Carino Mason Marisa R, Pandya Shivani, Joshi Priyashma, Cai Nathan, Murdock Christopher J, Hui-Chou Helen G
Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Division of Hand, Peripheral Nerve & Upper Extremity Reconstructive Surgery, Department of Orthopaedic Surgery, University of Miami, Miami, Florida.
JB JS Open Access. 2023 Aug 8;8(3). doi: 10.2106/JBJS.OA.22.00150. eCollection 2023 Jul-Sep.
Orthopaedic surgery consistently ranks last among all medical specialties in diversity and inclusion. While active efforts have recently been implemented to enact change, no study to date has explored the potential effects that social microaggressions have on an individual's career in orthopaedic surgery. The primary aim of this study was to investigate the influence of the perceived experiences of gender and race-based microaggressions on orthopaedic surgery residents, fellows, and attendings in their decision to pursue a career in orthopaedic surgery.
A 34-question institutional review board-approved, modified version of the validated Racial and Ethnic Minorities Scale and Daily Life Experiences survey was sent to a total of 84 individuals at the University of Miami (UM) Department of Orthopaedics. Responses were anonymously collected from current UM orthopaedic residents, fellows, and attendings. Survey results were analyzed for the prevalence of microaggressions in the context of sex, race, ethnicity, academic goals, daily scenarios, and department support. p-Values less than 0.05 were considered statistically significant.
Fifty-four of 84 respondents (64%) completed the survey. Female respondents experienced significantly more gender-based microaggressions than male respondents. On average, male participants disagreed that their experiences with microaggressions made them doubt their ability to pursue a career in orthopaedic surgery while female participants responded they were neutral. In comparison with their White counterparts, non-White and Hispanic ethnicity participants demonstrated a statistically significantly greater frequency of race and ethnicity-based microaggressions.
Our study demonstrates that female participants, non-White participants, and Hispanic minorities across all levels of training experience a higher frequency of microaggressions. The impact of these experiences on career decisions and goals for women and persons of color in orthopaedic surgery at this single institution is mixed. Experienced microaggressions should be further investigated as a potential barrier to recruitment and retention of under-represented minorities in orthopaedic surgery.
III.
在所有医学专科中，骨科手术在多样性和包容性方面一直排名垫底。尽管最近已积极采取措施进行变革，但迄今为止尚无研究探讨社会微侵犯行为对个人骨科手术职业生涯的潜在影响。本研究的主要目的是调查基于性别和种族的微侵犯行为的感知经历对骨科住院医师、研究员和主治医生选择从事骨科手术职业的影响。
向迈阿密大学（UM）骨科系的84名人员发送了一份经机构审查委员会批准的、经过修改的包含34个问题的有效种族和少数族裔量表及日常生活经历调查问卷。从UM目前的骨科住院医师、研究员和主治医生中匿名收集回复。分析调查结果，以了解在性别、种族、民族、学术目标、日常场景和科室支持等背景下微侵犯行为的发生率。p值小于0.05被认为具有统计学意义。
84名受访者中有54人（64%）完成了调查。女性受访者经历的基于性别的微侵犯行为明显多于男性受访者。平均而言，男性参与者不同意他们的微侵犯经历使他们怀疑自己从事骨科手术职业的能力，而女性参与者表示持中立态度。与白人同行相比，非白人和西班牙裔参与者基于种族和民族的微侵犯行为发生率在统计学上显著更高。
我们的研究表明，在各个培训阶段的女性参与者、非白人参与者和西班牙裔少数群体经历微侵犯行为的频率更高。在这个单一机构中，这些经历对骨科手术中女性和有色人种的职业决策和目标的影响是复杂的。应进一步调查经历的微侵犯行为，将其作为骨科手术中代表性不足的少数群体招聘和留用的潜在障碍。
III级。
