Racial/Ethnic and Gender Disparities Over the Last Decade Within Microsurgery and Craniofacial Fellowship Training.

BACKGROUND: Racial/ethnic and gender disparities persist in plastic surgery at nearly all levels of training, becoming more pronounced at each stage. Recent studies have demonstrated that the proportion of female plastic surgery residents has increased to nearly 40%, yet only 11% of full professors of plastic surgery are female. Other studies have identified severe declines in underrepresented minority plastic surgery representation between plastic surgery residents and academicians with only 1.6% of Black/African American and 4.9% of Hispanic/Latinx full professors of plastic surgery. Often, residents seek fellowship for advanced training before seeking an academic professorship. This study aims to describe the racial/ethnic and gender representation of microsurgery and craniofacial fellows. METHODS: Names and photos of graduated fellows for the past 10 years (2012-2021) were extracted from microsurgery and craniofacial fellowship Web sites. Using a 2-person evaluation method, race/ethnicity and gender were primarily determined by photographic and surname and verified, when possible, through online confirmation methods (articles, social media). Distributions were analyzed with descriptive statistics and compared with the US population. RESULTS: Among 30 microsurgery fellowships, 180 graduated fellows (52.7%) were identified, resulting in 66 female fellows (36.7%) and the following racial/ethnic distribution: 113 (62.8%) White, 49 (27.2%) Asian, 12 (6.7%) Hispanic/Latinx, and 6 (3.3%) Black/African American. Among 31 craniofacial fellowships, 136 graduated fellows (45.0%) were identified, resulting in 38 female fellows (27.9%) and the following racial/ethnic distribution: 75 (55.1%) White, 45 (33.1%) Asian, 8 (5.9%) Hispanic/Latinx, and 8 (5.9%) Black/African American. The intersection between race/ethnicity and gender revealed the most disproportionately low representation among Black women. Relative to the US population, Hispanic/Latinx (0.31-fold) and Black/African American (0.48-fold) fellows were underrepresented, White (0.90-fold) fellows were nearly equally represented, and Asian (5.42-fold) fellows are overrepresented relative to the US population. Furthermore, despite pursuing fellowships at a greater rate, Asian and Black fellows are not reaching adequate representation among academic plastic surgeons. CONCLUSION: This study demonstrates that female racial/ethnic minorities are disproportionately underrepresented among microsurgery and craniofacial fellowships. Efforts should be made to improve the recruitment of fellows of underrepresented backgrounds and thus improve the pipeline into academic careers.

Promoting Success of Ethnic Minority and Male Students in an Accelerated, Entry-Level Master of Nursing Program: The SUSTAIN Program.

BACKGROUND: Diverse health care workers are essential to meet the needs of a diverse U.S. POPULATION: Ethnic minorities and men are frequently underrepresented in the nursing profession and within schools of nursing. Although many nursing schools have implemented programs to improve retention and academic success of these students, the lack of success is, in part, a reflection of program ineffectiveness. METHOD: A nursing college developed the multifaceted SUSTAIN (Scholarships for Underrepresented Students in an Accelerated Initial Nursing) program to promote ethnic minority and male students' success in an accelerated entry-level master of nursing program. Students engaged in mentoring, academic support, and service-learning activities. RESULTS: Participants (N = 51) achieved 100% retention and graduation rates and a 92% first-time NCLEX-RN(®) examination pass rate. Program students participated in professional organizations and held leadership roles within the college. CONCLUSION: Implementation of a program focused on student retention and success is recommended for diverse students enrolled in accelerated entry-level master of nursing programs.

Aboriginal women and Asian men: a maritime history of color in white Australia.

In 1901, Broome­a port town on the northwest edge of the Australian continent­was one of the principal and most lucrative industrial pearling centers in the world and entirely dependent on Asian indentured labor. Relations between Asian crews and local Aboriginal people were strong, at a time when the project of White Australia was being pursued with vigorous, often fanatical dedication across the newly federated continent. It was the policing of Aboriginal women, specifically their relations with Asian men, that became the focus of efforts by authorities and missionaries to uphold and defend their commitment to the White Australia policy. This article examines the historical experience of Aboriginal women in the pearling industry of northwest Australia and the story of Asian-Aboriginal cohabitation in the face of oppressive laws and regulations. It then explores the meaning of "color" in contemporary Broome for the descendants of this mixed heritage today.

The acceleration of the masculine in early-twentieth-century Berlin.

