Which Subspecialties Do Female Orthopaedic Surgeons Choose and Why?

Bratescu, Rachel; Gardner, Stephanie S.; Jones, Jaclyn; Siff, Todd E.; Lambert, Bradley S.; Harris, Joshua D.; Liberman, Shari R.

doi:10.5435/jaaosglobal-d-19-00140

Cited by 40 publications

(46 citation statements)

References 8 publications

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“…The relatively strong female representation among PDs mimics that of pediatric orthopaedics, which reports 11% female FDs as of 2021 3 . Notably, women made up 25% of pediatric orthopaedic fellows in 2014, which is higher than that of the whole orthopaedic workforce from which PDs are chosen 19 , 20 . Interestingly, women are more represented in the proportion of active PDs compared with their proportion in the body of total active orthopaedic surgeons.…”

Section: Discussionmentioning

confidence: 99%

Demographics and Characteristics of Orthopaedic Surgery Residency Program Directors

et al. 2023

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Introduction: To date, there has been a paucity of research evaluating the demographics, characteristics, and surgical training of orthopaedic residency program directors (PDs). Purpose: To determine the objective characteristics of orthopaedic residency PDs by analyzing their demographic characteristics, academic backgrounds, institutional histories, research productivity, and professional leadership affiliations. Methods: Data for each PD were collected by searching publicly available curriculum vitae, LinkedIn, Healthgrades, Doximity, and/or institutional biographies and consolidated into a database. Research productivities were collected by searching PubMed and Scopus. Results: Of the 210 PDs, 188 (89.5%) were male and 22 (10.5%) were female. One hundred seventy-four (82.9%) were non-Hispanic White, 14 (6.7%) Asian American and Pacific Islander, 12 (5.7%) Black or African American, 4 (1.9%) Hispanic or Latino, and 6 (2.9%) other/unknown. Twenty-four (11.4%) PDs had a military affiliation. Moreover, the most common subspecialties among orthopaedic PDs were orthopaedic traumatology (19.5%, n = 41), sports medicine (15.7%, n = 33), and hand surgery (11.9%, n = 25). The mean Scopus h-index, total number of publications at the time of data collection (June 2022), and total number of citations for all orthopaedic residency PDs were 10.5 ± 9.5, 33.9 ± 51.0, and 801.9 ± 1,536.4, respectively. Among all PDs, the mean tenure in the position was 8.9 ± 6.2 years to date, and the mean time from completion of residency to appointment as PD was 10.0 ± 6.2 years. Conclusions: Among orthopaedic surgery residency PDs, there is sparse female and minority representation. Overarchingly, orthopaedic PDs are White men in their early 50s. Moreover, 59.1% of PDs were appointed at an institution where they completed medical school, residency, or fellowship. orthopaedic traumatology (19.5%), sports medicine (15.7%), and hand surgery (11.9%) were the subspecialties most represented in current orthopaedic surgery PDs. Clinical Relevance: This study outlines important demographic characteristics among orthopaedic surgery residency PDs. Level of Evidence: III Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSOA/A484).

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Section: Discussionmentioning

confidence: 99%

Demographics and Characteristics of Orthopaedic Surgery Residency Program Directors

et al. 2023

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“…Lack of female orthopaedic mentors appears to be a factor affecting which subspecialities female orthopaedic surgeons enter. Bratescu et al 54 reported that hand (24%) and paediatrics (22.6%) were the most common subspecialties among women. The main reasons for this were personal interests and lack of strong mentorship in other subspecialties.…”

Section: Role Models and Mentorsmentioning

confidence: 99%

“…The main reasons for this were personal interests and lack of strong mentorship in other subspecialties. 54 In the UK, orthopaedic societies such as the BOA are actively investigating ways to increase “diversity and mentorship for female members”, 55 and upcoming female leaders of such societies are championing for more female leaders across all grades in orthopaedics.…”

Section: Role Models and Mentorsmentioning

confidence: 99%

Current challenges for women in orthopaedics

Ahmed

Hamilton

2021

Bone & Joint Open

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Orthopaedics has been left behind in the worldwide drive towards diversity and inclusion. In the UK, only 7% of orthopaedic consultants are female. There is growing evidence that diversity increases innovation as well as patient outcomes. This paper has reviewed the literature to identify some of the common issues affecting female surgeons in orthopaedics, and ways in which we can address them: there is a wealth of evidence documenting the differences in the journey of men and women towards a consultant role. We also look at lessons learned from research in the business sector and the military. The ‘Hidden Curriculum’ is out of date and needs to enter the 21st century: microaggressions in the workplace must be challenged; we need to consider more flexible training options and support trainees who wish to become pregnant; mentors, both male and female, are imperative to provide support for trainees. The world has changed, and we need to consider how we can improve diversity to stay relevant and effective. Cite this article: Bone Jt Open 2021;2-10:893–899.

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“…1,2,4 Pediatric orthopaedics ranked third for fellows and second for attendings in 2021 with women comprising 22.9% and 22.6%, respectively. 1,2,4 Female prevalence in pediatric orthopaedics falls behind its surgical counterparts including pediatric otorhinolaryngology (54.8% female fellows) and pediatric urology (42.9% female fellows). 1,2 There are many documented reasons for the presence of sex disparity in orthopaedics.…”

mentioning

confidence: 99%

Male Versus Female Authorship in Flagship Pediatric Orthopaedic Journals From 2002 to 2021

Videckis

Malyavko

Kraft

et al. 2023

Journal of Pediatric Orthopaedics

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Background: The evolution of female authorship in orthopaedic journals is reportedly rising, however, trends in pediatric orthopaedic publications have not been specifically studied, despite a higher proportion of female pediatric orthopaedic surgeons compared with orthopaedics at large. This study aimed to investigate trends in female first and senior authorship in 3 flagship pediatric orthopaedic journals over the past 20 years. Methods: All manuscripts from the “Journal of Pediatric Orthopaedics, Journal of Pediatric Orthopaedics Part B, and Journal of Children’s Orthopaedics” from 2002 to 2021 were evaluated from Ovid MEDLINE, and the data were extracted. We utilized the sex “Application Program Interface” algorithm to determine the sex of the first and senior authors. χ2 tests were used to analyze the demographics of the first and senior author cohorts. Fisher exact test was used to assess the trends in male and female authorship, controlling for year and journal. Results: Of a total, 5499 individual first authors and 5794 senior authors were identified. Sex was determined for 83.5% of the authors. Female first authorship increased significantly from 2002 to 2021 (8.8% to 22.4%, P < 0.001), with women being more likely to publish as first authors in more recent years in each journal (P < 0.001). Female senior authorship did not increase significantly over the same time period (10.8% to 12.8%, P = 0.238). There was significantly more male than female first and senior authors for all journals (P <0.001 for both first and senior authors). Conclusions: While female first authorship in prominent pediatric orthopaedic journals has increased significantly from 2002 to 2021, senior authorship has remained stagnant. In addition, female pediatric orthopaedic surgeons publish at rates lower than their prevalence in the field. This study serves as a benchmark for future studies looking at sex and authorship in hopes of better understanding the underlying complex issues. Level of Evidence: Level III.

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Which Subspecialties Do Female Orthopaedic Surgeons Choose and Why?

Cited by 40 publications

References 8 publications

Demographics and Characteristics of Orthopaedic Surgery Residency Program Directors

Demographics and Characteristics of Orthopaedic Surgery Residency Program Directors

Current challenges for women in orthopaedics

Male Versus Female Authorship in Flagship Pediatric Orthopaedic Journals From 2002 to 2021

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