Evolution of Workforce Diversity in Surgery

J Surg Educ. 2019 Jul-Aug;76(4):1015-1021. doi: 10.1016/j.jsurg.2018.12.009. Epub 2019 Jan 9.

Abstract

Objective: Assessing workforce diversity over time is essential to understanding how it has evolved and anticipating its future. We conducted the current study to evaluate gender, racial/ethnic, and duty trends over the past decade in general surgery and surgical subspecialties.

Design: This is a cross-sectional study. We calculated ratios and relative changes to assess potential differences of physicians' characteristics across time and surgical subspecialties.

Setting: We evaluated data acquired by the Association of American Medical Colleges.

Participants: We extracted data from the 2000 to 2013 including the overall number of surgeons, surgeon race/ethnicity, gender, and primary professional activity.

Results: During 2000 to 2013, the total number of surgeons increased 11.5%, reaching 172,062 active surgeons and residents, the majority of whom were White (64%) or male (75%). However, from 2000 to 2013, most specialties showed some improvement in terms of including minorities and females. Most surgeons (98%) participate in patient care while a small portion are devoted to other activities (e.g., administrative, research, teaching; 2%). Both groups increased over the study period.

Conclusions: Our findings suggest that the face of surgery is changing. Continuous monitoring of the surgical workforce is important to anticipate future needs and to serve a diverse patient population.

Keywords: Professionalism; diversity; education; surgery; workforce.

MeSH terms

  • Career Choice*
  • Cross-Sectional Studies
  • Education, Medical, Graduate / methods
  • Ethnicity / statistics & numerical data*
  • Female
  • Forecasting
  • General Surgery / statistics & numerical data*
  • Humans
  • Incidence
  • Internship and Residency / statistics & numerical data
  • Male
  • Retrospective Studies
  • Sex Factors
  • Societies, Medical / organization & administration
  • Specialties, Surgical / statistics & numerical data*
  • Specialties, Surgical / trends
  • Surgeons / supply & distribution*
  • United States
  • Workforce / statistics & numerical data*
  • Workforce / trends