Caldwell Lindsey S, Glass Natalie, Guyton Gregory P, Elstein David W, Nelson Charles L
North Shore Physicians Group Orthopaedic Surgery, Mass General Brigham, Peabody, Massachusetts.
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
JB JS Open Access. 2025 Jan 21;10(1). doi: 10.2106/JBJS.OA.24.00122. eCollection 2025 Jan-Mar.
The orthopaedic surgery physician workforce is predominately White and male and has been identified as the least diverse medical specialty. Increasing efforts toward diversification within orthopaedic surgery are underway. Evaluating the effectiveness of these programs requires a thorough understanding of the current demographic profile of the profession.
The American Board of Orthopaedic Surgery (ABOS) is the leading board certification organization for orthopaedic surgeons in the United States. The ABOS began collecting self-reported race/ethnicity and sex/gender data of its examinees and diplomates in 2017. This new data set of ABOS was analyzed to describe both the current demographic profile of orthopaedic surgery and trends over time. Underrepresented minority (URM) was defined as a group that is less well represented in orthopaedic surgery than in US census data and includes female, American Indian or Alaska Native, Black or African American, Hispanic/Latino, and Native Hawaiian or Other Pacific Islander categories.
Of the 21,025 currently practicing ABOS diplomates with time-limited ABOS certificates (issued since 1986), 19,912 (94.7%) provided sex/gender data, and 19,876 (94.5%) provided race/ethnicity data. Approximately 84.78% selected male and 8.43% female. The majority identified as White (73.67%), whereas 16.35% selected a URM race/ethnicity category. There have been significant increases in the proportions of female (odds ratio [OR] = 4.72, 95% confidence interval [CI] = 3.64-6.11, p < 0.001) and URM (OR = 2.31, 95% CI = 1.80-2.96, p < 0.0001). Diplomates among orthopaedic surgeons attaining ABOS board Diplomates from 1989 to present. Among the subspecialties, pediatric orthopaedics reported the highest percentage of females (30.4%). Spine had both the lowest percentage of females (2.63%) and the highest percentage of URMs (8.97%). Sports had the lowest percentage of URMs at 5.63%.
Orthopaedic surgery in 2023 remains largely White and male. However, there have been promising trends toward diversification of orthopaedic surgery both in terms of gender and race/ethnicity. Specialties within orthopaedics have a wide variety of demographic profiles.
Level IV Retrospective Cohort Study. See Instructions for Authors for a complete description of levels of evidence.
骨科手术医生群体主要是白人男性，被认为是医学专科中多样性最低的。目前正在加大骨科领域多元化的努力。评估这些项目的有效性需要全面了解该行业当前的人口统计学特征。
美国骨科手术委员会（ABOS）是美国骨科外科医生的主要委员会认证组织。ABOS于2017年开始收集考生和获得认证医生的自我报告种族/族裔以及性别数据。对ABOS这个新数据集进行分析，以描述骨科手术当前的人口统计学特征以及随时间的趋势。未被充分代表的少数群体（URM）被定义为在骨科手术中代表性低于美国人口普查数据的群体，包括女性、美国印第安人或阿拉斯加原住民、黑人或非裔美国人、西班牙裔/拉丁裔以及夏威夷原住民或其他太平洋岛民类别。
在目前拥有限时ABOS证书（自1986年起颁发）的21,025名执业ABOS认证医生中，19,912名（94.7%）提供了性别数据，19,876名（94.5%）提供了种族/族裔数据。约84.78%选择男性，8.43%选择女性。大多数人认定为白人（73.67%），而16.35%选择了URM种族/族裔类别。女性（优势比[OR]=4.72，95%置信区间[CI]=3.64 - 6.11，p < 0.001）和URM（OR = 2.31，95% CI = 1.80 - 2.96，p < 0.0001）的比例有显著增加。1989年至今获得ABOS委员会认证的骨科外科医生中的认证医生。在各亚专科中，小儿骨科女性比例最高（30.4%）。脊柱科女性比例最低（2.63%），URM比例最高（8.97%）。运动医学科URM比例最低，为5.63%。
2023年的骨科手术在很大程度上仍然以白人和男性为主。然而，在性别和种族/族裔方面，骨科手术的多元化趋势令人鼓舞。骨科内部的亚专科有着各种各样的人口统计学特征。
IV级回顾性队列研究。有关证据水平的完整描述，请参阅作者指南。
