The Current Status and Importance of Diversity in Cardiothoracic Surgery

Corsini, Erin M.; Olive, Jacqueline K.; Antonoff, Mara B.

doi:10.1007/s40137-020-00265-3

Cited by 10 publications

(6 citation statements)

References 64 publications

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“…7,8 Recent research has focused on the health care disparities experienced by minorities and women due to implicit bias and unique symptom presentations not widely comprehended by the medical community. 9 For example, African Americans are 30% less likely to receive percutaneous coronary intervention and 40% less likely to receive coronary artery bypass grafting surgery. 10 These research results have since spurred a push for more diverse health care teams because it has been shown to improve care.…”

Section: Perspectivementioning

confidence: 99%

“…From 2007 to 2017, female CT surgeons increased from 3.8% to 7.0%. 9 From 2000 to 2013, the ratio of White to non-White CT surgeons decreased from 4.15 to 2.76. 9 Much progress has been made, but there is still a long way to go.…”

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

“… 9 From 2000 to 2013, the ratio of White to non-White CT surgeons decreased from 4.15 to 2.76. 9 Much progress has been made, but there is still a long way to go. However, amidst these diversity, equity, and inclusion efforts, the literature on the characteristics and needs of first-generation medical students endeavoring to enter CT surgery remains sparse.…”

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

“…The Society of Thoracic Surgeons Workforce on Diversity and Inclusion have worked to initiate programming to address practice gaps. 9 In addition, the American Association for Thoracic Surgeons and Women in Thoracic Surgery groups collaborated to hold the annual Leadership Academy that helps minorities in the field climb the academic leadership ladder. All 3 of these national societies offer scholarships to expose students to mentors, and many initiatives have started to provide funded scholarships to URM students to explore the field.…”

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

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Increasing diversity in cardiothoracic surgery: First-generation medical students

Robinson

Do‐Nguyen

2021

JTCVS Open

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First-generation college-graduate medical students are those whose parents have not earned a postsecondary undergraduate degree (including associates, bachelor's, master's, or doctorate). 1 The mountain is steep and the climb is daunting for first-generation college graduates attending medical school, who will be termed first-generation medical students for this commentary. Up to 20% of medical students are first-generation and half of them are underrepresented minorities (URM). 1,2 These individuals find that the challenges they encountered in college persist as they progress to medical school. These may include racial/ethnic discrimination, lack of work-life balance, difficulties with studying and time management, financial insecurity, feelings of imposter syndrome, and the fear of failure. 1 CHARACTERIZATION OF FIRST-GENERATION AND CONTRIBUTIONS TO HEALTH CAREDespite these challenges, first-generation medical students have noteworthy qualities to offer to the field of cardiothoracic (CT) surgery. The training and lifestyle within this field requires resilience, grit, and the ability to overcome adversity. Having overcome the challenges of entering postsecondary school (eg, acquiring cultural and academic capital and finding support or mentorship), firstgeneration medical students have developed resilience and a growth mindset. Alvarado and colleagues 3 performed a questionnaire among first-generation college students and their counterparts, which included the Brief Resilience Scale to qualitatively measure level of resilience. The study found that first-generation college students were more resilient than their counterparts. 3 Further, a cited study by Schneider and colleagues 4 demonstrated that emotional intelligence directly enhances thinking, problem solving, and creativity in these individuals. These qualities can augment a growth mindset, where talents or skills can be developed by hard work, resilience, accepting feedback, and learning and growing from experiences, subsequently allowing for a more positive affect. 3 These traits are helpful for CT surgeons faced with long hours, difficult and taxing surgical procedures, and the management of patients with complex cardiothoracic conditions. Empathy, cultural competence, and an insight into health and health care disparities are also valuable qualities of first-generation medical students. 1 A first-generation medical student described an experience in an article published by the Association of American Medical Colleges. 5 Addressed are the striking reflections of herself and her family members in patients when they share their stories with her.

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Section: Perspectivementioning

confidence: 99%

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

Section: Challenges In Pursuing Ct Surgery and A Call To Actionmentioning

confidence: 99%

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Increasing diversity in cardiothoracic surgery: First-generation medical students

Robinson

Do‐Nguyen

2021

JTCVS Open

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“…Addressing such inequities requires an intentional and pragmatic approach that is tailored toward enabling the success of women and racial minorities in the field. An inclusive environment attracts a breadth of talented trainees with unique experiences and backgrounds [6]. Having overcome adversity while acquiring social and academic capital, minority students, who are also often first-generation medical students, develops the resilience and cultural competence necessary to become empathic and technically outstanding Cardiac surgeons [6].…”

Section: Introductionmentioning

confidence: 99%

Engaging medical students in cardiac surgery: a focus on equity, diversity, and inclusion

Elfaki

Nwakoby

Lia

et al. 2023

Current Opinion in Cardiology

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Purpose of reviewThe Coronavirus Disease 2019 pandemic prohibited Canadian medical students from in-person observerships. This may be particularly detrimental to under-represented groups that may consider surgical subspecialties. To address the unprecedented need for alternative surgical career exploration and diversity within the profession, The University of Toronto Cardiac Surgery Interest Group and Division of Cardiac Surgery collaborated on virtual experiential programming. Recent findingsMedical students were invited to virtual (1) observerships of a cardiac bypass case, (2) mentorship sessions with surgeons, (3) resident teaching sessions, (4) multidisciplinary case-based Heart Team discussions to further their understanding of the scope of Cardiac surgery, and (5) a virtual coronary anastomosis training program. Additionally, a comprehensive virtual program was spearheaded to increase interest in Cardiac surgery among low-income Black high school students.

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Underrepresented in medicine (URiM) residents: A scoping review on prevalence trends & improving recruitment

Lee,

McGuire,

Raîche

et al. 2024

The American Journal of Surgery

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The Current Status and Importance of Diversity in Cardiothoracic Surgery

Cited by 10 publications

References 64 publications

Increasing diversity in cardiothoracic surgery: First-generation medical students

Increasing diversity in cardiothoracic surgery: First-generation medical students

Engaging medical students in cardiac surgery: a focus on equity, diversity, and inclusion

Underrepresented in medicine (URiM) residents: A scoping review on prevalence trends & improving recruitment

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