Henry Ford Health, Detroit, Michigan.
Yale School of Medicine, New Haven, Connecticut.
J Bone Joint Surg Am. 2023 Aug 2;105(15):1214-1219. doi: 10.2106/JBJS.22.01204. Epub 2023 Apr 7.
As the number of women entering medicine has increased, so has the number of women entering orthopaedics; however, many orthopaedic programs struggle to create an equitable space for women, particularly in leadership. Struggles experienced by women include sexual harassment and gender bias, lack of visibility, lack of well-being, disproportionate family care responsibilities, and lack of flexibility in the criteria for promotions. Historically, sexual harassment and bias has been a problem faced by women physicians, and often the harassment continues even when the issue has been reported; many women find that reporting it results in negative consequences for their career and training. Additionally, throughout medical training, women are less exposed to orthopaedics and lack the mentorship that is given to their colleagues who are men. The late exposure and lack of support prevent women from entering and advancing in orthopaedic training. Typical surgery culture can also result in women orthopaedic surgeons avoiding help for mental wellness. Improving well-being culture requires systemic changes. Finally, women in academics perceive decreased equality in promotional considerations and face leadership that already lacks representation of women. This paper presents solutions to assist in developing equitable work environments for all academic clinicians.
随着越来越多的女性进入医学领域，进入骨科的女性人数也有所增加；然而，许多骨科项目都在努力为女性创造一个公平的空间，尤其是在领导层方面。女性面临的困境包括性骚扰和性别偏见、缺乏可见度、缺乏幸福感、家庭照顾责任不成比例以及晋升标准缺乏灵活性。从历史上看，性骚扰和偏见一直是女医生面临的问题，而且往往在问题报告后，骚扰仍在继续；许多女性发现报告性骚扰会对她们的职业和培训产生负面影响。此外，在整个医学培训过程中，女性接触骨科的机会较少，缺乏给予男同事的指导。这种后期的接触不足和缺乏支持，阻碍了女性进入和推进骨科培训。典型的手术文化也会导致女性骨科医生避免寻求心理健康方面的帮助。改善幸福感文化需要进行系统性变革。最后，学术界的女性认为在晋升考虑方面存在不平等，并且面临领导层中女性代表性不足的问题。本文提出了解决方案，以帮助为所有学术临床医生创造公平的工作环境。
