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

Jeremy K H Lee¹, Catherine McGuire², Isabelle Raîche³, Marie-Cécile Domecq⁴, Mihaela Tudorache⁵, Nada Gawad⁶

Affiliations

¹ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: jerlee@toh.ca.
² Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5. Electronic address: catmcguire@toh.ca.
³ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: iraiche@toh.ca.
⁴ Health Sciences Library, University of Ottawa, 451 Smyth Road (1020F), Ottawa, ON, Canada, K1H 8M5. Electronic address: mdomecq@uottawa.ca.
⁵ Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5. Electronic address: mitudorache@toh.ca.
⁶ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: ngawad@toh.ca.

PMID: 39208503
DOI: 10.1016/j.amjsurg.2024.115924

Free article

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

Jeremy K H Lee et al. Am J Surg. 2024 Nov.

Free article

. 2024 Nov:237:115924.

doi: 10.1016/j.amjsurg.2024.115924. Epub 2024 Aug 22.

Authors

Jeremy K H Lee¹, Catherine McGuire², Isabelle Raîche³, Marie-Cécile Domecq⁴, Mihaela Tudorache⁵, Nada Gawad⁶

Affiliations

¹ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: jerlee@toh.ca.
² Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5. Electronic address: catmcguire@toh.ca.
³ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: iraiche@toh.ca.
⁴ Health Sciences Library, University of Ottawa, 451 Smyth Road (1020F), Ottawa, ON, Canada, K1H 8M5. Electronic address: mdomecq@uottawa.ca.
⁵ Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON, Canada, K1H 8M5. Electronic address: mitudorache@toh.ca.
⁶ Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Civic Campus, 737 Parkdale Ave, Ottawa, ON, Canada K1Y 4M9. Electronic address: ngawad@toh.ca.

PMID: 39208503
DOI: 10.1016/j.amjsurg.2024.115924

Abstract

Background: Disparities exist in underrepresented in medicine (URiM) resident representation. This review examines recent trends in resident diversity, URiM recruitment strategies, and identifies research gaps in equity, diversity, and inclusion (EDI) for URiM residents.

Methods: MEDLINE, EMBASE, Web of Science, and ERIC databases were searched for studies published from 2017 to 2022 on URiM resident prevalence and recruitment initiatives.

Results: 3634 abstracts were reviewed, and 52 articles were included. 35 (67 %) studies reported on prevalence of URiM residents, demonstrating URiM resident composition is lower than residency applicant demographics, particularly in surgery. Seventeen (33 %) studies reported on URiM recruitment interventions, such as visiting clerkship programs, holistic review, and targeted outreach, and demonstrated success in increasing recruitment of URiM candidates to programs.

Conclusions: URiM residents remain disproportionately underrepresented, and markedly so among surgical residency programs. Further research should focus on implementing EDI interventions in surgery and assess URiM resident attrition post-matriculation.

Keywords: Diversity; Ethnicity; Race; Residency; Surgery; Underrepresented minority.

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

Affiliations

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

Authors

Affiliations

Abstract

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources