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The Majority of Black Orthopaedic Surgeons Report Experiencing Racial Microaggressions During Their Residency
Jaysson T Brooks1, Scott E Porter2, Kellie K Middleton3
1Scottish Rite for Children, University of Texas-Southwestern, Dallas, TX, USA.
Clinical Orthopaedics and Related Research
|November 7, 2022
Summary
Black orthopaedic surgeons experience significant racial discrimination during residency. Nearly all Black surgeons reported bias, with women facing unique challenges, highlighting the need for inclusive training environments.
Area of Science:
- Medical Education
- Surgical Specialties
- Diversity and Inclusion
Background:
- Orthopaedic surgery is the least racially and ethnically diverse surgical specialty.
- The impact of this lack of diversity on discriminatory experiences for Black orthopaedic surgeons during residency has not been evaluated.
- Racial microaggressions are subtle indignities communicating negative racial slights, impacting healthcare environments.
Purpose of the Study:
- To determine the extent of perceived discrimination experienced by Black orthopaedic surgeons during residency.
- To identify subtypes of racial microaggressions and their initiators.
- To analyze feedback statements perceived as racially biased and explore gender differences in reported microaggressions.
Main Methods:
- An anonymous survey was distributed to Black orthopaedic surgeons, residents, and fellows.
- Participants reported perceived workplace discrimination and recalled specific experiences of racial bias or exclusion.
- Data were analyzed descriptively and compared by gender.
Main Results:
- 96% of Black orthopaedic surgeons perceived workplace discrimination during residency.
- Common microaggressions included being mistaken for non-physician staff (87%) or non-medical staff (81%).
- Feedback perceived as racially biased included being matched to fulfill a diversity quota (94%). Black women reported higher rates of misidentification and exclusionary feedback.
Conclusions:
- Perception of workplace discrimination is high among Black orthopaedic surgeons during residency.
- Racial microaggressions, including misidentification and biased feedback, are frequently experienced.
- Addressing these issues is crucial for creating a more inclusive training environment in orthopaedic surgery.
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