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  1. Article ; Online: The Diversity of Surgical Trainees Index identifies racial and ethnic disparities among surgical specialties.

    Cui, Christina L / Loanzon, Roberto S / West-Livingston, Lauren N / Coleman, Dawn M / Long, Chandler A / Kim, Young

    Journal of vascular surgery

    2024  

    Abstract: Objective: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified.: Methods: Data ... ...

    Abstract Objective: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified.
    Methods: Data collected from Accreditation Council for Graduate Medical Education (ACGME) annual reports were used to derive the Diversity of Surgical Trainee Index (DoSTI) metric, which was calculated as the proportion of URiM residents and fellow physicians within a given surgical specialty, relative to the overall proportion of URiM trainees within all surgical and non-surgical ACGME-accredited programs in the same academic year.
    Results: From 2013 to 2022, a total of 108,193 ACGME-accredited residency programs trained 1,296,204 residents and fellows in the United States. Of these, 14.1% (n = 182,680) of trainees self-identified as URiM over the study period. The mean DoSTI among all surgical specialties was 0.80 (standard error, 0.01) compared with all ACGME-accredited programs. High DoSTI specialties incorporated significantly higher proportions of Hispanic (8.7% vs 6.3%) and Black (5.2% vs 2.5%) trainees compared with low DoSTI specialties (P < .0001 each). General surgery (1.06 ± 0.01), plastic surgery (traditional) (1.12 ± 0.06), vascular surgery (integrated) (0.96 ± 0.03), and vascular surgery (traditional) (0.94 ± 0.06) had the highest DoSTI indices (P < .05 each vs composite). On linear regression analysis, only ophthalmology (+0.01/year; R
    Conclusions: The DoSTI is a novel metric used to quantify the degree of URiM representation among surgical specialties. DoSTI has revealed specialty-specific variations in racial/ethnic minority representation among surgical training programs. This metric may be used to improve provider awareness, identify high performing DoSTI specialties to highlight their best practices, and ultimately, recruit a more diverse surgical workforce.
    Language English
    Publishing date 2024-04-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2024.03.456
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: When screens become mirrors: Black women in medicine find belonging through social media.

    West-Livingston, Lauren N / South, Eugenia C / Mabins, Sanché / Landry, Adaira

    AEM education and training

    2021  Volume 5, Issue Suppl 1, Page(s) S98–S101

    Language English
    Publishing date 2021-09-29
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10669
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  3. Article ; Online: Concerning Trends in Vascular Surgery Trainee Operative Experience in Venous Disease.

    Cui, Christina L / West-Livingston, Lauren N / Loanzon, Roberto S / Latz, Christopher A / Coleman, Dawn M / Long, Chandler A / Kim, Young

    Annals of vascular surgery

    2023  Volume 100, Page(s) 25–30

    Abstract: Background: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic ...

    Abstract Background: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic venous disease. The purpose of this study is to evaluate the case-mix and volume of venous procedures performed by graduating integrated vascular surgery residents and fellows in the United States.
    Methods: Accreditation Council for Graduate Medical Education national operative log reports were compiled for graduating integrated VSR (vascular surgery residency) and traditional vascular surgery fellowship (VSF) trainees from academic years 2013 to 2022. Only cases categorized as "surgeon fellow", "surgeon chief", or "surgeon junior" were included. Linear regression analysis was utilized to evaluate trends in case-mix and volume.
    Results: Over the 10-year study period, total vascular cases increased for both VSR (mean 870.5 ± 9.3 cases, annual change +9.5 cases/year, R
    Conclusions: Current vascular residents and fellows have limited exposure to venous procedures, in part due to a proportional decline in venous cases. More robust venous operative experience is needed during surgical training. Further studies are needed to understand whether this discrepancy in venous and arterial training impacts career progression and patient outcomes.
    MeSH term(s) Humans ; United States ; Internship and Residency ; Curriculum ; Treatment Outcome ; Education, Medical, Graduate/methods ; Vascular Surgical Procedures/education ; Varicose Veins ; General Surgery/education ; Clinical Competence
    Language English
    Publishing date 2023-12-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.10.014
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    Zs.A 2882: Show issues Location:
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  4. Article ; Online: Sexual orientation, gender identity, and gender expression: From current state to solutions for the support of lesbian, gay, bisexual, transgender, and queer/questioning patients and colleagues.

