Despite the growing attention to evaluating care from the patient perspective, the most common definitions and measurements of quality are currently defined by physicians and health systems. Studies have demonstrated how a lack of patient input can lead to discrepancies between patients’ and physicians’ assessments of quality and, subsequently, worse patient outcomes. Although quality measures are increasingly used in hand surgery, insufficient work has examined whether these quality measures align with what matters to patients. We completed a qualitative study to assess how patients define high-quality care through the pre-, peri-, and postoperative phases of care in hand surgery.Hand surgery is a rewarding subspecialty that helps patients get back to living their daily lives, from a child being able to play outside to an adult being able to get back to work.

This article serves to identify the challenges that an underrepresented in medicine (UIM) student will face and provide a strategy for identifying resources and important milestones for pursuing a career in Hand Surgery in the United States. In addition to the academic rigor and personal sacrifices that many students experience, a UIM student’s journey is made more difficult by being a gender and/or racial minority. It is not a hyperbole to say that these barriers and challenges begin at an early age. Disparities that affect minority populations can be traced to the zip code of birth or childhood. Racial minorities in the United States face systemic and institutional challenges from health care access to unequal treatment by law enforcement and the judicial system. The authors are no exception to this reality having experienced their own racial prejudices throughout their childhoods and medical training.

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Regards
Mishita
Jornal co-ordinator
Journal of General Surgery Reports