Gulf cooperation council female residents in orthopedics: Influences, barriers, and mental pressures: A cross-sectional study

Alshammari, Abdulmuhsen N; Shafiq, Mohammed O; Altayeb, Mohammad A; Khaja, Aliaa; Ghabban, Khaled M; Khoshhal, Khalid I.

doi:10.4103/jmsr.jmsr_5_18

Cited by 11 publications

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“… 36 This is also applicable in Saudi Arabia since the overall orthopaedic community intuitively dominated by men. As per Alshammari et al, 37 62.0% of the female physicians in the Gulf Cooperation Council (GCC) found it difficult to be accepted in the orthopaedic programmes. At the time of the study in Riyadh, the number of Saudi females who work as orthopaedic surgeons was only nine.…”

Section: Discussionmentioning

confidence: 98%

Work-related musculoskeletal disorders among Saudi orthopedic surgeons: a cross-sectional study

et al. 2020

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Introduction Studies have addressed the issue of increasing prevalence of work-related musculoskeletal (MSK) pain among different occupations. However, contributing factors to MSK pain have not been fully investigated among orthopaedic surgeons. Thus, this study aimed to approximate the prevalence and predictors of MSK pain among Saudi orthopaedic surgeons working in Riyadh, Saudi Arabia. Methods A cross-sectional study using an electronic survey was conducted in Riyadh. The questionnaire was distributed through email among orthopaedic surgeons in Riyadh hospitals. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms were used. Descriptive measures for categorical and numerical variables were presented. Student’s t-test and Pearson’s χ2 test were used. The level of statistical significance was set at p ≤ 0.05. Results The response rate was 80.3%, with a total number of 179 of Saudi orthopaedic surgeons (173 males and six females). Of our sample, 67.0% of the respondents complained of having MSK pain. The most commonly reported MSK pain was lower back (74.0%), followed by neck (58.2%). Age and body mass index were implicated in the development of more than one type of MSK pain. Increased years of experience (≥ 6 years) was linked to shoulder/elbow, lower back, and hip/thigh pain. Smoking is widely associated with lower back pain development, whereas physicians who do not smoke and exercise regularly reported fewer pain incidences. Excessive bending and twisting during daily practice have been correlated with increased neck pain. Conclusion MSK pain was found to be common among Saudi orthopaedic surgeons. Further extensive research should be conducted to understand and analyze the risk factors involved and search for possible improvements to avoid further complications. However, ergonomics education during surgical training could be effective at modifying behaviors and reducing MSK pain manifestations.

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Section: Discussionmentioning

confidence: 98%

Work-related musculoskeletal disorders among Saudi orthopedic surgeons: a cross-sectional study

et al. 2020

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“…46 Alshammari et al., evaluating the challenges and barriers that a female orthopaedic resident in the Gulf Cooperation Council (GCC) region may face, they found that ‘gender intolerance’ exists among the surveyed orthopaedic residents, where about half of the female responders believed that they were expected to fail, and approximately 43% of the females reported that they were treated differently by the hospital staff compared with a male resident; the authors suggested that this may discourage female physicians from seeking an orthopaedics career. 47 Another reason for this reported by Alshammari et al. was the lack of a female orthopaedics society, like those present in some countries, like the Ruth Jackson Orthopaedic Society in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…was the lack of a female orthopaedics society, like those present in some countries, like the Ruth Jackson Orthopaedic Society in the United States. 42 , 47 Female scientists may have extra non-work-related responsibilities, which could be attributed to familial obligations. 43 Further, the possibility of exposure to more radiation and its risk to pregnancy may hinder a female from considering orthopaedics as a speciality.…”

Section: Discussionmentioning

confidence: 99%

“… 43 Further, the possibility of exposure to more radiation and its risk to pregnancy may hinder a female from considering orthopaedics as a speciality. 44 , 47 , 48 Although it may also apply in other specialities, the lack of a specific policy regulating maternity and paternity leaves and compensations may be another factor. 48 Additionally, unconscious gender biases and exposure to sexual harassment have been reported in some studies.…”

Section: Discussionmentioning

confidence: 99%

“…During this year, they may obtain a master's degree in clinical research, which will increase their chances of participating in research and independently publish articles without the need for male co-authors. 47 Zhuge et al. recommended that institutions should be more flexible by offering paid research time and providing special considerations for familial obligations.…”

