Discrepancies in Work-Family Integration Between Female and Male Orthopaedic Surgeons

Ponzio, Danielle Y.; Bell, Courtney D.; Stavrakis, Alexandra I.; Skibicki, Hope E.; Czymek, Miranda M.; Ong, Alvin; Post, Zachary D.; Bishop, Meghan E.

doi:10.2106/jbjs.21.00345

Cited by 21 publications

(40 citation statements)

References 38 publications

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“…Therefore, the focus many need to shift to not only exposure but rather to efforts demonstrating subspecialty appeal. In modern society, female and male orthopaedic surgeons have different expectations for work-family integration, and female physicians are vulnerable to conflicting responsibility with societal and cultural roles 40 . It is imperative that administratively we demonstrate a supportive infrastructure to help navigate unique challenges that may predispose female (as well as URiM ) orthopaedic surgeons to poor work-family integration.…”

Section: Discussionmentioning

confidence: 99%

Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies

et al. 2023

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Introduction: Orthopaedic surgery ranks among the least racially and gender diverse medical/surgical specialties.United States military surgeons train in military or military-funded residency positions to care for a markedly diverse population; however, the composition and diversity of these training programs have not been previously assessed. The purpose of this study was to analyze the trends of physician diversity in military orthopaedics in comparison with other surgical specialties over time. Methods: We performed a retrospective cohort study evaluating matriculation into first year of residency training in US military surgical training programs between 2002 and 2020. In total, 9,124 applicants were reviewed. We collected matriculant selfreported race/ethnicity and sex and the medical/specialty program. We considered under-represented minorities as those who reported their race as African American, Indian/Alaskan Native, and Native, other, or who reported ethnicity as Hispanic. We calculated changes in persons accepted to training positions over time and used linear regression to model trends in diversity among orthopaedic matriculating residents when compared with other surgical subspecialities over time.Results: Across all surgical subspecialities, the average change in percent women was 0.94% per year for the study period (p < 0.01). The average annual percent women entering orthopaedic surgery residency programs was 14% for the 18-year study period. Across all surgical subspecialties, the average change for accepted applicants from groups underrepresented in medicine (URiM) was 1.01% per year for the study period (p < 0.01). The average annual percent URiM entering orthopaedic surgery residency programs was 17% for the 18-year study period. The annual change of women and URiM entering military orthopaedic residencies was 0.10% and 1.52%, respectively. continuedThe contents of this publication are the sole responsibility of the author(s) and do not necessarily reflect the views, opinions, or policies of Uniformed Services University of the Health Sciences (USUHS), the Department of Defense (DoD), the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the US Government.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A454).

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Section: Discussionmentioning

confidence: 99%

Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies

et al. 2023

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“…Secondary sources of income are less likely for women because industry sponsorship and research grants favor higher-profile physicians, most of whom are men [9,16]. Women orthopaedic surgeons are significantly less likely to perform consulting, be invited as course faculty, or have leadership positions than men orthopaedists [19].…”

Section: Recognition and Rewardmentioning

confidence: 99%

“…Married women doctors with children spent 8.5 hours more on parenting and domestic activities than did their counterparts who were men [15]. Women orthopaedic surgeons are significantly more likely to delay marriage, postpone starting a family, undergo fertility treatments, and take on the majority of parenting compared with men colleagues [19].…”

Section: Emotional Exhaustionmentioning

confidence: 99%

Equity360: Gender, Race, and Ethnicity—All Orthopaedic Surgeon Burnout Is Not Created Equal

Lajam¹,

O’Connor

2023

Clin Orthop Relat Res

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“…19 Many of these discrepancies in practice patterns may stem from the greater burden placed on women orthopaedic surgeons for parenting and household duties compared with men and misconceptions about the physical demand of certain subspecialties. 20 Women orthopaedic surgeons were less likely to report involvement in courses as faculty, hold academic titles, and consult with industry. In addition, women reported that they required fertility treatment more frequently than men (32.0% vs. 11.9%) and were more likely to defer children until after completion of medical training compared with their male colleagues (63.0% vs. 31.1%).…”

Section: Diversity Among Orthopedic Surgeonsmentioning

confidence: 99%

Patient Disparities and Provider Diversity in Orthopedic Surgery: A Complex Relationship

Wright

Murthi

Aleem

et al. 2022

J Am Acad Orthop Surg

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Disparities in the access to, utilization of, and outcomes after orthopaedic surgery are a notable problem in the field that limits patients' ability to access the highest level of care and achieve optimal outcomes. Disparities exist based on numerous sociodemographic factors, with sex and race/ethnicity being two of the most well-studied factors linked to disparities in orthopaedic care. These disparities cross all subspecialties and tend to negatively affect women and racial/ethnic minorities. The increased recognition of the disparities in orthopaedic care has been paralleled by an increased recognition of the lack of diversity among orthopaedic surgeons. Although efforts are being made to improve the representation of women and underrepresented minorities among orthopaedic surgeons, the numbers, particularly of racial and ethnic minorities, show little improvement. The lack of gender and racial diversity among orthopaedic surgeons may be one of many factors related to the gender and racial disparities seen in orthopaedic care. Patients may prefer a provider that they can better identify with and that may affect care. Orthopaedic surgery as a specialty must continue to work to foster an inclusive environment and make concerted efforts to improve diversity through the recruitment of women and underrepresented minorities, among others, for the benefit of patients, surgeons, and the continued growth of the field as a whole. In recent years, there has been an increased recognition of the notable patient disparities in access to, utilization of, and outcomes in orthopaedic care due to various sociodemographic factors, two of the most studied being sex and race/ethnicity. Disparities are seen across all orthopaedic subspecialties, including joint arthroplasty, spinal surgery, and fracture care. At the same time, there has been a recognition of the lack of diversity among orthopaedic surgeons, including both gender and racial/ethnic diversity, among others. The topics of both patient disparities and provider diversity are vast and complex, with numerous causes and influencing factors. As orthopaedic research is only beginning to explore these topics, information remains

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Discrepancies in Work-Family Integration Between Female and Male Orthopaedic Surgeons

Cited by 21 publications

References 38 publications

Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies

Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies

Equity360: Gender, Race, and Ethnicity—All Orthopaedic Surgeon Burnout Is Not Created Equal

Patient Disparities and Provider Diversity in Orthopedic Surgery: A Complex Relationship

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