From the Tulane University School of Medicine, New Orleans, LA (Budin), and the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL (Rumps and Mulcahey).
J Am Acad Orthop Surg. 2024 Dec 1;32(23):1108-1114. doi: 10.5435/JAAOS-D-24-00166. Epub 2024 Aug 23.
The field of orthopaedic surgery has disproportionately low numbers of women and underrepresented in medicine (URM) groups. Although the representation of women and URM in orthopaedics has increased over the past several years, the growth has not kept up with other surgical specialties.
This is a retrospective review of data presented by the Association of American Medical Colleges (AAMC) regarding US medical school faculty and department chair makeup in 2018 to 2022 and 2015 data from the AAMC Group on Women in Medicine and Sciences reports. Data regarding the sex and race/ethnicity of faculty and department chairs in orthopaedic surgery, a comparable surgical specialty (otolaryngology), surgery, and all medical fields were assessed. Otolaryngology was chosen as a comparable specialty because orthopaedic surgery and otolaryngology are the only two surgical specialties classified within the AAMC faculty report, separate from any medical counterpart.
Among orthopaedic surgery, otolaryngology, surgery, and all clinical sciences, the representation of women and individuals from URM groups increased between 2015 and 2022. During this time, orthopaedic surgery had the lowest growth rate of the four groups in female faculty (+0.63%/year), URM faculty (+0.32%/year), and URM department chairs (+0.11%/year). However, orthopaedic surgery did have an increase in female department chairs (0.96%/year to 7% in 2022), similar to increases seen in surgery and all clinical sciences.
The increase in representation in female and URM faculty and department chairs in orthopaedic surgery lags behind comparable fields and medicine as a whole. In addition, orthopaedic surgery had the lowest representation of female and URM faculty in 2015 and 2022. Improving the representation of female and URM orthopaedic faculty and department chairs is critical because this may encourage more diverse medical students to consider pursuing a career in the field.
矫形外科领域的女性人数和少数族裔（URM）群体代表性不足。尽管近年来女性和 URM 在矫形外科中的代表性有所增加，但增长速度不及其他外科专业。
这是对美国医学协会（AAMC）在 2018 年至 2022 年期间提交的关于美国医学院教师和系主任构成的数据以及 AAMC 妇女在医学和科学报告中的 2015 年数据的回顾性分析。评估了矫形外科、可比外科专业（耳鼻喉科）、外科和所有医学领域的教职员工和系主任的性别和种族/族裔数据。选择耳鼻喉科作为可比专业，是因为矫形外科和耳鼻喉科是 AAMC 教职员工报告中唯一两个被归类为外科专业的专业，与任何医学对应专业分开。
在矫形外科、耳鼻喉科、外科和所有临床医学中，女性和 URM 群体的代表人数在 2015 年至 2022 年间有所增加。在此期间，在女性教职员工（+0.63%/年）、URM 教职员工（+0.32%/年）和 URM 系主任（+0.11%/年）方面，矫形外科是这四个群体中增长率最低的。然而，矫形外科确实增加了女性系主任（从 0.96%/年增加到 2022 年的 7%），与外科和所有临床医学中的增长相似。
矫形外科领域女性和 URM 教职员工和系主任的代表性增加落后于可比领域和整个医学领域。此外，矫形外科在 2015 年和 2022 年的女性和 URM 教职员工代表性最低。提高女性和 URM 矫形外科教职员工和系主任的代表性至关重要，因为这可能鼓励更多不同背景的医学生考虑从事该领域的职业。
