부산대학교 도서관

Purpose: Despite increasing awareness of the need for diversity in surgery, African, Native, and Hispanic American surgeons as well as women and LGBTQ + surgeons, among others, remain underrepresented relative to their fraction of the population at all levels of the surgical profession. The purpose of this commentary is to highlight evidence-based strategies for promoting diversity, equity, and inclusion in surgery training programs and provide practical guidance for implementing these approaches from experts in the field.Methods: The Association of Surgical Education convened a panel on Diversity, Equity, and Inclusion as part of the Association’s Annual Meeting held in April 2021. The insights from this panel generated a commentary on evidence-based approaches to improving program diversity and making the field of surgery more equitable and inclusive.Results: Surgical residency programs should evaluate the composition of their programs to quantify areas of inadequate representation and formulate clear goals for addressing these needs. Evidence-based recruitment strategies include formation of Diversity and Inclusion Councils, signaling diversity and inclusion through program websites and recruitment activities, and using a holistic recruitment process. To retain under-represented trainees and faculty, programs must develop processes for responding to micro-aggressions and harassment, provide mentorship, and educate trainees and staff about recognizing bias and celebrating diversity. Pipeline programs directed at school-aged children from disadvantaged or under-represented backgrounds and medical student minority groups have also been shown to shift students’ trajectories toward surgical careers.Conclusions: Surgical training programs have an urgent responsibility to address disparities in representation in the surgical workforce by employing evidence-based approaches to increase the diversity, equity, and inclusion of the field.