To the Editor Yeo et al¹ evaluated factors associated with American Board of Surgery (ABS) examination pass rates in a cohort of categorical surgical residents from the internship (2007) to eligibility/certification. They found that first-time ABS pass rate was associated with nonmodifiable factors, such as nonwhite race/ethnicity, sex (women), and having children.¹ Additionally, Hispanic residents were less likely to attempt the ABS examinations at all. We must place these findings in the context of diversity in surgery, or rather, the lack thereof. The cohort included only 55 Hispanic residents, most of whom did pass the ABS examinations (n = 43; 81.1%). There was no difference in pass rates for the qualifying examination for Hispanic and nonwhite candidates; however, the marked difference in failing the ABS certifying examination may reflect implicit bias in the process.

致编辑Yeo等人¹评估了从实习（2007）到资格/认证的一组分类外科住院医师与美国外科医师学会（ABS）考试通过率相关的因素。他们发现，首次ABS通过率与不可修改的因素相关，例如非白人种族/民族，性​​别（妇女）和生孩子。^1个此外，西班牙裔居民完全没有机会参加ABS考试。我们必须将这些发现放在外科手术多样性的背景下，或者说缺乏这些发现。该队列仅包括55名西班牙裔居民，其中大多数人通过了ABS考试（n = 43； 81.1％）。西班牙裔和非白人候选人的合格考试通过率没有差异；但是，未通过ABS认证检查的显着差异可能反映了过程中的隐含偏差。