Do Integrated Plastic Surgery Residency Program Websites and Instagram Accounts Address Diversity, Equity, and Inclusion?

Rishub K Das, Brian C Drolet
Author Information
  1. Rishub K Das: From Vanderbilt University School of Medicine.
  2. Brian C Drolet: the Department of Plastic Surgery.

Abstract

BACKGROUND: An authentic, programmatic commitment to diversity, equity, and inclusion (DEI) in plastic surgery is necessary to attract and retain a diverse workforce. Plastic surgery residency program websites and social media accounts are important sources of information about program values and culture for applicants, especially with the shift to virtual recruitment. Therefore, the authors sought to evaluate whether integrated plastic surgery residency programs address DEI through content on their websites and Instagram accounts.
METHODS: Integrated plastic surgery residency programs were identified through the Accreditation Council for Graduate Medical Education in December of 2021. The authors searched program websites and Instagram accounts for elements of DEI. The authors evaluated the impact of region, program director sex, and program director race on prevalence of DEI elements on websites using chi-square tests.
RESULTS: A total of 82 integrated plastic surgery residency programs were identified. Overall, 40 (48%) program websites had at least one DEI element, and 10 (12.2%) were found to have three or more DEI elements. The number of DEI elements per program website did not vary by region, program director sex, or program director ethnicity. Among programs with Instagram accounts, 49 (65.3%) posted about women; 30 (40.0%) posted about racial/ethnic minority groups; and 25 (33.3%) posted about lesbian, gay, bisexual, transgender, queer, or other sexual and gender identities.
CONCLUSIONS: Despite widely heralded DEI efforts in plastic surgery residency recruitment, relatively few programs address DEI online. Programs looking to recruit diverse applicants could benefit from increased DEI content on their websites and social media accounts.

References

  1. American Society of Plastic Surgeons. 2020 Plastic surgery statistics report. Available at: https://www.plasticsurgery.org/news/plastic-surgery-statistics . Accessed May 8, 2022.
  2. Malat J, Hamilton MA. Preference for same-race health care providers and perceptions of interpersonal discrimination in health care. J Health Soc Behav. 2006;47:173–187.
  3. Waidmann TA. Estimating the cost of racial and ethnic health disparities. Available at: https://www.urban.org/research/publication/estimating-cost-racial-and-ethnic-health-disparities . Accessed May 8, 2022.
  4. Smith BT, Egro FM, Murphy CP, Stavros AG, Nguyen VT. An evaluation of race disparities in academic plastic surgery. Plast Reconstr Surg. 2020;145:268–277.
  5. Pang JH, Fishman JE, Egro FM, Zhu X, Losee JE, Nguyen VT. Abstract: perceptions of LGBT members in plastic surgery. Plast Reconstr Surg Glob Open 2018;6(Suppl):224–225.
  6. Cyrus KD. Medical education and the minority tax. JAMA 2017;317:1833–1834.
  7. Accreditation Council for Graduate Medical Education. Common program requirements. Available at: https://www.acgme.org/what-we-do/accreditation/common-program-requirements/ . Accessed May 8, 2022.
  8. Chen VW, Hoang D, Garner W. Do websites provide what applicants need? Plastic surgery residency program websites versus applicant self-reported needs. Plast Reconstr Surg Glob Open 2018;6:e1900.
  9. Irwin TJ, Riesel JN, Ortiz R, Helliwell LA, Lin SJ, Eberlin KR. The impact of social media on plastic surgery residency applicants. Ann Plast Surg. 2021;86:335–339.
  10. Parmeshwar N, Stuart ER, Reid CM, Oviedo P, Gosman AA. Diversity in plastic surgery: trends in minority representation among applicants and residents. Plast Reconstr Surg. 2019;143:940–949.
  11. Berlin NL, Wilkins EG, Alderman AK. Addressing continued disparities in access to breast reconstruction on the 20th anniversary of the Women’s Health and Cancer Rights Act. JAMA Surg. 2018;153:603–604.
  12. Roncoroni J, Tucker CM, Wall W, Nghiem K, Wheatley RS, Wu W. Patient perceived cultural sensitivity of clinic environment and its association with patient satisfaction with care and treatment adherence. Am J Lifestyle Med. 2014;8:421–429.
  13. Fallin-Bennett K. Implicit bias against sexual minorities in medicine: cycles of professional influence and the role of the hidden curriculum. Acad Med. 2015;90:549–552.
  14. Saha S, Taggart SH, Komaromy M, Bindman AB. Do patients choose physicians of their own race? To provide the kind of care consumers want, medical schools might be able to justify using race as an admissions criterion. Health Aff. 2000;19:76–83.
  15. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997–1004.
  16. Moy E, Bartman BA. Physician race and care of minority and medically indigent patients. JAMA 1995;273:1515–1520.
  17. Marrast LM, Zallman L, Woolhandler S, Bor DH, McCormick D. Minority physicians’ role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities. JAMA Intern Med. 2014;174:289–291.
  18. Nuthalapaty FS, Jackson JR, Owen J. The influence of quality-of-life, academic, and workplace factors on residency program selection. Acad Med. 2004;79:417–425.
  19. Xu G, Fields SK, Laine C, Veloski JJ, Barzansky B, Martini CJ. The relationship between the race/ethnicity of generalist physicians and their care for underserved populations. Am J Public Health 1997;87:817–822.
  20. Smith JB, Chiu AG, Sykes KJ, Eck LP, Hierl AN, Villwock JA. Diversity in academic otolaryngology: an update and recommendations for moving from words to action. Ear Nose Throat J. 2021;100:702–709.
  21. Hemal K, Reghunathan M, Newsom M, Davis G, Gosman A. Diversity and inclusion: a review of effective initiatives in surgery. J Surg Educ. 2021;78:1500–1515.
  22. Aibana O, Swails JL, Flores RJ, Love LT. Bridging the gap: holistic review to increase diversity in graduate medical education. Acad Med. 2019;94:1137–1141.
  23. Rau BL, Hyland MM. Corporate teamwork and diversity statements in college recruitment brochures: effects on attraction. J Appl Soc Psychol. 2003;33:2465–2492.
  24. Young IP, Place AW, Rinehart JS, Jury JC, Baits DF. Teacher recruitment: a test of the similarity-attraction hypothesis for race and sex. Educ Adm Q. 1997;33:86–106.
  25. Rock D, Grant H. Why diverse teams are smarter. Harv Bus Rev. 2016;4:2–5.
  26. Canner JK, Harfouch O, Kodadek LM, et al. Temporal trends in gender-affirming surgery among transgender patients in the United States. JAMA Surg. 2018;153:609–616.
  27. Das RK, Makhoul AT, Drolet BC. A systematic review of health disparities research in plastic surgery. Plast Reconstr Surg. 2021;148:1066e–1067e.
  28. Das RK, Drolet BC. Improving sexual and gender minority care in plastic surgery: routine collection of sexual orientation and gender identity. Ann Plast Surg. 2021;87:367–368.
  29. Das RK, Gonzales G. Self-reported behaviors regarding medications to save money among sexual minority adults in the US, 2015-2018. JAMA 2021;326:2526–2529.
  30. Keane AM, Larson EL, Santosa KB, et al. Women in leadership and their influence on the gender diversity of academic plastic surgery programs. Plast Reconstr Surg. 2021;147:516–526.
  31. Heiderscheit EA, Schlick CJR, Ellis RJ, et al. Experiences of LGBTQ+ residents in US general surgery training programs. JAMA Surg. 2022;157:23–32.
  32. Samuels EA, Boatright DH, Wong AH, et al. Association between sexual orientation, mistreatment, and burnout among US medical students. JAMA Netw Open 2021;4:e2036136.
  33. Das RK, Drolet BC. The equality act—protecting LGBTQ+ patients and our workforce. JAMA Surg. 2022;157:367–368.

MeSH Term

Humans
Female
Internship and Residency
Surgery, Plastic
Diversity, Equity, Inclusion
Ethnicity
Minority Groups

Word Cloud

Created with Highcharts 10.0.0DEIprogramsurgerywebsitesplasticresidencyaccountsprogramsInstagramelementsdirectorauthorsposteddiversePlasticsocialmediaapplicantsrecruitmentintegratedaddresscontentIntegratedidentifiedregionsex403%BACKGROUND:authenticprogrammaticcommitmentdiversityequityinclusionnecessaryattractretainworkforceimportantsourcesinformationvaluescultureespeciallyshiftvirtualThereforesoughtevaluatewhetherMETHODS:AccreditationCouncilGraduateMedicalEducationDecember2021searchedevaluatedimpactraceprevalenceusingchi-squaretestsRESULTS:total82Overall48%leastoneelement10122%foundthreenumberperwebsitevaryethnicityAmong4965women300%racial/ethnicminoritygroups2533lesbiangaybisexualtransgenderqueersexualgenderidentitiesCONCLUSIONS:DespitewidelyheraldedeffortsrelativelyonlineProgramslookingrecruitbenefitincreasedSurgeryResidencyProgramWebsitesAccountsAddressDiversityEquityInclusion?

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