Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, USA.
Department of Orthopaedic Surgery, Yale Medicine, Orthopaedics, and Rehabilitation, New Haven, CT, USA.
Foot Ankle Int. 2024 Mar;45(3):272-278. doi: 10.1177/10711007231224426. Epub 2024 Jan 30.
Women continue to be underrepresented in orthopaedic surgery. This study seeks to evaluate gender diversity of faculty and trainees at foot and ankle surgery fellowship programs.
In this cross-sectional analysis of 49 US foot and ankle fellowship programs, all publicly available data on program faculty (as of July 2023) were collected, as well as data on current and past fellows between 2018 and 2024.
Of 49 programs with 195 foot and ankle surgery faculty, 26.5% (n = 13) had at least 1 female on faculty, with only 8.2% (n = 4) having female fellowship directors. Female faculty made up 9.7% (n = 19) of foot and ankle surgery faculty overall. Of 307 total fellows identified within the 6-year period, 19.5% (n = 60) were female. Geographic distribution of programs was as follows: 29% (n = 14) Northeast, 31% (n = 15) South, 19% (n = 9) Midwest, and 21% (n = 10) West. Northeast programs made up 62% of all programs with female faculty, whereas Midwest programs made up the least at 8% ( = .048). Programs with female faculty had more female fellows from 2018 to 2024 than programs without female faculty (33.7% vs 14%, < .001).
Our findings suggest that females remain underrepresented in foot and ankle surgery fellowship director positions, despite an increasing proportion of females entering orthopaedic surgery. Foot and ankle surgery fellowship programs with female faculty had a higher number of female trainees; as such, diversification of foot and ankle fellowship departments may be an important factor in ongoing efforts to promote gender diversity within the specialty.
Level IV, observational cross-sectional analysis.
女性在骨科手术领域的代表性仍然不足。本研究旨在评估足踝外科 fellowship项目中教员和学员的性别多样性。
在这项对 49 个美国足踝 fellowship 项目的横断面分析中，收集了所有公开的项目教员数据（截至 2023 年 7 月），以及 2018 年至 2024 年期间现任和过去学员的数据。
在 49 个具有 195 名足踝外科教员的项目中，有 26.5%（n=13）的教员中至少有 1 名女性，只有 8.2%（n=4）的项目有女性 fellowship 主任。女性教员占足踝外科教员总数的 9.7%（n=19）。在 6 年期间确定的 307 名学员中，19.5%（n=60）为女性。项目的地理分布如下：29%（n=14）在东北部，31%（n=15）在南部，19%（n=9）在中西部，21%（n=10）在西部。东北部的项目占所有有女性教员的项目的 62%，而中西部的项目比例最小，为 8%（=。048）。有女性教员的项目在 2018 年至 2024 年期间的女性学员比例高于没有女性教员的项目（33.7%比 14%，<。001）。
尽管越来越多的女性进入骨科手术领域，但我们的研究结果表明，女性在足踝外科 fellowship 主任职位上的代表性仍然不足。有女性教员的足踝外科 fellowship项目拥有更多的女性学员；因此，足踝外科 fellowship部门的多样化可能是该专业内持续努力促进性别多样性的一个重要因素。
四级，观察性横断面分析。
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