    West-Livingston, Lauren N / Dittman, James M / Park, Jason A / Pascarella, Luigi

    Journal of vascular surgery

    2021  Volume 74, Issue 2S, Page(s) 64S–75S

    Abstract: Many of the systemic practices in medicine that have alienated lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals persist today, undermining the optimal care for these patients and isolating LGBTQ medical providers from ... ...

    Abstract Many of the systemic practices in medicine that have alienated lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals persist today, undermining the optimal care for these patients and isolating LGBTQ medical providers from their colleagues. The 2020 Task Force on Diversity, Equity, and Inclusion Report recently published by the Society for Vascular Surgery marked the first publication advocating for the inclusion of sexual orientation and sexual identity in the development of initiatives promoting and protecting diversity across vascular surgery. Vascular providers should be aware that it is crucial to cultivate an environment that is inclusive for LGBTQ patients because a large proportion of these patients have reported not self-disclosing their status to medical providers, either out of concern over potential personal repercussions or failing to recognize the potential relevance of LGBTQ status to their medical care. Safe Zone training has provided a standard resource for providers and staff that can be integrated into onboarding and routine training. Clarifying the current terminology for sexual orientation and identity will ensure that vascular providers will recognize patients who could benefit from screening for additional vascular risk factors relevant to this population related to sexual health, social behavior, physical health, and medical therapies. The adoption of gender neutral language on intake forms and general correspondence with colleagues is key to reducing the unintended exclusion of those with LGBTQ identities in both inpatient and outpatient environments. In many locales across the United States, the professional and personal repercussions for openly reporting LGBTQ status persist, complicating efforts toward quantifying, recognizing, and supporting these patients, practitioners, and trainees. Contributing to an inclusive environment for patients and peers and acting as a professional ally are congruent with the ethos in vascular surgery to treat all patients and colleagues with respect and optimize the healthcare of every vascular patient.
    MeSH term(s) Attitude of Health Personnel ; Communication ; Female ; Gender Equity ; Gender Identity ; Health Knowledge, Attitudes, Practice ; Health Status Disparities ; Healthcare Disparities ; Homophobia ; Humans ; Male ; Physician-Patient Relations ; Sexism ; Sexual Behavior ; Sexual and Gender Minorities ; Surgeons/education ; Surgeons/psychology ; Terminology as Topic ; Vascular Surgical Procedures/education
    Language English
    Publishing date 2021-07-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2021.03.057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1933: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: The Role of the Microenvironment in Controlling the Fate of Bioprinted Stem Cells.

    West-Livingston, Lauren N / Park, Jihoon / Lee, Sang Jin / Atala, Anthony / Yoo, James J

    Chemical reviews

    2020  Volume 120, Issue 19, Page(s) 11056–11092

    Abstract: The field of tissue engineering and regenerative medicine has made numerous advances in recent years in the arena of fabricating multifunctional, three-dimensional (3D) tissue constructs. This can be attributed to novel approaches in the bioprinting of ... ...

    Abstract The field of tissue engineering and regenerative medicine has made numerous advances in recent years in the arena of fabricating multifunctional, three-dimensional (3D) tissue constructs. This can be attributed to novel approaches in the bioprinting of stem cells. There are expansive options in bioprinting technology that have become more refined and specialized over the years, and stem cells address many limitations in cell source, expansion, and development of bioengineered tissue constructs. While bioprinted stem cells present an opportunity to replicate physiological microenvironments with precision, the future of this practice relies heavily on the optimization of the cellular microenvironment. To fabricate tissue constructs that are useful in replicating physiological conditions in laboratory settings, or in preparation for transplantation to a living host, the microenvironment must mimic conditions that allow bioprinted stem cells to proliferate, differentiate, and migrate. The advances of bioprinting stem cells and directing cell fate have the potential to provide feasible and translatable approach to creating complex tissues and organs. This review will examine the methods through which bioprinted stem cells are differentiated into desired cell lineages through biochemical, biological, and biomechanical techniques.
    MeSH term(s) Bioprinting ; Cellular Microenvironment ; Humans ; Printing, Three-Dimensional ; Stem Cells/cytology ; Tissue Engineering
    Language English
    Publishing date 2020-06-19
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 207949-5
    ISSN 1520-6890 ; 0009-2665
    ISSN (online) 1520-6890
    ISSN 0009-2665
    DOI 10.1021/acs.chemrev.0c00126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Role of the Microenvironment in Controlling the Fate of Bioprinted Stem Cells

