Chopra Aman, Fletcher Amanda N, Madi Naji, Parekh Selene G
Georgetown University School of Medicine, Washington, District of Columbia (AC).
Department of Orthopaedic Surgery, Duke University, Durham, North Carolina (ANF, NM, SGP).
Foot Ankle Spec. 2025 Apr;18(2):151-160. doi: 10.1177/19386400221107004. Epub 2022 Jul 14.
In orthopaedic surgery departments, foot and ankle fellowship directors are tasked to create a robust clinical curriculum for trainees, while division chiefs manage the division's delivery of patient care. The primary aim of this study was to describe characteristics of foot and ankle surgery fellowship directors and division chiefs in an effort to recognize trends or disparities in leadership traits.
The American Orthopaedic Foot and Ankle Society (AOFAS) fellowship directory for 2021 to 2022 was reviewed for AOFAS-recognized fellowship programs in the United States. Between March 2021 and June 2021, 48 fellowship directors and 23 publicly recognized division chiefs were administered an electronic survey to collect demographic, educational, and professional data. Univariate and bivariate statistical analyses were performed.
A total of 42 of the 48 (87.5%) fellowship directors and 18 of the 23 (78.3%) division chiefs responded to the questionnaire. Of the 48 fellowship directors, 45 (93.8%) were male, 43 (89.6%) identified as Caucasian, their average age at leadership appointment was 42.6 ± 7.5 (range, 32-70) years, and the average time between fellowship graduation and leadership appointment was 9.9 ± 7.8 (range, 0-36) years. Of the 23 chiefs, 22 (95.7%) were male, 20 (87.0%) identified as Caucasians, their average age at leadership appointment was 41.7 ± 7.8 (range, 32-53) years, and the average time between fellowship graduation and leadership appointment was 9.8 ± 6.8 (range, 2-21) years. The average H-index for the chiefs was greater than that of the fellowship directors (18.4 vs 13.4, P = .0373) when controlling for years of training.
The majority of current leaders identify as middle-age Caucasian males, demonstrate high research productivity, and have attended a select number of the same residency and fellowship training programs. By demonstrating the lack of diversity within foot and ankle surgery leadership, this study serves as a call to action for making inclusivity a priority.: Level IV: Cross-sectional study.
在骨科手术科室中，足踝专科培训项目主任的任务是为学员创建一个完善的临床课程体系，而科室主任则负责管理科室的患者护理工作。本研究的主要目的是描述足踝外科专科培训项目主任和科室主任的特征，以识别领导特质方面的趋势或差异。
查阅了美国足踝外科协会（AOFAS）2021年至2022年的专科培训名录，以获取美国AOFAS认可的专科培训项目。在2021年3月至2021年6月期间，对48名专科培训项目主任和23名公开认可的科室主任进行了电子问卷调查，以收集人口统计学、教育和专业数据。进行了单变量和双变量统计分析。
48名专科培训项目主任中有42名（87.5%）、23名科室主任中有18名（78.3%）回复了问卷。在48名专科培训项目主任中，45名（93.8%）为男性，43名（89.6%）为白人，他们担任领导职务时的平均年龄为42.6±7.5（范围32 - 70）岁，专科培训毕业至担任领导职务的平均时间为9.9±7.8（范围0 - 36）年。在23名科室主任中，22名（95.7%）为男性，20名（87.0%）为白人，他们担任领导职务时的平均年龄为41.7±7.8（范围32 - 53）岁，专科培训毕业至担任领导职务的平均时间为9.8±6.8（范围2 - 21）年。在控制培训年限后，科室主任的平均H指数高于专科培训项目主任（18.4对13.4，P = 0.0373）。
目前的大多数领导者为中年白人男性，具有较高的研究生产力，并且参加过一些相同的住院医师培训和专科培训项目。通过揭示足踝外科领导层缺乏多样性，本研究呼吁将包容性作为优先事项采取行动。：四级：横断面研究。
