Medical students from marginalized groups are less likely to have sustained or cultivated career paths in surgery, Yale researchers report in a new study. The findings, they say, have implications for the diversity of the surgical workforce and patient care.
"And students identifying with all three marginalized identities—female, ethnoracial groups underrepresented in medicine, and low-income—were the least likely to have sustained or cultivated paths in surgery," said Nguyen.
Previous research has found that medical students and surgical residents who are female, identify as a race or ethnicity underrepresented in medicine, or come from low-income backgrounds report that their experiences in surgical environments often do not foster a sense of belonging. Studies also show that mistreatment, financial barriers to training, and lack of role models can deter early-career physicians from surgical careers.
To increase diversity in surgical specialties, the researchers suggest medical schools do more outreach to high school students and undergraduates to promote early interest in surgery prior to. Additionally, universities should establish surgical mentorship programs as well as efforts that promote equitable career progression and address mistreatment and bias.
"Fostering belonging among students from marginalized backgrounds will be key to boosting diversity in surgery departments," said Dr. Paris Butler, associate professor and vice chair of diversity, equity, and inclusion in the Department of Surgery at Yale School of Medicine and co-senior author of the study.
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