In early-twentieth-century Berlin, agents of speed and industrialisation, such as the railway, contributed to the seemingly unbridled velocity of urban life. Doctors and cultural critics took an ambivalent stance toward the impact of speed and technology on the human body. Critics argued that these factors, in conjunction with sexual excess and prostitution, accelerated the sexual maturation of young men, thereby endangering 'healthy' male sexuality. This comparison of Hans Ostwald's socio-literary study Dunkle Winkel in Berlin (1904) with Georg Buschan's sexual education primer Vom Jüngling zum Mann (1911) queries the extent to which speed shaped the understanding of 'the masculine' in pre-World-War-I Germany. The essay thus examines Ostwald's and Buschan's arguments and postulates that speed in the city (Berlin) can be seen as a feminised, sexualised force that determined sex in the city. According to this reading, the homosexual urban dandy resisted the accelerated modernist urban tempo, whereas the heterosexual man and hegemonic, heteronormative masculinity yielded to speed. '"Das Verhältnis"' became a fleeting, momentary alternative to stable marital relationships, which in turn contributed to the general 'crisis' of ­ and in­ masculinity in early-twentieth-century Berlin.

American cinema and the construction of masculinity in film in the Federal Republic after 1945.

Since 1945, film in the Federal Republic has maintained an ambivalent relationship to American cinema and its embedded ideologies and nowhere is this more evident than in (West) German film's representations of masculinity. This article focuses on three historical moments when political and social shifts resulted in a problematising of male identities in the Federal Republic: the mid-1950s, the early 1970s and the late 1990s. Cinema responded to a perceived destabilisation of gender norms by exploring constructions of German masculinity in relation to the ambivalently received models of male identity offered by American cinema. With a detailed analysis of three specific examples ­ Georg Tressler's Die Halbstarken (1956), Rainer Werner Fassbinder's Der amerikanische Soldat (1970) and Fatih Akin's Kurz und schmerzlos (1998) ­ this article investigates the manner in which German cinema engages with these competing conceptions of masculinity and demonstrates the ways in which divergent understandings of gender identity can impact on representations of national and ethnic identity.

Rewriting the history of Chinese families in nineteenth-century Australia.

The nineteenth-century Chinese population in Australia was made up mostly of men, drawing many commentators to the conclusion these men faced an absence of family life, resulting in prostitution, gambling, opium use and other so-called vices. Recent research has, however, expanded and complicated our knowledge of Chinese families in New South Wales and Victoria, particularly concerning the extent to which Chinese men and white Australian women formed intimate relationships. This article traces the origins of the misconceptions about Chinese families in nineteenth-century Australia, and considers how new directions in scholarship over the past decade are providing methods for enlarging our knowledge. It argues that instead of being oddities or exceptions, Chinese-European families were integral to the story of Australia's early Chinese communities.

Empowerment or endurance? War wives' experiences of independence during and after the Second World War in Germany, 1939-1948.

As German men were conscripted into the armed forces during the Second World War, more and more wives were left to manage their families alone. At the same time more women than ever entered paid employment to fill the gaps in the market left by their soldier husbands. Scholars working in the field have made much of the dislocation to gender roles prompted by the Second World War. This article questions whether women's wartime experiences changed their views on being confined to the home. Ultimately, this article argues, women wanted to return to a sense of normality at the end of the war. In the aftermath of defeat, in which mere survival rather than speculation about potentially improved models of the family set-up were paramount, "normality" was most obviously represented by prewar gender roles. Women were hoping for normalization, not only in the public sphere in the sense of a flourishing economy, but also in the private sphere with the return of the men and a resumption of the old role divisions. It was therefore not only conservative politicians who wished to preserve prewar structures within the home - so too did women themselves. The re-emergence of the traditional family model in the wake of the Second World War was thus as much the result of popular aspirations "from below" as of government policies imposed "from above".

Social individualism: Walter Gropius and his appropriation of Franz Müller-Lyer's idea of a new man.

In 1929, Walter Gropius developed the "High-Rise Steel Frame Apartment Building" that was based on theories about the emergence of a New Man put forward by sociologist Franz Müller-Lyer. In his lecture at the Congrès International d'Architecture Moderne conference in 1929, Gropius appropriated Müller-Lyer's sociology in order to promote and prompt the re-development of high-rise tenements and master households. Gropius' 1931 contribution to the Deutsche Bauausstellung in Berlin incorporated a full-scale community lounge and a recreation area with sporting equipment, as well as a model and plans for a "High-Rise Steel Frame Apartment Building" that were designed in accordance with Müller-Lyer's theories. While it shows Müller-Lyer's influence, the boxing equipment found in the recreation area reflects the importance that sport, and boxing in particular, had gained after 1900. Boxing was perceived as a sport that would not only further fitness but also raise the spirits and help the inhabitant to succeed in the modern urban environment. By providing boxing equipment, Müller-Lyer's vision, which envisaged master households as furthering a community of peaceful individuals living in a condition of mutual trust, is weakened. In 1923, the sociologist Helmuth Plessner had regarded utopian visions of ideal communities as antithesis to actual events in the Weimar Republic. The embracing of theories that promised an evolutionary and linear development towards peaceful communities can be regarded as a counterreaction to a present that was perceived as an imperfect and temporary condition. Furthermore, Gropius' appropriation of Müller-Lyer's sociology not only helped to distinguish his position from Marxist and socialist theories but also illustrated the contemporary tendency to accept utopian ideas while simultaneously doubting the practicality of some.

