Albright Patrick, Banks Evan, Wood Lily, Chambers Caitlin, Van Heest Ann
Department of Orthopedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.
TRIA Orthopedic Center, Woodbury, Minnesota.
J Bone Joint Surg Am. 2022 Dec 21;104(24):e103. doi: 10.2106/JBJS.21.01395. Epub 2022 Jul 13.
In the United States, female and minority representation in the field of orthopaedic surgery remains low, and there are few reports regarding orthopaedic society leadership composition, selection criteria, and academic participation. We aimed to determine the demographic composition of national orthopaedic societies and report the academic participation metrics of leadership.
This was a mixed-methods study using surveys and publicly available data from national orthopaedic societies for the 2020 to 2021 year. Twenty-four orthopaedic society websites were queried for their transparency in leadership selection and demographic information, including sex, racial, and ethnic composition of overall society and board membership. Data were collected regarding the academic participation of board leadership.
In total, 19 (79%) of the 24 national orthopaedic societies publish survey data regarding sex and racial demographics. One society elected not to participate, and there was no response from 4 others. Sixteen (89%) of the societies collect sex-related data from their membership, and 19 (100%) report sex-related data for their board members. Five (28%) collect data regarding the race and ethnicity of their general membership, and 10 (53%) report data regarding the race and ethnicity of board members. The average membership was 89% male and 11% female, and the leadership boards were 86% male and 14% female. In the societies that reported on race and ethnicity, on average, 80% of the members were White and 85% of the board members were White. Few societies (13%) publicly list their presidential nominating criteria, and none list their criteria for nonpresidential-line positions. Female sex and ≤10 years in practice were significantly associated with lower Hirsch index (h-index) scores, but these differences dissipated beyond 10 years.
There is a lack of sex, racial, and ethnic diversity in orthopaedic society leadership. More robust recording of these data by societies can help track improvements in diversity among members and leaders. Academic participation may be one component of leadership selection, but other factors play an important role. Overall transparency of leadership selection criteria could be clarified among orthopaedic societies.
在美国，整形外科领域的女性和少数族裔代表比例仍然较低，关于整形外科协会领导层构成、选拔标准和学术参与情况的报道很少。我们旨在确定全国整形外科协会的人口构成，并报告领导层的学术参与指标。
这是一项混合方法研究，使用了2020年至2021年全国整形外科协会的调查和公开数据。查询了24个整形外科协会网站在领导层选拔和人口信息方面的透明度，包括整个协会和董事会成员的性别、种族和族裔构成。收集了有关董事会领导层学术参与情况的数据。
24个全国整形外科协会中，共有19个（79%）公布了有关性别和种族人口统计的调查数据。有一个协会选择不参与，另外4个协会没有回应。16个（89%）协会从其成员中收集与性别相关的数据，19个（100%）报告其董事会成员的性别相关数据。5个（28%）协会收集其普通成员的种族和族裔数据，10个（53%）报告董事会成员的种族和族裔数据。平均会员中男性占89%，女性占11%，领导层董事会中男性占86%，女性占14%。在报告种族和族裔情况的协会中，平均80%的成员为白人，85%的董事会成员为白人。很少有协会（13%）公开列出其主席提名标准，没有一个协会列出非主席职位的标准。女性和从业年限≤10年与较低的赫希指数（h指数）得分显著相关，但这些差异在10年后消失。
整形外科协会领导层缺乏性别、种族和族裔多样性。协会更全面地记录这些数据有助于跟踪成员和领导层多样性的改善情况。学术参与可能是领导层选拔的一个因素，但其他因素也起着重要作用。整形外科协会之间应明确领导层选拔标准的总体透明度。
