Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Adult Reconstruction Fellowships From 2007 to 2021

Ajayi, Peter T.; Murdock, Christopher J.; Destine, Henson; Trenchfield, Delano; Aiyer, Amiethab; Oni, Julius K.

doi:10.1016/j.arth.2023.05.048

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…In 2023, The Journal of Arthroplasty reported that during the 14-year time frame between 2007-2021, men trainees remained high with an overall average percentage of 88% and demonstrated increasing representation (p=0.012). 9 White non-Hispanics, Asians, Blacks, and Hispanics represented on average 54%, 11%, 3%, and 4%, respectively. White non-Hispanics (p=0.039) and Asians (p=0.030) saw increasing and decreasing representation, respectively.…”

Section: Resultsmentioning

confidence: 98%

Diversity in orthopaedic surgery for pacific islanders: the battle continues

Ruan

2023

Int J Res Orthop

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It’s no secret that orthopaedic surgery is the specialty with the least diversity when it comes to race and gender. More than likely, patients from different ethnic backgrounds desire to be treated by physicians ethnic backgrounds desire to be treated by physicians who look like them but due to the lack of diversity in the field of orthopaedic surgery, it makes it difficult to find physicians who fully understand the cultural barriers to medicine. A systemic review was completed by reviewing research from The American Journal of Surgery, the Journal of the AAOS, and The Journal of Bone and Joint Surgery, among others. Since the rapid immigration into the United States in the early 2000s, Pacific Islanders have begun to make up an increasing portion of the US population, yet a significant increase in the representation of Pacific Islanders in orthopaedic surgery has not reflected this. This acute problem can cause long-term negative effects on the community of Pacific islanders as they continue to be treated by physicians who do not look like them and who do not completely understand the cultural barriers faced by their communities.

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Section: Resultsmentioning

confidence: 98%

Diversity in orthopaedic surgery for pacific islanders: the battle continues

Ruan

2023

Int J Res Orthop

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“…However, it cannot provide any definitive reasoning as to why women may be less likely to pursue these subspecialties. [10][11][12] As suggested in a similar study by Lavorgna et al, the low sex diversity in these subspecialties can likely be due to the persistent and notable sex disparity in orthopaedic surgery resident programs. 13 Few women residents lead to few women fellows which leads to few women attending surgeons and faculty; however, the…”

Section: Discussionmentioning

confidence: 94%

“…Additional solutions have been offered by Trenchfield et al and Ajayi et al on this topic such as pipeline programs. 11 , 15 Pipeline programs like Nth Dimensions and the Perry Initiative increase exposure to orthopaedics and mentorship availability within the field for underrepresented minorities and women. Studies have shown that sponsorship like the Ruth Jackson Orthopaedic Society scholarship to attend a national orthopaedic meeting, American Academy of Orthopaedic Surgeons, has proven to be successful with 80% of recipients being orthopaedic surgery residents or attendings.…”

Section: Discussionmentioning

confidence: 99%

Women in Orthopaedics: 10-Year Trends of Fellowship Match Rate and Subspecialty

Naclerio,

Sekar,

Ghattas

et al. 2024

JAAOS Glob Res Rev

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Background: Orthopaedic surgery has consistently remained one of the least diverse specialties in medicine. There are limited data on the match rate by sex into orthopaedic fellowships. Purpose: The goals of this study were to determine (1) how the percentage of women applying to orthopaedic fellowships has changed from 2011 to 2021, (2) whether there was a correlation between sex and the likelihood of a successful fellowship match, and (3) which subspecialties tend to have a greater proportion of female applicants and fellows. Methods: The San Francisco (SF) Match service was used to obtain US orthopaedic fellowship applicant data from 2010 to 2021. San Francisco Match has run the match for the orthopaedic fellowship match since 2010. International medical graduates' applications, incomplete applications, or withdrawn applications were excluded. The following variables were collected and assessed: sex, subspecialty choice (except for hand because they do not use SF Match services), and match outcome. The number of female applicants and matches was recorded by year and compared with the number of male applicants and matches. Chi-square analysis was used to analyze categorical variables. Results: A total of 6969 applicants to all orthopaedic specialties within SF Match were included during the study period. Overall, 859 were female (12.3%), and 6110 were male (87.7%). The number of female applicants had an increasing trend over the 10-year period from 65 applicants in 2011 to 111 in 2021. The overall proportion of female applicants was between 10.1% and 14.4%. The annual match rate for female applicants was 90.7% to 100% during the study period while the match rate for male applicants was 93.7% to 97.3%. Regarding successful matches, pediatrics had the highest proportion of women (range: 30.2% to 46.2%), followed by foot and ankle (range: 9.8% to 26.4%). Spine (range: 3.2 to 10.9%) and adult reconstruction (range: 3.9% to 9%) had the least number of women among matched applicants. Discussion: This study found that the number of female applicants to orthopaedic fellowships has increased over the past 10 years. The difference in fellowship match rates among male versus female applicants did not statistically differ during this 10-year period; however, the proportion of female fellows is not equally distributed among subspecialties, with a higher proportion of women matching into pediatrics and foot and ankle and lower proportion in reconstruction and spine. These data can provide a benchmark for department chairs and society leadership to ensure they are recruiting, interviewing, and selecting candidates who are representative of the current sex demographics of orthopaedic fellowship graduates.

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Working Toward Health Equity and Diversity in Our Field of Hip and Knee Arthroplasty

Tucker,

Mont

2023

The Journal of Arthroplasty

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Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Adult Reconstruction Fellowships From 2007 to 2021

Cited by 5 publications

References 31 publications

Diversity in orthopaedic surgery for pacific islanders: the battle continues

Diversity in orthopaedic surgery for pacific islanders: the battle continues

Women in Orthopaedics: 10-Year Trends of Fellowship Match Rate and Subspecialty

Working Toward Health Equity and Diversity in Our Field of Hip and Knee Arthroplasty

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