Section: Recommendationsmentioning

confidence: 99%

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Comparing the gender diversity and affiliation trends of the authors for two orthopaedics journals from the Arab world

Khalifa

ElHawary

Sadek

et al. 2021

Journal of Taibah University Medical Sciences

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Objectives Authorship trends, female authors' contributions, and the collaboration among institutions have been a concern in the medical field. This study primarily aims to report and compare the number of authors per article and the prevalence of female authors by comparing two orthopaedics journals from the Arab world. The secondary objective of this study is to evaluate the characteristics of the authors' affiliations and the pattern in institutions' collaborations and contributions to the published articles. Methods This cross-sectional study reviewed all articles (until July 2020) published in the Archives of the Egyptian Orthopaedic Journal (EOJ) (the official journal of the Egyptian Orthopaedic Association) and the Journal of Musculoskeletal Surgery and Research (JMSR) (the official journal of the Saudi Orthopaedic Association). Results We evaluated 383 and 122 articles from the EOJ and JMSR, respectively. The average number of authors per article was significantly higher for JMSR (4.3 ± 1.7) than EOJ (2.0 ± 1.0); p = 0.000. There was a significantly larger number of contributions by female authors in JMSR (75, 14.2%) than EOJ (2, 0.3%); p = 0.000. The average number of institutions per article was significantly larger for JMSR (2.1 ± 1.2) than EOJ (1.1 ± 0.3); p = 0.000. For the JMSR, the incidence of national institutions' cooperation (27.9%) and international institutions' contributions (53.3%) were significantly higher than their counterparts for the EOJ—6% and 4.7%, respectively; p = 0.000. Conclusion The JMSR showed superiority regarding the number of authors per article and the prevalence of female authors. The incidence of national institutions' cooperation and international contributions were higher in the JMSR compared with the EOJ.

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The journey of orthopaedic surgery from residency to fellowship: A cross-sectional study in the Gulf Cooperation Council countries

Shafiq

Khaja

Alshammari

et al. 2019

Journal of Taibah University Medical Sciences

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Objectives Becoming an Orthopaedic Surgeon is a challenge worldwide. This study attempted to determine the level of training at which orthopaedic surgery is chosen as a career by residents and graduates of Gulf Cooperation Council (GCC) countries. The reasons for choosing this surgical speciality and barriers faced by residents were also explored. Methods In this cross-sectional study, a questionnaire was electronically distributed to all GCC orthopaedic surgery residents. All currently enrolled residents and fellows in orthopaedic surgery programmes in KSA, Oman, Kuwait, and Bahrain were invited. Exclusion criteria included first-year residents and those who had completed their residencies before 2013. Results A total of 275 out of 569 residents responded, a response rate of 48.33%. More than half of the participants (54.5%) chose orthopaedic surgery during their undergraduate studies. Personal interest ranked number one at 61.09%, while parental pressure was found to be the least important reason (0.36%). The majority (88.0%) agreed that orthopaedic surgery was physically demanding, whereas 33.1% wanted to quit orthopaedic surgery. The interest of residents for future subspecialities was mostly in paediatric orthopaedics and sports medicine, as suggested by 16.4% and 16.0%, respectively. Conclusion This study showed an alarming number of residents who wanted to quit orthopaedic surgery. The challenges residents faced were burnout, lack of time, limited exposure to teaching hospitals, and limited seats for subspeciality training. We recommend increasing the number of orthopaedic surgery subspeciality fellowships, as well as the number of fellowship seats in training programmes. The well-being of orthopaedic surgery residents should also be given consideration.

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Gulf cooperation council female residents in orthopedics: Influences, barriers, and mental pressures: A cross-sectional study

Cited by 11 publications

References 0 publications

Work-related musculoskeletal disorders among Saudi orthopedic surgeons: a cross-sectional study

Work-related musculoskeletal disorders among Saudi orthopedic surgeons: a cross-sectional study

Comparing the gender diversity and affiliation trends of the authors for two orthopaedics journals from the Arab world

The journey of orthopaedic surgery from residency to fellowship: A cross-sectional study in the Gulf Cooperation Council countries

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