Radiation Oncology resident perspectives on diversity, equity, and inclusion: an Association of Residents in Radiation Oncology Equity and Inclusion Subcommittee (ARRO EISC) inaugural resident survey.

Overview

abstract

PURPOSE: To survey radiation oncology residents on perceptions of diversity, equity, inclusion, and belonging in their residency training programs. METHODS AND MATERIALS: A 23-item survey was developed by the Association of Residents in Radiation Oncology Equity and Inclusion Subcommittee (ARRO EISC) resident members and faculty advisors and sent to all residents from ACGME accredited programs. The survey was divided into 4 sections: Institutional Culture, Support and Resources, Interview and Recruitment, and Experiences of Bias. The survey was sent individually to residents from all ACGME accredited radiation oncology programs. RESULTS: The survey was issued to 757 residents. 319 residents completed the survey, for a response rate of 42%. All post-graduate years (PGY) and geographic regions were represented. Significant racial, ethnic, and gender differences were present in survey response patterns. White residents (94%, 164/174) and male residents (96%, 186/194) were more likely to strongly agree/agree that they were treated with respect by their colleagues and their co-workers than other racial groups (p <0.005) or gender groups (p<0.008). Only 3% (5/174) of white residents strongly agreed/agreed that they were treated unfairly because of their race/ethnicity, while 31% (5/16) of Black residents and 10% (9/94) of Asian residents strongly agreed/agreed (p<.0001). Similarly, Hispanic residents were more likely to strongly/agree (24%, 5/21) than non-Hispanic residents (7%, 20/298; p=0.003). Regarding mentorship, there were no differences by gender or ethnicity. There were differences by race in residents reporting that they had a supportive mentor (p=0.022), with residents 89% (154/174) of white residents who strongly agreed/agreed, 88% (14/16) of Black residents, and 91% of Asian residents (86/94). CONCLUSION: This survey reveals that experiences of support, mentorship, inclusion, and bias vary significantly among radiation oncology residents based on race, ethnicity and gender. Radiation oncology has opportunity for growth to ensure an equitable experience for all residents.