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Diversity, equity, and inclusion in presidential leadership of academic medical and surgical societies

      Highlights

      • Progress has been made in advancing diversity in national presidential leadership.
      • African American females are still largely underrepresented in presidential roles.
      • Organizations with female leaders have shorter timelines to racial diversity.
      • Diversity committees may help to further diversity in leadership roles.

      Abstract

      Background

      Our aim was to identify gender and racial disparities in presidential leadership for national medical and surgical organizations.

      Methods

      We located publicly sourced information on national medical organizations. Years between or since the first diverse presidents were analyzed using descriptive statistics and Mann Whitney U tests.

      Results

      Sixty-seven national medical and surgical organizations were surveyed. 70.8% (n = 34) diversified via gender first (White-female), whereas 26.1% (n = 14) had racial diversity first. Organizations with gender diversity first followed with an African American male president sooner than organizations who first diversified by race (14.7 ± 11.8 v. 27.6 ± 11.3 years, p = 0.018). No significant difference was observed for the third tier of diversification.

      Conclusions

      Significant gender and racial leadership disparities in national medical organizations are still present. It is notable that organizations with female leaders had a shorter timeline to racial diversity. These findings help to inform strategies to promote and increase diversity, equity, and inclusion in national leadership.

      Keywords

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      References

      1. Underrepresented in medicine definition. AAMC.
        • Census - Table Results
        • Abelson J.S.
        • Chartrand G.
        • Moo T.A.
        • Moore M.
        • Yeo H.
        The climb to break the glass ceiling in surgery: trends in women progressing from medical school to surgical training and academic leadership from 1994 to 2015.
        Am J Surg. 2016; 212 (e1): 566-572https://doi.org/10.1016/j.amjsurg.2016.06.012
        • Siotos C.
        • Payne R.M.
        • Stone J.P.
        • et al.
        Evolution of workforce diversity in surgery.
        J Surg Educ. 2019; 76: 1015-1021https://doi.org/10.1016/j.jsurg.2018.12.009
        • Cooper-Patrick L.
        Race, gender, and partnership in the patient-physician relationship.
        JAMA. 1999; 282: 583https://doi.org/10.1001/jama.282.6.583
      2. Kim Y, Pendleton AA, Boitano LT, et al. The changing demographics of surgical trainees in general and vascular surgery: national trends over the past decade. J Surg Educ. Published online June 2021:S1931720421001197. doi:10.1016/j.jsurg.2021.05.002.

        • Carpenter A.M.
        • Tan S.A.
        • Costopoulos K.
        • Cooper L.A.
        • Sarosi G.A.
        • Shaw C.M.
        Gender diversity in general surgery residency leadership.
        J Surg Educ. 2018; 75: e68-e71https://doi.org/10.1016/j.jsurg.2018.07.021
        • Freeman B.K.
        • Landry A.
        • Trevino R.
        • Grande D.
        • Shea J.A.
        Understanding the leaky pipeline: perceived barriers to pursuing a career in medicine or dentistry among underrepresented-in-medicine undergraduate students.
        Acad Med. 2016; 91: 987-993https://doi.org/10.1097/ACM.0000000000001020
        • Keane A.M.
        • Larson E.L.
        • Santosa K.B.
        • et al.
        Women in leadership and their influence on the gender diversity of academic plastic surgery programs.
        Plast Reconstr Surg. 2021; 147: 516-526https://doi.org/10.1097/PRS.0000000000007681
        • Bernardi K.
        • Shah P.
        • Lyons N.B.
        • et al.
        Perceptions on gender disparity in surgery and surgical leadership: a multicenter mixed methods study.
        Surgery. 2020; 167: 743-750https://doi.org/10.1016/j.surg.2019.12.004
      3. Klifto KM, Azoury SC, Mellia JA, et al. Predictors of plastic Surgeons becoming presidents of national professional organizations in the United States of America. Aesthetic Plast Surg. Published online August 4, 2021. doi:10.1007/s00266-021-02491-1.

        • Butler P.D.
        • Pugh C.M.
        • Meer E.
        • et al.
        Benchmarking accomplishments of leaders in American surgery and justification for enhancing diversity and inclusion.
        Ann Surg. 2020; 272: 897-903https://doi.org/10.1097/SLA.0000000000004151
        • Bingmer K.
        • Ofshteyn A.
        • Bliggenstorfer J.T.
        • Steinhagen E.
        • Stein S.L.
        Where is the leak in the surgeon pipeline?.
        Am J Surg. 2020; 220: 1174-1178https://doi.org/10.1016/j.amjsurg.2020.06.048
        • Santos-Parker J.R.
        • Santos-Parker K.S.
        • Caceres J.
        • et al.
        Building an equitable surgical training pipeline: leadership exposure for the advancement of gender and underrepresented minority equity in surgery (LEAGUES).
        J Surg Educ. 2021; 78: 1413-1418https://doi.org/10.1016/j.jsurg.2021.01.017
        • Mason B.S.
        • Ross W.
        • Chambers M.C.
        • Grant R.
        • Parks M.
        Pipeline program recruits and retains women and underrepresented minorities in procedure based specialties: a brief report.
        Am J Surg. 2017; 213: 662-665https://doi.org/10.1016/j.amjsurg.2016.11.022
        • Butler P.D.
        • Aarons C.B.
        • Ahn J.
        • et al.
        Leading from the front: an approach to increasing racial and ethnic diversity in surgical training programs.
        Ann Surg. 2019; 269: 1012-1015https://doi.org/10.1097/SLA.0000000000003197