en Administrative Chief Residents &amp;#x2013; How Are They Chosen and Does It Matter? Basic Science Basic Science Original Original <sec> <div>Background</div> <p>There is no literature on the administrative chief resident (ACR) in surgery or disparities of this leadership position.</p> </sec> <sec> <div>Objectives</div> <p>The aim of this study is to examine the rates of perceived female and minority leadership at the resident level.</p> </sec> <sec> <div>Patients and Methods</div> <p>After institutional review board (IRB) approval, a pilot survey was sent to surgical residents and faculty at a single university surgical program. The survey was revised based on small group feedback and a specialist in study design. It was then sent to all US surgical residents and program directors, and analyzed using Survey Monkey.</p> </sec> <sec> <div>Results</div> <p>There was a 10% resident response rate, 22% program director, most from a program with 50% female residents. 71% report no clear ACR policy, 64% believe the position appointed. Half report less than 25% female ACRs, 54% zero minority ACRs. Program directors reported more female ACRs, but similar lack of selection policy. 54% believe ACR receives a stipend. 31% report more than 75% went into academics.</p> </sec> <sec> <div>Conclusions</div> <p>Although most surgical programs train 50% female residents, residents perceive that fewer than 25% ACRs are female. ACRs in the United States are often receiving a stipend and going into academic practice. Programs should keep diversity in mind in appointing ACR.</p> </sec> Women in Surgery,Leadership,Residency,Surgical Leadership,Women in Academic Medicine 100 110 http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-177&slc_lang=en&sid=1 Anna Weiss 1003194753284600388 1003194753284600388 Yes Department of Surgery, University of California, San Diego, USA Damini Tandon 1003194753284600389 1003194753284600389 No School of Medicine, University of California, San Francisco, USA Katherine C. Lee 1003194753284600390 1003194753284600390 No Department of Surgery, University of California, San Diego, USA Bindu Chandrasekaran 1003194753284600391 1003194753284600391 No Department of Surgery, University of California, San Diego, USA Nicole Lopez 1003194753284600392 1003194753284600392 No Sonia L. Ramamoorthy 1003194753284600393 1003194753284600393 No Department of Surgery, University of California, San Diego, USA Vanessa Malcarne 1003194753284600394 1003194753284600394 No Sarah L. Blair 1003194753284600395 1003194753284600395 No Department of Surgery, University of California, San Diego, USA