Getting the culture right

Hamilton, Laura C.; Haddad, Fares S.

doi:10.1302/0301-620x.104b4.bjj-2022-0162

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…These findings are concordant with past studies that showed that the absence of a "critical mass" of women discouraged them from pursuing T&O (14,22). Women that eventually enter orthopaedic training often encounter unconscious bias, microaggressions, and discriminatory language that may make them feel excluded (23).…”

Section: Male Dominant Culture In Tandosupporting

confidence: 87%

“…It is plausible that surgical specialities with higher representation of women are perceived as more viable career options by women at the undergraduate level. Lack of visible female leaders and predominately male panels at orthopaedic panels further compound the perception that orthopaedic is not an accessible career for women (23).…”

Section: Male Dominant Culture In Tandomentioning

confidence: 99%

See 1 more Smart Citation

Women in trauma and orthopaedics: are we losing them at the first hurdle?

Malik-Tabassum

Lamb

Seewoonarain

et al. 2023

annals

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Introduction Diversity in the healthcare workforce is associated with improved performance and patient-reported outcomes. Gender disparity in Trauma and Orthopaedics (T&O) is well recognised. The aim of this study was to compare factors that influence career choice in T&O between male and female final-year students. Furthermore, the trend of representation of women in T&O over the last decade was also compared with other surgical specialities. Methods An online survey of final-year students who attended nationally advertised T&O courses over a 2-year period was conducted. Data from NHS digital was obtained to assess gender diversity in T&O compared with other surgical specialities. Results A total of 414 students from 13 UK medical schools completed the questionnaire. Compared with male students (34.2%), a significantly higher proportion of women (65.8%) decided against a career in T&O, p<0.001. Factors that dissuaded a significantly higher percentage of women included gender bias, technical aspects of surgery, unsociable hours, on-call commitments, inadequate undergraduate training and interest in another specialty (p<0.05). Motivating factors for choosing a career in T&O were similar between both sexes. T&O was the surgical specialty with the lowest proportion of women at both consultant and trainee level over the last decade. Conclusion T&O remains an unpopular career choice among women. To enhance recruitment of women in T&O, future strategies should be directed toward medical students. Universities, orthopaedic departments and societies must work collaboratively to embed culture change, improve the delivery of the undergraduate curriculum, and facilitate students’ exposure to operating theatres and female role models.

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Section: Male Dominant Culture In Tandosupporting

confidence: 87%

Section: Male Dominant Culture In Tandomentioning

confidence: 99%

Women in trauma and orthopaedics: are we losing them at the first hurdle?

Malik-Tabassum

Lamb

Seewoonarain

et al. 2023

annals

View full text Add to dashboard Cite

show abstract

“…We need a diverse surgical profession, we must facilitate training for all, and we need to ensure that every trainee surgeon finishes their training with the competencies that are needed to deliver excellent independent care. [10][11][12][13][14][15][16] In this issue we also have a number of papers on hip preservation. [17][18][19][20] This is a topic of great importance where our understanding and recognition of the pathology, and our interventions, have improved dramatically over the last 30 years.…”

Section: Important Matters That Need Attentionmentioning

confidence: 99%

Important matters that need attention

Haddad

2023

Bone Joint J

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Same patient but different worlds: A state-of-the-art review translating best practice psychosocial care from musculoskeletal care to the orthopaedic context

March,

Roberts

2024

BMC Musculoskelet Disord

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Background Individuals with chronic musculoskeletal conditions experience persistent pain and disability that has deleterious impacts on physical function, psychological health, social engagement, relationships, and work participation. This impact is greater in people with psychosocial risk factors, and best practice musculoskeletal care recommends a biopsychosocial approach to management. Orthopaedic surgery is often an effective management approach for chronic musculoskeletal conditions, but research has only recently explored the links between differing patient outcomes after orthopaedic surgery and psychosocial risk factors. Implementing biopsychosocial approaches to musculoskeletal care has taken great strides in the primary care setting however, implementation of the biopsychosocial approach in orthopaedic surgery brings complexity as the context changes from primary care to hospital based secondary care. The aim of this review therefore is to explore implementation of psychosocial care in the elective orthopaedic surgery context, informed by evidence in musculoskeletal care. Assessment and management of psychosocial factors Several composite screening tools for psychosocial factors or ‘yellow flags’ are recommended for use in primary care for musculoskeletal conditions alongside a comprehensive patient interview. However, in the orthopaedic surgery context, composite measures have focused on discharge destination, and there is not a universal approach to comprehensive patient interview incorporating a biopsychosocial approach. A range of biopsychosocial approaches to musculoskeletal conditions have been developed for the primary care setting, yet few have been explored in the context of orthopaedic surgery. Implementation of psychosocial care Implementing best practice psychosocial care into the orthopaedic context has enormous potential for all stakeholders, but several barriers exist at the level of the individual patient and practitioner, workforce, health service and society. We have discussed key considerations for implementation including workforce composition, patient-centred care and shared decision making, health literacy, continuity of care, and consideration of preferences for women and culturally diverse communities. Conclusion This review considers current literature exploring implementation of psychosocial care into the orthopaedic surgery context, informed by current research in musculoskeletal care. This presents a critical opportunity for orthopaedic surgery to provide optimised, equitable, high-value, patient-centred care.

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Getting the culture right

Cited by 3 publications

References 17 publications

Women in trauma and orthopaedics: are we losing them at the first hurdle?

Women in trauma and orthopaedics: are we losing them at the first hurdle?

Important matters that need attention

Same patient but different worlds: A state-of-the-art review translating best practice psychosocial care from musculoskeletal care to the orthopaedic context

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