Jabbal Monu, Cherry Jennifer, Eastwood Deborah, Scott Chloe E H, Walmsley Phil, Baird Emily
Orthopaedics Department, Edinburgh Royal Infirmary, Edinburgh, UK.
Fife National Treatment Centre, Kirkcaldy, UK.
Bone Jt Open. 2025 Jan 21;6(1):103-108. doi: 10.1302/2633-1462.61.BJO-2024-0014.R1.
Trauma & Orthopaedic (T&O) surgery has come under scrutiny for lagging behind other medical specialties in promoting gender and cultural equity and diversity within their workforce. The proportions of female, ethnic minority, and sexual and gender minority individuals within orthopaedic membership bodies are disproportionate to the populations they serve. The aim of this study is to report the findings of a national workforce survey of demographics and working patterns within T&O in Scotland.
A questionnaire devised by a working group was delivered by the Client Analyst and Relationship Development (CARD) group. Utilizing a secure third party ensured anonymity for all respondents. Data were recorded and analyzed by the CARD group.
A total of 353 responses were recorded, representing 71% of the known workforce. Overall, 261 respondents (74%) identified as male, 85 (24%) female, and seven (2%) preferred not to say. For specialist trainee (ST)3 to ST6, 148 (42%) were female, and for ST7 to ST8, 131 (37%) were female. In total, 226 of all respondents (64%) were white-British, 35 (10%) were white-European, and 92 (26%) were of an ethnic minority background. A total of 321 of respondents (91%) identified as heterosexual, 14 (4%) preferred not to say, and 18 (5%) identified as LGBTQ+ or preferred to self-describe.
This is the largest national workforce survey in contemporary surgical literature. The findings demonstrate a greater proportion of female surgeons overall compared to other studies in T&O. This proportion of females was highest among more junior trainees. The Scottish T&O workforce is more ethnically diverse than the demographics of the population it serves. This study suggests that T&O in Scotland is an evolving speciality in terms of equality and diversity, and is making positive progress.
创伤与骨科（T&O）手术在促进其员工队伍中的性别、文化公平及多样性方面落后于其他医学专科，因此受到了审视。骨科成员机构中女性、少数族裔以及性取向和性别少数群体个体的比例与其所服务的人群不成比例。本研究的目的是报告一项关于苏格兰T&O领域人口统计学和工作模式的全国性劳动力调查结果。
由一个工作组设计的问卷由客户分析与关系发展（CARD）小组发放。利用一个安全的第三方确保所有受访者的匿名性。数据由CARD小组记录和分析。
共记录到353份回复，占已知劳动力的71%。总体而言，261名受访者（74%）认定为男性，85名（24%）为女性，7名（2%）选择不透露。对于专科培训生（ST）3至ST6，148名（42%）为女性，对于ST7至ST8，131名（37%）为女性。在所有受访者中，共有226名（64%）是英国白人，35名（10%）是欧洲白人，92名（26%）具有少数族裔背景。共有321名受访者（91%）认定为异性恋，14名（4%）选择不透露，18名（5%）认定为 LGBTQ+ 或选择自我描述。
这是当代外科文献中规模最大的全国性劳动力调查。研究结果表明，与T&O领域的其他研究相比，总体上女性外科医生的比例更高。这一女性比例在较低级别的培训生中最高。苏格兰T&O领域的劳动力在种族方面比其所服务人群的人口统计学特征更加多样化。这项研究表明，苏格兰的T&O在平等和多样性方面是一个不断发展的专科，并且正在取得积极进展。
