Sajiv Sethi, MD1, Yadis Arroyo, MD2; 1Honor Health Hospital, Tampa, FL; 2University of South Florida, Morsani College of Medicine, Tampa, FL
Introduction: The number of women entering medical school has increased to over half (51.6%) of all matriculants. Racial minorities are an increasing percentage of the US population but remain underrepresented in gastroenterology (GI) training programs. The goal of this study was to characterize sex, ethnic, and racial representation across trainees in GI programs and to identify their changes over time to identify trends. Methods: Demographic data was obtained from the National Graduate Medical Education Census that is published by American Medical Association (AMA) and the Association of American Medical Colleges (AAMC). Diversity was assessed using proportions of minority and female trainees. The AAMC defines underrepresented minorities (URM) as Blacks, Hispanic, Native Americans/ Pacific islanders. The trends in racial, ethnic, and sex diversity over a 10-year period from 2009 to 2019 within United States GI fellowship programs was analyzed. Results: A total of 14,358 trainees were enrolled in GI fellowship programs between 2009 and 2019. Of this total, 9479 (66%) were male and 4879 (33.9%) were female. In regards to race and ethnic background, 6702(46.7%) identified as white, 5927 (41.3) as Asian, 1066 (7.4%) as Hispanic, 714 (4.9%) as black, 16 (0.11%) as Native American, 8 (0.06%) as Hawaiian/Pacific Islander, and 796 (5.5%) as Other. Overall, only 1804 (12.6%) of trainees identified as underrepresented minorities in medicine. An analysis of the trends over time demonstrates that the overall proportion of female trainees has been decreasing from 40.3% in 2009-2010 to 35.44% in 2018-2019 (Figure 1). During this period, the racial and ethnic disparity persists with the proportion of trainees identifying as URMs being similar from 12.1% to 12.5% (Figures 2 and 3). Discussion: This is the first study, per our knowledge, to examine the racial and gender representation of GI fellows in US training programs. While the proportion of female medical students has increased, the proportion of female GI fellows has not followed. There continues to exist a significant racial, ethnic and sex disparity among GI trainees over the past 10 years. While Asian trainees are well represented, the proportion of other minorities has not significantly increased during this time. This data represents an initial analysis of the scope of disparity. Further research should focus on methods to increase female and minority representation among trainees.
Figure 1: Proportion of Female Trainees in United States GI programs over Time
Figure 2: Ethnic and Racial Background of Trainees Over Time
Figure 3: Percentage of Underrepresented Minority GI Fellows in US Training Programs
Disclosures: Sajiv Sethi indicated no relevant financial relationships. Yadis Arroyo indicated no relevant financial relationships.