and of Asian fellows was higher [AE ratio, 95% CI 2.17 (1.47–3.21)]. Female fellows’ representation was lower than expected [AE ratio, 95% CI 0.68 (0.48–0.96)] compared to their distribution among US OBGYN residents.</p><p>Compared to the general US population, White fellows [AE ratio, 95% CI 0.65 (0.48–0.87)] and Hispanic fellows [AE ratio, 95% CI 0.53 (0.34–0.83)] representation was lower. Asian fellows’ representation was higher compared to the general US population [AE ratio, 95% CI 5.87 (3.48–9.88)].</p></div><div><h3>Conclusion</h3><p>White and Hispanic fellows’ representation was lower than expected, while Asian fellows’ representation was higher in AAGL-accredited FMIGS programs. Female representation increased throughout the years, but overall, female fellows’ representation was lower than expected compared to their distribution among OBGYN residents. These findings may help develop equitable recruitment strategies for FMIGS programs and reduce health disparities within complex gynecology.</p></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Race, Ethnicity, and Sex Representation Trends Among Minimally Invasive Gynecologic Surgery Fellowship Trainees and Graduates\",\"authors\":\"\",\"doi\":\"10.1016/j.jmig.2024.05.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><p>To study the race, ethnicity, and sex representation and annual trends of AAGL FMIGS fellows and graduates.</p></div><div><h3>Design</h3><p>A retrospective cross-sectional study.</p></div><div><h3>Setting</h3><p>AAMC databases were queried for demographic information between 2011 and 2023.</p></div><div><h3>Patients/subjects</h3><p>AAGL FMIGS fellows and graduates.</p></div><div><h3>Interventions</h3><p>N/A</p></div><div><h3>Measurements and Main Results</h3><p>Descriptive statistical analysis and the actual-to-expected (AE) ratio of each race, ethnicity, and sex were performed. AE ratio was calculated by dividing the 13-year average actual percentage of FMIGS trainees and graduates by the expected percentage based demographics of OBGYN residents and the US general population.</p><p>477 fellows graduated or were in training between 2011 and 2023; race and ethnicity information was obtained for 347 (72.7%) individuals, and sex information was available for 409 (85.7%). Representation of females ranged from 66.7% in 2017 to 93.3% in 2022. There was a significantly increasing slope for the representation of females (+1.3% per year; 95% CI 0.00–0.03; p = .027). Compared to their distribution among US OBGYN residents, White fellows’ representation was lower [AE ratio, 95% CI 0.60 (0.44–0.81)] and of Asian fellows was higher [AE ratio, 95% CI 2.17 (1.47–3.21)]. Female fellows’ representation was lower than expected [AE ratio, 95% CI 0.68 (0.48–0.96)] compared to their distribution among US OBGYN residents.</p><p>Compared to the general US population, White fellows [AE ratio, 95% CI 0.65 (0.48–0.87)] and Hispanic fellows [AE ratio, 95% CI 0.53 (0.34–0.83)] representation was lower. Asian fellows’ representation was higher compared to the general US population [AE ratio, 95% CI 5.87 (3.48–9.88)].</p></div><div><h3>Conclusion</h3><p>White and Hispanic fellows’ representation was lower than expected, while Asian fellows’ representation was higher in AAGL-accredited FMIGS programs. Female representation increased throughout the years, but overall, female fellows’ representation was lower than expected compared to their distribution among OBGYN residents. These findings may help develop equitable recruitment strategies for FMIGS programs and reduce health disparities within complex gynecology.</p></div>\",\"PeriodicalId\":16397,\"journal\":{\"name\":\"Journal of minimally invasive gynecology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of minimally invasive gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S155346502400219X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S155346502400219X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
