In Reply We first thank the authors of these letters for taking the time to comment on our work¹ and for their shared interest in improving diversity, equity, and inclusivity in surgery. The primary goals of publishing our data were to identify racial, ethnic, and sex differences in board passage rates as a problem and to stimulate conversation around how to take action to improve metrics that appear to demonstrate significant gaps based on resident demographics. Our work is not meant to be conclusive, but a foundation to inform a process of developing evidence-based interventions. Our group has been studying surgical residency training for more than a decade, and we have repeatedly demonstrated that there are disparities in training and training experiences. We were pleased to see the letters written in response to our research and hope that they will help to spark a conversation about some of the issues. We hope this is just the beginning of conversations that will not stop until we have better solutions and a more diverse and inclusive profession.

在答复中，我们首先感谢这些信件的作者花时间对我们的工作发表评论¹以及他们对改善手术的多样性，公平性和包容性的共同兴趣。发布我们的数据的主要目标是确定董事会通过率的种族，种族和性别差异是一个问题，并激发人们围绕如何采取行动来改善指标的对话，这些指标似乎显示出基于居民人口的巨大差距。我们的工作并不是决定性的，而是为制定基于证据的干预措施的过程提供信息的基础。我们的团队研究外科住院医师培训已有十多年了，我们反复证明培训和培训经验之间存在差异。我们很高兴看到为回应我们的研究而写的信，并希望它们将有助于引发有关某些问题的对话。