Gasho Jordan O, Tobert Daniel G, Atkins Katelyn M
Keck School of Medicine of USC, Los Angeles, CA, United States.
Massachusetts General Hospital, Boston, MA, United States.
J Med Internet Res. 2025 Jun 6;27:e69366. doi: 10.2196/69366.
Gender disparities in academic medicine persist, particularly in male-dominated fields such as orthopedic surgery. Social media platforms are reshaping academic communication, although data describing gender differences in use and engagement are limited.
This study aims to examine gender differences by X (formerly known as Twitter) use among orthopedic surgeons, including variations in engagement, content, and influence.
This cross-sectional study evaluated publicly available data from the 2023 US News and World Report top 20 hospitals for orthopedic surgery. Demographic data, apparent gender (binary), and public X data were collected.
Of 1327 orthopedic surgeons, 25% (332/1327) were on X. X users were more likely to hold leadership roles (P<.001), higher faculty appointments (P<.001), and additional advanced degrees (P=.007). Women X users (vs men) were less likely to be full professors (12% vs 20%; P=.04). While women (vs men) had similar numbers of followers, following, and posts (P>.05), women liked more posts (median 242 vs 35, P=.006). On thematic analysis of biographical content, women were more likely to mention being a parent, spouse, or their hobbies and interests (24.4% vs 12.1%; P=.048).
Orthopedic surgeons on X were more likely to have higher academic rank, leadership titles, and dual degrees, although gender disparities persisted with women X users harboring lower rates of full professorship. Women orthopedic surgeons were more actively engaged with other posts on X. The motivation behind these trends is worthy of further study.
学术医学领域的性别差异依然存在，尤其是在骨科手术等男性主导的领域。社交媒体平台正在重塑学术交流，尽管关于使用和参与方面性别差异的数据有限。
本研究旨在探讨骨科医生在X（原推特）使用上的性别差异，包括参与度、内容和影响力的差异。
这项横断面研究评估了2023年《美国新闻与世界报道》排名前20的骨科手术医院的公开数据。收集了人口统计学数据、表观性别（二元）和公开的X数据。
在1327名骨科医生中，25%（332/1327）使用X。X用户更有可能担任领导职务（P<.001）、拥有更高的教职任命（P<.001）和额外的高级学位（P=.007）。女性X用户（与男性相比）担任正教授的可能性较小（12%对20%；P=.04）。虽然女性（与男性相比）的关注者、关注对象和帖子数量相似（P>.05），但女性点赞的帖子更多（中位数242对35，P=.006）。在对个人简介内容的主题分析中，女性更有可能提及自己是父母、配偶或提及自己的爱好和兴趣（24.4%对12.1%；P=.048）。
使用X的骨科医生更有可能拥有更高的学术排名、领导头衔和双学位，尽管性别差异依然存在，女性X用户担任正教授的比例较低。女性骨科医生在X上与其他帖子的互动更为积极。这些趋势背后的动机值得进一步研究。
