Differences by Practice Year in Numbers of U.S. Female Neurosurgeons

Peña, Nicole M. De La; Richter, Kent R.; Haglin, Jack M.; Pollock, Jordan R.; Richter, Reed A; Kouloumberis, Pelagia

doi:10.1016/j.wneu.2020.10.045

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…Despite these limitations, we believe this methodology gives the best possible analysis of practicing orthopaedic surgeons, and this methodology has been applied in other studies using the Physician Compare database. 38 , 39 …”

Section: Discussionmentioning

confidence: 99%

Orthopaedic Group Practice Size Is Increasing

Pollock

Moore

Hogan

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To analyze recent trends in orthopaedic surgery consolidation and quantify these changes temporally and geographically from 2012 to 2020. Methods We performed a retrospective cross-sectional analysis of orthopaedic surgeon practice size in the United States using 2012 and 2020 data obtained from the Physician Compare database. Results Although we observed an increase from 21,216 unique orthopaedic surgeons in 2012 to 21,553 in 2020 (1.6% increase), the number of practices experienced a large decrease from 7,299 practices in 2012 to 5,829 in 2020 (20.1% decrease). The proportion of orthopaedic surgeons working in solo practices decreased from 13.2% (2,790) in 2012 to 7.4% (1,595) in 2020, and the proportion of orthopaedic surgeons working in groups sized 2 to 24 decreased from 35.3% (7,482) in 2012 to 22.2% (4,775) in 2020. In contrast, groups sized 25 to 99 have grown from 20.7% (4,387) of all orthopaedic surgeons to 23.4% (5,048) in 2020. Groups sized 100 to 499 have increased from 16.9% (3,593) in 2012 to 24.1% (5,190) in 2020, whereas groups sized 500 or greater have grown from 14% (2,964) in 2012 to 22.9% (4,945) in 2020. The number of unique group practices showed a significant decrease in the number of solo groups, which comprised 43.8% (3,200) of the total number of individual practices in 2012, decreasing to 32% (1,886) in 2020. All other groups increased in number and proportionally from 2012 to 2020. Conclusions This study shows that over the period from 2012 to 2020, there has been a substantial trend of orthopaedic surgeons shifting to increasing practice sizes, potentially indicating that more orthopaedic surgeons are working for large health care organizations rather than small independent practices. Clinical Relevance The impact of these changes should be examined to determine large-scale effects on patient care, payment models, access, and outcomes, along with physician compensation, lifestyle, and satisfaction.

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Section: Discussionmentioning

confidence: 99%

Orthopaedic Group Practice Size Is Increasing

Pollock

Moore

Hogan

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…In various surgical subspecialties, women are more often assigned administrative tasks while men might have more opportunities to operate ( 34 ). Some women surgeons had difficulty in finding consultant jobs because there is prejudice amongst seniors against women leading or being consultants ( 35 ). Many women have reported that they have to work harder to prove that they were as good as men and have received less career support from supervisors and acceptance in neurosurgical communities.…”

Section: Introductionmentioning

confidence: 99%

Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future

et al. 2022

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Despite the rising percentage of women accessing the medical profession over the last few decades, surgical specialties are still largely male-dominated; in particular, a remarkable gender disparity is evident in neurosurgery, where only 19% of practitioners are females. Although women may be reluctant to choose a challenging specialty like neurosurgery due to concerns around how to balance family and career, it must be admitted that prejudices against female neurosurgeons have been deeply rooted for long, prompting many to give up and switch track to less demanding subspecialties. Among those who have persisted, many, if not most, have experienced difficulties in career progression and received unequal treatment in comparison with their male counterparts. In 1989, a group of 8 female neurosurgeons founded Women in Neurosurgery (WINS), an organization that aimed to guarantee inclusivity in neurosurgery, encouraging a better and more egalitarian working environment. Thereafter, WINS sessions were regularly promoted at international conferences, offering female neurosurgeons a platform to report issues related to gender discrimination. Over recent years, the mission of WINS sessions in national and international conferences has taken an unexpected deviation; they have progressively become supplementary scientific sessions with only women neurosurgeons as speakers, thus paving the road to a form of self-segregation. This tendency has also resulted in the establishment of sections of only female neurosurgeons within some national societies. Although there remains a faction that fiercely supports the WINS mindset of reserved spaces for women, such segregation is an upsetting prospect for those who believe that science and professionalism have no gender; a growing part of the global neurosurgical community believes that the conception of a “female neurosurgery” and a “male neurosurgery” is misguided and counterproductive and consider the existence of the WINS as anachronistic and no longer necessary.

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Differences by Practice Year in Numbers of U.S. Female Neurosurgeons

Cited by 6 publications

References 21 publications

Orthopaedic Group Practice Size Is Increasing

Orthopaedic Group Practice Size Is Increasing

Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future

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