Trauma & Orthopaedic Surgery Welsh Rotation, Morriston Hospital, Swansea, UK.
Trauma and Orthopaedic Surgery, The Royal Surrey County Hospital NHS Trust, Guildford, UK.
BMJ Open Qual. 2023 Oct;12(4). doi: 10.1136/bmjoq-2023-002432.
To explore the perceptions and experiences of members of the British Hip Society (BHS) as they relate to culture, diversity and inclusion in the professional sphere.
BHS members participated in an anonymised online survey in 2021. Quantitative and qualitative data were collected on demographics, professional experiences and perceptions of workplace culture. Members provided suggestions for improving working culture and supporting inclusivity.
A 45% response rate (n=217) was achieved. Most respondents were male consultant surgeons, of white ethnicity. Almost a quarter of respondents reported experiencing barriers to career progression within the hip subspecialty. Experience of barriers was more common among women and those of non-white ethnicity. Several members experienced an elitist, exclusive culture in the BHS which is closed to outsiders. Thematic analysis of textual data revealed narratives which portray the perception of the society as a closed-door society, and described a clique culture in orthopaedics, and the pervasiveness of discrimination and banter.
We found that barriers to inclusion and diversity exist within the professional society. Exploring the narratives around these has informed strategies to overcome them and has shaped future BHS initiatives. To ensure our patients receive the best possible surgical care, it is vital that those with the skills and expertise to deliver it, are supported by the Society and feel a sense of belonging and representation.
探讨英国髋关节学会（BHS）成员在专业领域中与文化、多样性和包容性相关的认知和经验。
BHS 成员于 2021 年参与了一项匿名在线调查。收集了有关人口统计学、专业经验和对工作场所文化认知的定量和定性数据。成员们就改善工作文化和支持包容性提出了建议。
我们实现了 45%的回复率（n=217）。大多数受访者是白人男性顾问外科医生。近四分之一的受访者报告在髋关节亚专业领域中经历了职业发展的障碍。在女性和非白人种族中，经历障碍的情况更为常见。一些成员在 BHS 中经历了一种排外的精英文化，对外部人员封闭。对文本数据的主题分析揭示了一些描述该学会是一个封闭社会的描述，以及描述了矫形外科中的派系文化以及歧视和打趣的普遍性。
我们发现，专业学会中存在包容性和多样性的障碍。探索这些障碍背后的原因，制定克服这些障碍的策略，并为未来的 BHS 计划提供信息。为了确保我们的患者获得最好的手术护理，至关重要的是，那些拥有技能和专业知识的人能够得到学会的支持，并感到归属感和代表性。