Miners, masculinity and the "Bataille du Charbon" in France, 1944-1948.

In 1944, the French provisional government, backed by the Parti communiste français and the Confédération générale du travail, undertook an aggressive propaganda campaign to persuade miners to embark upon a 'battle for coal' which raised their efforts in extracting coal to that of a national endeavour. At the same time, miners had great hopes that nationalisation of the coal industry, under discussion at this time, would bring significant improvement to their working lives. In identifying the ways in which publicists posited miners as an ideal of working-class manhood, this article will argue that "la bataille du charbon" marks a crucial moment in the celebration of working-class masculinity and that the "statut des mineurs" which was passed in 1946 as a part of nationalisation enshrined many of the existing gender assumptions about mining life. What does an incorporation of gender to an analysis of the treatment of miners in the years 1944-1948 add to our understandings of the various economic, political and social dynamics around "la bataille du charbon"? How do these insights inform our perceptions of French coalfield societies in the mid-twentieth century?

Acculturation, depression, self-esteem, and substance abuse among Hispanic men.

The demographics of the United States are rapidly changing as a result of immigration from Latin America. Predictions indicate that by the year 2050, one of every four persons in the United States will be of Hispanic ethnicity. If health disparities relating to substance abuse and related mental health conditions among Hispanics are not fully understood and addressed, these will continue to grow along with this population. The purpose of this pilot study was to describe the relationships among acculturation, depression, self-esteem, and substance abuse among a community sample of Hispanic men in South Florida (N = 164, 82 heterosexual men and 82 men who have sex with men). Standardized instruments measuring acculturation, depression, self-esteem, and substance abuse were administered in English or Spanish in a face-to-face interview format. Descriptive statistics and multiple logistic regression were used to illustrate participant characteristics and test relationships among the variables. Despite the fact that the majority of participants were more acculturated to the Hispanic culture than US culture, reported low levels of education and income, were depressed, and used substances, this group of men reported high levels of self-esteem. However, age and depression were the only predictors of substance abuse. Acculturation and self-esteem were not predictors of substance abuse. Clinicians need to be aware of the high rates of depression and substance abuse in this population and screen frequently for signs and symptoms of depression and substance abuse during health care encounters.

Are sports overemphasized in the socialization process of African American males? A qualitative analysis of former collegiate athletes' perception of sport socialization .

Scholars have noted that an elevated level of sports socialization in the family, neighborhood, and media exists within the African American community, creating an overrepresentation of African American males in certain sports. As a result, African American males may face consequences that are distinctly different from the consequences of those who are not socialized as intensively toward athletics, such as lower levels of academic achievement, higher expectations for professional sports careers as a means to upward mobility, and lower levels of career maturity. This study examines the sport socialization of African American male former collegiate athletes through in-depth ethnographic interviews. The results show that the respondents' perceptions were that their socializing agents and socializing environment emphasized athletics above other roles, other talents, and the development of other skills.

Parish apprenticeship and the old poor law in London.

This article offers an examination of the patterns and motivations behind parish apprenticeship in late eighteenth- and early nineteenth-century London. It stresses continuity in outlook from parish officials binding children, which involved placements in both the traditional and industrializing sectors of the economy. Evidence on the ages, employment types, and locations of 3,285 pauper apprentices bound from different parts of London between 1767 and 1833 indicates a variety of local patterns. The analysis reveals a pattern of youthful age at binding, a range of employment experiences, and parish-specific links to particular trades and manufactures.

The declining retirement prospects of immigrant men.

We compare the retirement prospects of immigrant men with their native-born counterparts. Using data from the Survey of Labour and Income Dynamics, we estimate a significant gap of 43 percent in private pension income and 30 percent in private pension contributions between immigrants and the native born. The gap in public pension incomes is negligible and reduces the overall pension gap, but only partially. Furthermore, the pension income and contribution gap is significantly larger for more recently arrived immigrant cohorts, consistent with evidence of weaker earnings for this group. We provide age profiles of pension income and contributions and discuss problems in interpreting the results without adjusting for age. Controlling for age and earnings differences, immigrants are still about 11 percent less likely to make contributions to a private pension program, but there is no difference in the contribution rates out of earnings of those who contribute. Recently arrived immigrants are significantly less likely to make contributions to a private pension program and appear to be neglecting private pension contribution opportunities more than earlier immigrants and the native born, which may have adverse implications for Canada's public retirement programs.