A recent study published in the Journal of the American College of Surgeons highlights the challenges faced by Black medical students in Canada when pursuing careers as surgeons. The study, led by researchers from St. Michael’s Hospital and the University of Toronto medical school, sheds light on various factors contributing to the underrepresentation of Black surgeons in the field.

According to the study, lack of mentorship, problematic admission criteria, and experiences of racist microaggressions during training are among the key barriers encountered by Black medical students. Senior author Dr. Jory Simpson emphasized the importance of addressing these issues to ensure equitable access to surgical training and enhance patient care through a diverse workforce.

The qualitative study, led by Black medical students Edgar Akuffo-Addo and Jaycie Dalson, involved interviews with 27 Black participants, including medical students and surgical residents across Canada. Participants highlighted the scarcity of Black mentors in the field, which limits opportunities for guidance and support. Additionally, disparities in socioeconomic background affect the connections available to Black students, further hindering their progress in medical school and beyond.

One significant barrier identified in the study is the overemphasis on research experience in the selection process for surgical residencies. Black medical students, who may have more experience with advocacy work than research, find themselves at a disadvantage due to the prevailing criteria. This underscores the need to recognize and value diverse forms of contribution to the medical field beyond traditional research activities.

Furthermore, the study revealed instances of exclusion and racism experienced by Black surgical residents, including microaggressions from colleagues and patients alike. The participants emphasized the importance of creating a supportive and inclusive environment within medical institutions to address these issues effectively.

The authors hope that the findings of the study will prompt medical schools across Canada to implement measures to support Black students and trainees in their pursuit of surgical careers. By fostering a more inclusive environment and recognizing the diverse contributions of medical professionals, institutions can strive towards greater equity and representation in the field of surgery.