Background

Diversity in medicine has garnered significant attention in recent medical workforce research, as studies consistently reveal the beneficial impact of race-concordant visits on patient outcomes, adherence, and satisfaction. While diversity among residency and fellowship program directors has been studied in other fields, little is known about the diversity within niche fellowship programs such as transplant hepatology. This study aims to investigate the demographic information of program directors in transplant hepatology fellowship programs.

Methods

We identified transplant hepatology fellowship programs and their program directors from the American College of Gastroenterology website. Multiple reviewers compiled demographic and training information from internet searches, which was analyzed using chi-square analysis. In assessing racial diversity, researchers identified perceived race using multiple indicators, including name, physical appearance, and affiliation with identity associations.

Results

Our study analyzed data from 72 program directors, with 61.11% being male. Among the program directors, 55.6% appeared non-Hispanic White, 36.11% appeared Asian, while apparent Hispanics and Blacks represented 5.56% and 4.17%, respectively. Our analysis also found that male program directors appeared largely non-Hispanic white (72.72%) and were significantly more likely to be professors (p = 0.045) rather than associate or assistant professors.

Discussion

Our findings indicate that transplant hepatology fellowship programs are primarily led by male and non-Hispanic White physicians. To attract underrepresented medical students and residents, it is critical to make meaningful efforts to improve diversity and ensure equitable representation of leaders. Future research should focus on developing strategies to build a more inclusive workforce while addressing existing leadership inequities.

中文翻译：

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移植肝病学奖学金计划领导缺乏多样性

背景

医学的多样性在最近的医务人员研究中引起了极大的关注，因为研究一致表明种族一致的就诊对患者的治疗结果、依从性和满意度有有益的影响。虽然其他领域对住院医师和奖学金项目主管的多样性进行了研究，但人们对移植肝病学等利基奖学金项目的多样性知之甚少。本研究旨在调查移植肝病学奖学金项目中项目主任的人口统计信息。

方法

我们从美国胃肠病学会网站上找到了移植肝病学研究金项目及其项目负责人。多名评审员从互联网搜索中收集了人口统计和培训信息，并使用卡方分析进行了分析。在评估种族多样性时，研究人员使用多种指标来识别感知种族，包括姓名、外貌以及与身份关联的关系。

结果

我们的研究分析了 72 名项目主管的数据，其中 61.11% 是男性。在节目导演中，55.6% 为非西班牙裔白人，36.11% 为亚裔，西班牙裔和黑人分别占 5.56% 和 4.17%。我们的分析还发现，男性项目主任大多是非西班牙裔白人（72.72%），并且更有可能成为教授（p  = 0.045），而不是副教授或助理教授。

讨论

我们的研究结果表明，移植肝病学研究金计划主要由男性和非西班牙裔白人医生领导。为了吸引代表性不足的医学生和住院医生，必须做出有意义的努力来提高多样性并确保领导者的公平代表性。未来的研究应侧重于制定战略，以建立更具包容性的劳动力队伍，同时解决现有的领导不平等问题。