足踝会议演讲者和研究作者中的性别代表性：一项为期10年的分析（2012年至2022年）
Gender Representation Among Foot and Ankle Conference Presenters and Research Authors: A 10-year Analysis (2012 to 2022).
作者信息
Mullen Marguerite A, Budis Emmanuel, Gianakos Arianna L, Ashkani-Esfahani Soheil, DiGiovanni Christopher W, Guss Daniel
机构信息
From the Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Mullen, Ashkani-Esfahani, DiGiovanni, and Guss), the Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island (Mullen), the Department of Orthopaedic Surgery, NYU Grossman Long Island School of Medicine, Mineola, New York (Budis), and the Department of Orthopaedic Surgery, Yale Medicine, Orthopaedics, and Rehabilitation, New Haven, CT (Gianakos).
出版信息
J Am Acad Orthop Surg. 2025 Jun 5;33(16):943-949. doi: 10.5435/JAAOS-D-24-00126.
BACKGROUND
Today women are more than 50% of medical school matriculants but remain underrepresented in orthopaedic surgery. Moreover, the rate of female orthopaedic subspecialty society membership and representation among meeting speakers is believed to be low. The objective of this study was to assess whether a gap exists in female representation among invited speakers at American Orthopaedic Foot & Ankle Society (AOFAS) national meetings relative to research productivity, as reflected by authorship in Foot and Ankle International (FAI).
METHODS
Programs for AOFAS national meetings and FAI articles between January 2012 and December 2022 were retrospectively analyzed. Sex was identified through personal acquaintance or online biographies. Presentations and articles were categorized as "technical" or "nontechnical," where technical was defined as relating to preclinical or clinical practice. The chi-square test was used for comparisons ( P < 0.05).
RESULTS
One thousand twenty AOFAS talks and 2,230 FAI articles were analyzed. 11.08% of AOFAS invited speakers, 15.16% of FAI first authors, and 7.40% of FAI senior authors were women. In 2018 and 2019, women were more likely to give "nontechnical" AOFAS presentations ( P = 0.003). The average annual trend was +2.00% female AOFAS presenters and +0.31% FAI female first authors per year. FAI female senior authorship had an average annual decrease of -0.37%.
DISCUSSION
Women represented 15.16% of first authors in FAI between 2012 and 2022 and 11.08% of invited speakers at AOFAS meetings. Meanwhile, the percentage of women in AOFAS increased from 7.5% to 13%. Although female foot and ankle surgeons have been historically underrepresented in the field, they were proportionally represented in 2021 and 2022 among invited national conference presentations and first author research compared with society membership. There remains room to increase representation of deserving groups; however, the proportion of female AOFAS presenters demonstrates a positive trend.
LEVEL OF EVIDENCE
Level III.
背景
如今，医学院录取的学生中女性占比超过50%，但在骨科手术领域的代表性仍然不足。此外，女性在骨科亚专业学会的会员率以及在会议演讲者中的占比据信较低。本研究的目的是评估在美国足踝外科协会（AOFAS）全国会议的受邀演讲者中，女性的代表性与研究产出（以《足踝国际》（FAI）上的著作为反映）之间是否存在差距。
方法
对2012年1月至2022年12月期间AOFAS全国会议的议程和FAI文章进行回顾性分析。通过个人了解或在线传记确定性别。演讲和文章被分类为“技术性”或“非技术性”，其中技术性定义为与临床前或临床实践相关。采用卡方检验进行比较（P < 0.05）。
结果
分析了1200场AOFAS演讲和2230篇FAI文章。AOFAS受邀演讲者中女性占11.08%，FAI第一作者中女性占15.16%，FAI资深作者中女性占7.40%。在2018年和2019年，女性更有可能进行“非技术性”的AOFAS演讲（P = 0.003）。女性AOFAS演讲者的年均增长趋势为每年+2.00%，FAI女性第一作者的年均增长趋势为每年+0.31%。FAI女性资深作者的年均降幅为-0.37%。
讨论
2012年至2022年期间，女性在FAI第一作者中占15.16%，在AOFAS会议的受邀演讲者中占11.08%。与此同时，AOFAS中女性的比例从7.5%增加到了13%。尽管女性足踝外科医生在该领域的历史代表性一直不足，但在2021年和2022年，她们在受邀的全国会议演讲和第一作者研究中的占比与学会会员比例相当。增加应得群体的代表性仍有空间；然而，女性AOFAS演讲者的比例呈现出积极趋势。
证据水平
三级。
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