Differences by Practice Year in Numbers of U.S. Female Neurosurgeons

Peña, Nicole M. De La; Richter, Kent R.; Haglin, Jack M.; Pollock, Jordan R.; Richter, Reed A; Kouloumberis, Pelagia

doi:10.1016/j.wneu.2020.10.045

Cited by 12 publications

(3 citation statements)

References 21 publications

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“…It is important to have a balance of participants from geographical areas to gauge the perspectives and responses by region adequately. The percentage of women participants was similar to representation by percentage in orthopedic surgery and neurosurgery [ 20 , 36 – 38 ]. However, the number of respondents was too low to assess survey responses between gender groups confidently.…”

Section: Discussionmentioning

confidence: 58%

Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey

Bozkurt,

Holt,

Robinson

et al. 2024

Neurosurg Rev

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Objective This international survey investigated Evidence-Based Medicine (EBM) in spine surgery by measuring its acceptance among spine surgeons. It assessed their understanding of EBM and how they apply it in practice by analyzing responses to various clinical scenarios.. Materials and methods Following the CHERRIES guidelines, an e-survey was distributed to multiple social media forums for neurosurgeons and orthopedic surgeons on Facebook, LinkedIn, and Telegram and circulated further through email via the authors’ network. Three hundred participants from Africa, Asia, Europe, North America, and Oceania completed the survey. Results Our study revealed that 67.7% (n = 203) of respondents used EBM in their practice, and 97.3% (n = 292) believed training in research methodology and EBM was necessary for the practice of spine surgery. Despite this endorsement of using EBM in spine surgery, we observed varied responses to how EBM is applied in practice based on example scenarios. The responders who had additional training tended to obey EBM guidelines more than those who had no additional training. Most surgeons responded as always or sometimes prescribing methylprednisolone to patients with acute spinal cord injury. Other significant differences were identified between geographical regions, training, practice settings, and other factors. Conclusions Most respondents used EBM in practice and believed training in research methodology and EBM is necessary for spine surgery; however, there were significant variations on how to use them per case. Thus, the appropriate application of EBM in clinical settings for spinal surgery must be further studied.

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Section: Discussionmentioning

confidence: 58%

Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey

Bozkurt,

Holt,

Robinson

et al. 2024

Neurosurg Rev

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“…Despite these limitations, we believe this methodology gives the best possible analysis of practicing orthopaedic surgeons, and this methodology has been applied in other studies using the Physician Compare database. 38 , 39 …”

Section: Discussionmentioning

confidence: 99%

Orthopaedic Group Practice Size Is Increasing

Pollock

Moore

Hogan

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To analyze recent trends in orthopaedic surgery consolidation and quantify these changes temporally and geographically from 2012 to 2020. Methods We performed a retrospective cross-sectional analysis of orthopaedic surgeon practice size in the United States using 2012 and 2020 data obtained from the Physician Compare database. Results Although we observed an increase from 21,216 unique orthopaedic surgeons in 2012 to 21,553 in 2020 (1.6% increase), the number of practices experienced a large decrease from 7,299 practices in 2012 to 5,829 in 2020 (20.1% decrease). The proportion of orthopaedic surgeons working in solo practices decreased from 13.2% (2,790) in 2012 to 7.4% (1,595) in 2020, and the proportion of orthopaedic surgeons working in groups sized 2 to 24 decreased from 35.3% (7,482) in 2012 to 22.2% (4,775) in 2020. In contrast, groups sized 25 to 99 have grown from 20.7% (4,387) of all orthopaedic surgeons to 23.4% (5,048) in 2020. Groups sized 100 to 499 have increased from 16.9% (3,593) in 2012 to 24.1% (5,190) in 2020, whereas groups sized 500 or greater have grown from 14% (2,964) in 2012 to 22.9% (4,945) in 2020. The number of unique group practices showed a significant decrease in the number of solo groups, which comprised 43.8% (3,200) of the total number of individual practices in 2012, decreasing to 32% (1,886) in 2020. All other groups increased in number and proportionally from 2012 to 2020. Conclusions This study shows that over the period from 2012 to 2020, there has been a substantial trend of orthopaedic surgeons shifting to increasing practice sizes, potentially indicating that more orthopaedic surgeons are working for large health care organizations rather than small independent practices. Clinical Relevance The impact of these changes should be examined to determine large-scale effects on patient care, payment models, access, and outcomes, along with physician compensation, lifestyle, and satisfaction.

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“…In various surgical subspecialties, women are more often assigned administrative tasks while men might have more opportunities to operate ( 34 ). Some women surgeons had difficulty in finding consultant jobs because there is prejudice amongst seniors against women leading or being consultants ( 35 ). Many women have reported that they have to work harder to prove that they were as good as men and have received less career support from supervisors and acceptance in neurosurgical communities.…”

Section: Introductionmentioning

confidence: 99%

Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future

et al. 2022

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Despite the rising percentage of women accessing the medical profession over the last few decades, surgical specialties are still largely male-dominated; in particular, a remarkable gender disparity is evident in neurosurgery, where only 19% of practitioners are females. Although women may be reluctant to choose a challenging specialty like neurosurgery due to concerns around how to balance family and career, it must be admitted that prejudices against female neurosurgeons have been deeply rooted for long, prompting many to give up and switch track to less demanding subspecialties. Among those who have persisted, many, if not most, have experienced difficulties in career progression and received unequal treatment in comparison with their male counterparts. In 1989, a group of 8 female neurosurgeons founded Women in Neurosurgery (WINS), an organization that aimed to guarantee inclusivity in neurosurgery, encouraging a better and more egalitarian working environment. Thereafter, WINS sessions were regularly promoted at international conferences, offering female neurosurgeons a platform to report issues related to gender discrimination. Over recent years, the mission of WINS sessions in national and international conferences has taken an unexpected deviation; they have progressively become supplementary scientific sessions with only women neurosurgeons as speakers, thus paving the road to a form of self-segregation. This tendency has also resulted in the establishment of sections of only female neurosurgeons within some national societies. Although there remains a faction that fiercely supports the WINS mindset of reserved spaces for women, such segregation is an upsetting prospect for those who believe that science and professionalism have no gender; a growing part of the global neurosurgical community believes that the conception of a “female neurosurgery” and a “male neurosurgery” is misguided and counterproductive and consider the existence of the WINS as anachronistic and no longer necessary.

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Differences by Practice Year in Numbers of U.S. Female Neurosurgeons

Cited by 12 publications

References 21 publications

Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey

Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey

Orthopaedic Group Practice Size Is Increasing

Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future

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