Minority Barriers in Anesthesia

Minority Barriers to Professional Advancement in Anesthesia

The investigators aim to survey members of the ASA (medical students, residents, and attendings) who self-identify as minorities to assess if there are systemic barriers to minorities pursuing leadership positions. The investigators hypothesize that structural issues such as a lack of formalized mentoring programs play a role in reduced minority professional advancement.

Study Overview

• Status: Recruiting
• Conditions: Minority Barrier; Lack of Mentoring Program; Pass Over for Promotion
• Intervention / Treatment: Other: Survey

Detailed Description

Within the American Society of Anesthesiology (ASA) underrepresented minorities comprise only 6.0% of leadership. Within the ASA, women additionally only hold 21% of House of Delegates and state society officer positions, while comprising 38% of the national anesthesiology workforce.

The investigators will be using a survey via SurveyMonkey with potential for an opt-in phone or Zoom interview via the interviewee using the contact information at the bottom of the SurveyMonkey. The questions for the Survey Monkey are below. The investigators will use the Tufts HIPAA-compliant Zoom account for any Zoom interviews.

In order to deidentify the phone and Zoom interviews, investigators will not label any transcripts of the interviews with names or identifying information. The investigators will also destroy all correspondence after a time and date for the phone/Zoom interview is set.

Participants will be self-selecting for this survey. The investigators aim to email the coordinators of the ASA (medical student component, resident component, general body) who will then forward investigators' contact letter and survey to participants' constituents. Given the self-selecting nature of the survey, the investigators are not specifically targeting individuals who identify as minorities--as there are variable definitions to this term--but rather investigators will use the survey to evaluate for trends within the responses. The investigators hypothesize that gender/race/sexual orientation may play a role in career choices for individuals, which will be elucidated through the survey responses. The investigators will sort the surveys into groups to where minority identification played a large role in career versus where it did not and then calculate the trend as a percentage of the total survey responses.

The investigators recognize that it may be more possible to provide in-depth responses to the survey via a phone or Zoom interview. Therefore, investigators have included a contact information in the contact letter and the Survey Monkey and will give participants the option of doing a phone/Zoom interview instead of the Survey Monkey.

Survey Questions:

Why did you decide to pursue medicine as a career? Why anesthesia? Did gender play a role in your decision to pursue medicine? In your decision to do anesthesia? Did race play a role in your decision to pursue medicine? In your decision to do anesthesia? Do you have any regrets about your career choice? Where do you currently practice? What led you to choose that practice setting? What mentorship resources were available to you along your career path? What is a professional success you had? What is a perceived failure you may have had? How did that effect your career? What if your five-year plan? Ten-year plan? Twenty? What is a minority?

• Study Type: Observational
• Enrollment (Estimated): 250

Contacts and Locations

• Study Contact: Name: Iwona Bonney, PhD; Phone Number: 617 636 9322; Email: ibonney@tuftsmedicalcenter.org

Study Locations

• United States
  • Massachusetts
    • Boston, Massachusetts, United States, 02143
      • Recruiting
      • Iwona Bonney
      • Contact: Iwona Bonney, PhD; Phone Number: 617-501-1970; Email: ibonney@tuftsmedicalcenter.org
      • Contact: Iwona Bonney, PhD; Phone Number: 617 636 6044; Email: IBonney@tuftsmedicalcenter.org
      • Principal Investigator: Neeti Sadana, MD
      • Sub-Investigator: Shara S Bonney, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Medical students, residents, attending anesthesiologists, members of ASA, self-identifying as minorities

Description

Inclusion Criteria:

• Members of ASA, medical students, residents, attending anesthesiologists, self-identifying as minorities

Exclusion Criteria:

• Non-ASA members

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Minority barriers	The goal of this study is to highlight systemic barriers to minority advancement in anesthesia (Passed for promotion, lack of pay raises, lack of mentoring programs, how many times it happened during carrier). Responses will be reported as percentages, higher values mean barriers are more prevalent	through study completion, an average of 6 months

Collaborators and Investigators

• Sponsor: Tufts Medical Center
• Collaborators: American Society of Anesthesiologists
• Investigators: Study Director: Shara S Azad, MD, Tufts Medical Center; Principal Investigator: Neeti Sadana, MD, Tufts Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): December 22, 2020
• Primary Completion (Estimated): December 31, 2024
• Study Completion (Estimated): August 31, 2025

Study Registration Dates

• First Submitted: January 2, 2021
• First Submitted That Met QC Criteria: January 2, 2021
• First Posted (Actual): January 5, 2021

Study Record Updates

• Last Update Posted (Estimated): February 2, 2024
• Last Update Submitted That Met QC Criteria: February 1, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: STUDY00001139

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No