BACKGROUND & AIMS:
:The underrepresentation of racial and ethnic minority groups has been well-documented in general and plastic surgery but not in burn surgery. The aim of this study is to evaluate current minority group disparities among burn surgery leadership. A cross-sectional analysis was performed. Burn surgeons included directors of American Burn Association-verified burn centers in the United States, past and current presidents of the American Burn Association, and editorial board members of five major burn journals (Journal of Burn Care & Research, Burns, Burns & Trauma, Annals of Burns & Fire Disasters, and the International Journal of Burns and Trauma). Surgeons were compared based on factors including age, gender, training, academic rank, and Hirsch index (h-index). Among 71 burn center directors, 50 societal presidents, and 197 journal editors, minority groups represented 18.3, 2.0, and 34.5%, respectively. Among burn center directors, the group classified collectively as nonwhite was significantly younger (49 vs 56; P < .01), graduated more recently (2003 vs 1996; P < .01), and had a lower h-index (9.5 vs 17.4; P < .05). There were no significant differences in gender, type of residency training, advanced degrees obtained, fellowships, academic rank, and academic leadership positions between white and nonwhite groups. When compared with the 2018 U.S. National Census, burn unit directors had a 5.1% decrease in nonwhite representation. Disparities in representation of ethnic and racial minorities exist in burn surgery despite having similar qualifying factors.
背景与目标:
:种族和少数民族群体的代表性不足在普通外科和整形外科中得到了充分证明,但在烧伤外科中却没有。这项研究的目的是评估烧伤手术领导者之间当前的少数群体差异。进行横截面分析。烧伤外科医师包括经美国烧伤协会认证的美国烧伤中心主任,美国烧伤协会前任和现任主席以及五种主要烧伤期刊的编辑委员会成员(《烧伤护理与研究》,《烧伤,烧伤和创伤》, 《烧伤和火灾灾难纪事》,以及《国际烧伤和创伤杂志》。根据年龄,性别,培训,学历和Hirsch指数(h-index)等因素对外科医生进行比较。在71名烧伤中心主任,50名社会主席和197名期刊编辑中,少数群体分别占18.3%,2.0%和34.5%。在烧伤中心主任中,被归类为非白人的小组明显年轻(49比56; P <.01),毕业较近(2003年与1996; P <0.01),并且h指数较低(9.5比17.4) ; P <.05)。白人和非白人群体在性别,居住培训类型,获得的高级学位,研究金,学术等级和学术领导职位方面无显着差异。与2018年美国国家人口普查相比,烧伤部门主任的非白人代表减少了5.1%。尽管有类似的资格因素,但烧伤手术中存在少数民族和种族代表的差异。