研究目的:研究 AAGL FMIGS 研究员和毕业生的种族、民族和性别代表性及年度趋势:设计:回顾性横断面研究:患者/受试者:AAGL FMIGS 研究员和毕业生:患者/受试者:AAGL FMIGS 研究员和毕业生:不适用 测量和主要结果:进行了描述性统计分析,并得出了每个种族、民族和性别的实际与预期(AE)比率。AE 比率的计算方法是:根据妇产科住院医师和美国总人口的人口统计数据,用 13 年 FMIGS 受训人员和毕业生的平均实际百分比除以预期百分比。477 名研究员在 2011 年至 2023 年期间毕业或接受培训;其中 347 人(72.7%)获得了种族和民族信息,409 人(85.7%)获得了性别信息。女性比例从 2017 年的 66.7% 到 2022 年的 93.3%。女性代表的斜率明显增加(每年+1.3%;95% CI 0.00-0.03;P=0.027)。与他们在美国妇产科住院医师中的分布相比,白人研究员的比例较低[AE 比值,95% CI 0.60 (0.44-0.81)],而亚裔研究员的比例较高[AE 比值,95% CI 2.17 (1.47-3.21)]。女性研究员的比例低于预期[AE 比值,95% CI 0.68 (0.48-0.96)],低于她们在美国妇产科住院医生中的分布。与美国总人口相比,白人研究员[AE 比值,95% CI 0.65 (0.48-0.87)]和西班牙裔研究员[AE 比值,95% CI 0.53 (0.34-0.83)]的代表性较低。与美国总人口相比,亚裔研究员的比例更高[AE 比值,95% CI 5.87 (3.48-9.88)]:结论:在AAGL认证的FMIGS项目中,白人和西班牙裔研究员的比例低于预期,而亚裔研究员的比例较高。女性研究员的比例逐年增加,但总体而言,与妇产科住院医师的分布相比,女性研究员的比例低于预期。这些发现可能有助于为妇产科全科医生培训项目制定公平的招聘策略,并减少复杂妇科中的健康差异。
Race, Ethnicity, and Sex Representation Trends Among Minimally Invasive Gynecologic Surgery Fellowship Trainees and Graduates
Study Objective
To study the race, ethnicity, and sex representation and annual trends of AAGL FMIGS fellows and graduates.
Design
A retrospective cross-sectional study.
Setting
AAMC databases were queried for demographic information between 2011 and 2023.
Patients/subjects
AAGL FMIGS fellows and graduates.
Interventions
N/A
Measurements and Main Results
Descriptive statistical analysis and the actual-to-expected (AE) ratio of each race, ethnicity, and sex were performed. AE ratio was calculated by dividing the 13-year average actual percentage of FMIGS trainees and graduates by the expected percentage based demographics of OBGYN residents and the US general population.
477 fellows graduated or were in training between 2011 and 2023; race and ethnicity information was obtained for 347 (72.7%) individuals, and sex information was available for 409 (85.7%). Representation of females ranged from 66.7% in 2017 to 93.3% in 2022. There was a significantly increasing slope for the representation of females (+1.3% per year; 95% CI 0.00–0.03; p = .027). Compared to their distribution among US OBGYN residents, White fellows’ representation was lower [AE ratio, 95% CI 0.60 (0.44–0.81)] and of Asian fellows was higher [AE ratio, 95% CI 2.17 (1.47–3.21)]. Female fellows’ representation was lower than expected [AE ratio, 95% CI 0.68 (0.48–0.96)] compared to their distribution among US OBGYN residents.
Compared to the general US population, White fellows [AE ratio, 95% CI 0.65 (0.48–0.87)] and Hispanic fellows [AE ratio, 95% CI 0.53 (0.34–0.83)] representation was lower. Asian fellows’ representation was higher compared to the general US population [AE ratio, 95% CI 5.87 (3.48–9.88)].
Conclusion
White and Hispanic fellows’ representation was lower than expected, while Asian fellows’ representation was higher in AAGL-accredited FMIGS programs. Female representation increased throughout the years, but overall, female fellows’ representation was lower than expected compared to their distribution among OBGYN residents. These findings may help develop equitable recruitment strategies for FMIGS programs and reduce health disparities within complex gynecology.
期刊介绍:
The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.