From the Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA (Dr. Mulcahey and Mr. Trojan), Drexel University College of Medicine, Philadelphia, PA (Ms. Nemeth), and the Department of Orthopaedics and Rehabilitation, Center for Musculoskeletal Care, Yale University School of Medicine, New Haven, CT (Dr. O'Connor).
J Am Acad Orthop Surg. 2019 Jul 15;27(14):527-532. doi: 10.5435/JAAOS-D-18-00216.
Orthopaedic surgery has the lowest percentage of female residents of all surgical specialties. Female medical students may believe that the demands of the specialty, both during training and in clinical practice, may be less conducive to becoming a parent. The purpose of this study was to determine the perceptions of and experiences with pregnancy and parenthood among female orthopaedic surgery trainees.
An anonymous 24-question online survey was distributed to all current female orthopaedic surgery trainees in the United States via the American Academy of Orthopaedic Surgeons Diversity Advisory Board. Survey questions included the demographics of the residents' programs, the parental status of the respondents, and their experiences with pregnancy and parenthood during training.
Of the respondents, 83.7% did not have children during residency and were not currently pregnant. Furthermore, 48.4% responded that they had deferred having children because they were in residency. One hundred and thirteen respondents (59.5%) reported that they experienced bias from co-residents about women having children during residency, whereas 94 (49.5%) reported such bias from attendings.
This study demonstrates that most female orthopaedic trainees do not have children during residency. Most respondents experienced bias from co-residents about women having children during residency, and nearly half experienced such bias from orthopaedic attendings. Combating bias about pregnancy during residency may help encourage more women to pursue a career in orthopaedics.
矫形外科是所有外科专业中女性住院医师比例最低的专业。女医学生可能认为,该专业在培训和临床实践中的要求可能不利于成为父母。本研究旨在确定女性矫形外科住院医师对怀孕和为人父母的看法和经验。
通过美国矫形外科医师学会多元化咨询委员会,向所有在美国的现任女性矫形外科住院医师分发了一份 24 个问题的匿名在线调查。调查问题包括住院医师项目的居民人口统计学、受访者的父母身份以及他们在培训期间的怀孕和为人父母经历。
在接受调查的人中,83.7%在住院期间没有孩子,目前也没有怀孕。此外,48.4%的人表示,他们因为住院而推迟了生育。113 名受访者(59.5%)报告说,他们在住院期间因生育问题受到同事的偏见,而 94 名受访者(49.5%)报告说他们受到主治医生的偏见。
本研究表明,大多数女性矫形外科住院医师在住院期间没有孩子。大多数受访者在住院期间因生育问题受到同事的偏见,近一半的受访者受到矫形外科主治医生的偏见。在住院期间消除对怀孕的偏见可能有助于鼓励更多的女性从事矫形外科工作。