From the Department of Orthopaedic Surgery (Wang, Chang, Nwachuku, Hill, and Heckmann), Keck School of Medicine of USC, Los Angeles, CA, the Department of Orthopaedics and Rehabilitation (Munger), Yale School of Medicine, New Haven, CT, and the Department of Orthopaedic Surgery and Medical Education (Suleiman), Northwestern University Feinberg School of Medicine, Chicago, IL.
J Am Acad Orthop Surg. 2023 Jun 15;31(12):e530-e539. doi: 10.5435/JAAOS-D-22-01007. Epub 2023 Apr 14.
Multiple studies have analyzed the diversity of surgical subspecialties, in which orthopaedic surgery consistently lags behind in female and minority representation. This study aims to examine contemporary data on trends in sex and racial representation among entering orthopaedic surgery residents.
The American Association of Medical Colleges' Graduate Medical Education Track data set was queried for all individuals entering surgical residencies in the United States from 2001 to 2020. Deidentified data on self-reported sex and race (American Indian or Alaska Native [AIAN]; Asian; Black or African American, Hispanic, Latino, or of Spanish Origin; Native Hawaiian or Other Pacific Islander [NHOPI]; White; and Other) for individuals across all surgical subspecialties were collected. Sex and race proportions for newly matriculating surgical residents were analyzed and aggregated across the study period.
From 2001 to 2020, there was a 9.2% increase in the proportion of new female orthopaedic surgery residents, with approximately one in five identifying as such in 2020. By contrast, surgical specialties in aggregate saw a 16.3% increase. A 11.7% decrease was observed in entering orthopaedic residents who identified as White with a corresponding increase in representation by multiracial (9.2%) individuals and those identifying as "Other" (1.9%). The proportion of Asian (range: 10.4 to 15.4%), Black (2.5 to 6.2%), Hispanic (0.3 to 4.4%), AIAN (0.0 to 1.2%), and NHOPI (0.0 to 0.5%) new trainees has largely remained unchanged throughout the study period. A similar trend was observed among surgical specialties in aggregate. Of the identities most represented by the multiracial cohort, the most common were Asian (range: 7.0 to 50.0%), Hispanic (0.0 to 53.5%), and White (30.2 to 50.0%).
Although orthopaedic surgery has improved in sex diversity in its entering class of residents, measures to increase racial diversity have been less successful. Efforts at improving the recruitment of a diverse class of trainees are necessary and will require acknowledging the importance of both racial and sex representation diversity metrics.
多项研究分析了外科亚专业的多样性，其中矫形外科在女性和少数族裔代表方面一直滞后。本研究旨在研究当代进入矫形外科住院医师的性别和种族代表性趋势的数据。
美国医学协会研究生医学教育轨道数据集被查询了所有在美国从 2001 年到 2020 年进入外科住院医师的个人。收集了所有外科亚专业的个人自我报告的性别和种族（美国印第安人或阿拉斯加原住民 [AIAN]；亚洲人；黑人或非裔美国人，西班牙裔，拉丁裔或西班牙裔；夏威夷原住民或其他太平洋岛民 [NHOPI]；白人；和其他）的去识别数据。分析了新入学的外科住院医师的性别和种族比例，并在整个研究期间进行了汇总。
从 2001 年到 2020 年，新女性矫形外科住院医师的比例增加了 9.2%，约五分之一的人在 2020 年表示如此。相比之下，外科专业的总体比例增加了 16.3%。新入学的白人矫形外科住院医师比例下降了 11.7%，相应地，多民族（9.2%）和其他（1.9%）的代表性增加。亚洲人（范围：10.4% 至 15.4%），黑人（2.5% 至 6.2%），西班牙裔（0.3% 至 4.4%），AIAN（0.0% 至 1.2%）和 NHOPI（0.0% 至 0.5%）新学员的比例在整个研究期间基本保持不变。外科专业的总体趋势也是如此。在多民族群体中最具代表性的身份中，最常见的是亚洲人（范围：7.0% 至 50.0%），西班牙裔（0.0% 至 53.5%）和白人（30.2% 至 50.0%）。
尽管矫形外科在新入学的住院医师中性别多样性方面有所改善，但在提高种族多样性方面的措施却不太成功。努力改善多元化学员的招募是必要的，这将需要认识到种族和性别代表性多样性指标的重要性。