    West-Livingston, Lauren N / Park, Jihoon / Lee, Sang Jin / Atala, Anthony / Yoo, James J

    Chemical reviews. 2020 June 19, v. 120, no. 19

    2020  

    Abstract: The field of tissue engineering and regenerative medicine has made numerous advances in recent years in the arena of fabricating multifunctional, three-dimensional (3D) tissue constructs. This can be attributed to novel approaches in the bioprinting of ... ...

    Abstract The field of tissue engineering and regenerative medicine has made numerous advances in recent years in the arena of fabricating multifunctional, three-dimensional (3D) tissue constructs. This can be attributed to novel approaches in the bioprinting of stem cells. There are expansive options in bioprinting technology that have become more refined and specialized over the years, and stem cells address many limitations in cell source, expansion, and development of bioengineered tissue constructs. While bioprinted stem cells present an opportunity to replicate physiological microenvironments with precision, the future of this practice relies heavily on the optimization of the cellular microenvironment. To fabricate tissue constructs that are useful in replicating physiological conditions in laboratory settings, or in preparation for transplantation to a living host, the microenvironment must mimic conditions that allow bioprinted stem cells to proliferate, differentiate, and migrate. The advances of bioprinting stem cells and directing cell fate have the potential to provide feasible and translatable approach to creating complex tissues and organs. This review will examine the methods through which bioprinted stem cells are differentiated into desired cell lineages through biochemical, biological, and biomechanical techniques.
    Keywords biomechanics ; bioprinting ; cellular microenvironment ; medicine ; tissue engineering
    Language English
    Dates of publication 2020-0619
    Size p. 11056-11092.
    Publishing place American Chemical Society
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 207949-5
    ISSN 1520-6890 ; 0009-2665
    ISSN (online) 1520-6890
    ISSN 0009-2665
    DOI 10.1021/acs.chemrev.0c00126
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis.

    Amirehsani, Karen A / Hu, Jie / Wallace, Debra C / Silva, Zulema A / Dick, Sarah / West-Livingston, Lauren N / Hussami, Christina R

    Journal of community health nursing

    2017  Volume 34, Issue 3, Page(s) 126–135

    Abstract: Hispanics in the United States experience significant health disparities. Using focus groups conducted in Spanish, we explored the perspectives of 172 Hispanic adults regarding their healthcare experiences. Many participants were women (64.5%) and ... ...

    Abstract Hispanics in the United States experience significant health disparities. Using focus groups conducted in Spanish, we explored the perspectives of 172 Hispanic adults regarding their healthcare experiences. Many participants were women (64.5%) and primarily from Mexico (80%). Four major qualitative themes emerged: (a) provide us with information, (b) want attentive and respectful relationships, (c) want better care, and (d) perceived discrimination. Suboptimal patient-provider interactions were described. Research is needed to explore interventions that address these issues. Incorporating person-centered care principles and practices such as clear and understandable communication, culturally competent care, and customer service skills may benefit provider interactions with Hispanics.
    MeSH term(s) Attitude to Health/ethnology ; Diabetes Mellitus, Type 2/ethnology ; Diabetes Mellitus, Type 2/therapy ; Family ; Female ; Focus Groups ; Healthcare Disparities ; Hispanic Americans/psychology ; Humans ; Male ; Middle Aged ; Qualitative Research ; Quality of Health Care ; Racism/psychology
    Language English
    Publishing date 2017-07-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605906-5
    ISSN 1532-7655 ; 0737-0016
    ISSN (online) 1532-7655
    ISSN 0737-0016
    DOI 10.1080/07370016.2017.1340556
    Database MEDical Literature Analysis and Retrieval System OnLINE

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