TY - JOUR
T1 - APSA Members experience bias and discrimination in training and practice
AU - Vernamonti, Jack
AU - Bowen-Jallow, Kanika
AU - Paredes, Anghela
AU - Cockrell, Hannah
AU - Morrison, Zach
AU - Huerta, Carlos T.
AU - Garcia, Alejandro
AU - Meckmongkol, Teerin T.
AU - Oyetunji, Tolulope A.
AU - Ramos-Irizarry, Carmen T.
AU - Diaz-Miron, Jose
AU - Siddiqui, Sabina
AU - Zamora, Irving
AU - Stallion, Anthony
AU - Martin, Kathryn
AU - Reyes, Cynthia
AU - Newman, Erika A.
N1 - Funding Information:
The APSA Taskforce on DEI. APSA DEI Committee. APSA Outcomes Committee. APSA Board of Governors. Financial Support: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Publisher Copyright:
© 2022
PY - 2023/1
Y1 - 2023/1
N2 - Introduction: Bias and discrimination remain pervasive in the medical field and increase the risk of burnout, mental health disorders, and medical errors. The experiences of APSA members with bias and discrimination are unknown, therefore the APSA committee on Diversity, Equity and Inclusion conducted a survey to characterize the prevalence of bias and discrimination. Methods: 1558 APSA members were sent an anonymous survey, of which 423 (27%) responded. Respondents were asked about their demographics, knowledge of implicit bias, and experience of bias and discrimination within their primary workplace, APSA, and APSA committees. Data were analyzed using Fisher's Exact test, Kruskal-Wallis test, and multivariable logistic regression as appropriate with significance defined as p<0.05. Results: Discrimination was reported across all levels of practice, academic appointments, race, ethnicity, and gender identities. On multivariable analysis, surgical trainees (OR 3.6) as well as Asian American and Pacific Islander (OR 4.8), Black (OR 5.2), Hispanic (OR 8.2) and women (OR 8.7) surgeons were more likely to experience bias and discrimination in the workplace. Community practice surgeons were more likely to experience discrimination within APSA committees (OR 3.6). Members identifying as Asian (OR 0.4), or women (OR 0.6) were less likely to express comfort reporting instances of bias and discrimination. Conclusion: Workplace discrimination exists across all training levels, academic appointments, and racial and gender identities. Trainees and racial- and gender-minority surgeons report disproportionately high prevalence of bias and discrimination. Improving reporting mechanisms and implicit bias training are possible initiatives in addressing these findings.
AB - Introduction: Bias and discrimination remain pervasive in the medical field and increase the risk of burnout, mental health disorders, and medical errors. The experiences of APSA members with bias and discrimination are unknown, therefore the APSA committee on Diversity, Equity and Inclusion conducted a survey to characterize the prevalence of bias and discrimination. Methods: 1558 APSA members were sent an anonymous survey, of which 423 (27%) responded. Respondents were asked about their demographics, knowledge of implicit bias, and experience of bias and discrimination within their primary workplace, APSA, and APSA committees. Data were analyzed using Fisher's Exact test, Kruskal-Wallis test, and multivariable logistic regression as appropriate with significance defined as p<0.05. Results: Discrimination was reported across all levels of practice, academic appointments, race, ethnicity, and gender identities. On multivariable analysis, surgical trainees (OR 3.6) as well as Asian American and Pacific Islander (OR 4.8), Black (OR 5.2), Hispanic (OR 8.2) and women (OR 8.7) surgeons were more likely to experience bias and discrimination in the workplace. Community practice surgeons were more likely to experience discrimination within APSA committees (OR 3.6). Members identifying as Asian (OR 0.4), or women (OR 0.6) were less likely to express comfort reporting instances of bias and discrimination. Conclusion: Workplace discrimination exists across all training levels, academic appointments, and racial and gender identities. Trainees and racial- and gender-minority surgeons report disproportionately high prevalence of bias and discrimination. Improving reporting mechanisms and implicit bias training are possible initiatives in addressing these findings.
KW - APSA
KW - Bias
KW - Burnout
KW - Wellness
KW - Workplace discrimination
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U2 - 10.1016/j.jpedsurg.2022.09.038
DO - 10.1016/j.jpedsurg.2022.09.038
M3 - Article
C2 - 36280463
AN - SCOPUS:85140655740
SN - 0022-3468
VL - 58
SP - 172
EP - 176
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 1
ER -