Snow Morgan, McDaniel Claire, Bronheim Rachel S, LaPorte Dawn
Johns Hopkins School of Medicine, 733 N Broadway, Baltimore, MD 21205, United States.
Department of Orthopaedic Surgery, Johns Hopkins University, 601 N Caroline St, Baltimore, MD, United States.
Surg Pract Sci. 2022 Nov 24;11:100148. doi: 10.1016/j.sipas.2022.100148. eCollection 2022 Dec.
This study sought to determine the gender and racial distribution of grand rounds speakers in orthopaedics at large academic medical centers and to assess whether they align with the demographics of current faculty and trainees.
Schedules of grand rounds speakers and topics from the 2020-2021 academic year were collected from 49 orthopaedic surgery residency programs across the United States. Speakers were categorized by trainee status, academic rank, institutional affiliation, institutional National Institutes of Health (NIH) funding rank, gender, and underrepresented minority (URM) status. Descriptive statistics and two-way frequencies were performed. One-way tests of proportions were calculated comparing female and URM speaker proportions to demographic distributions of orthopaedic surgeons for residents, home program faculty, and visiting faculty at the national level.
Of the 890 grand rounds presentations, 121 were given by women (13.6%) and 47 by URMs (5.3%). One-way tests of proportions showed lower than expected proportions of women and URM home attending presentations (<0.001), lower than expected proportions of URM resident presentations ( = 0.02), and higher than expected proportions of URM visiting attending presentations (<0.001), when compared to national demographics of orthopaedic residents and attendings.
This study adds clarity on the representation of women and URMs in orthopaedic surgery grand rounds, which was previously not quantified. Our results show where representation may be improved, while also suggesting that, overall, orthopaedic surgery is showcasing female and URM speakers on par with the current population of orthopaedic surgeons. This effort requires continued support and should be reflected in other areas of professional advancement, such as pay, promotion, awards, leadership roles, and other areas of formal recognition.
本研究旨在确定大型学术医疗中心骨科大查房演讲者的性别和种族分布，并评估他们是否与当前教职员工和实习生的人口统计学特征相符。
收集了美国49个骨科手术住院医师项目2020 - 2021学年大查房演讲者的日程安排和主题。演讲者按学员身份、学术职称、机构隶属关系、机构国立卫生研究院（NIH）资金排名、性别和少数族裔（URM）身份进行分类。进行了描述性统计和双向频率分析。计算了单向比例检验，将女性和URM演讲者的比例与全国范围内骨科住院医师、本机构教职员工和客座教职员工的骨科外科医生人口统计学分布进行比较。
在890场大查房报告中，女性进行了121场（13.6%），URM进行了47场（5.3%）。与骨科住院医师和主治医生的全国人口统计学数据相比，单向比例检验显示女性和URM本机构主治医生报告的比例低于预期（<0.001），URM住院医师报告的比例低于预期（=0.02），URM客座主治医生报告的比例高于预期（<0.001）。
本研究明确了女性和URM在骨科手术大查房中的代表性，此前这一情况未被量化。我们的结果显示了可以在哪些方面改进代表性，同时也表明，总体而言，骨科手术在展示女性和URM演讲者方面与当前骨科外科医生群体相当。这项工作需要持续的支持，并应在职业发展的其他领域得到体现，如薪酬、晋升、奖项、领导角色和其他正式认可的领域。
