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How Much Bullying and Discrimination Are Reported by Sexual and Gender Minorities in Orthopaedics?
Yogesh Kumaran1, Jaime Bellamy2, Ryann Maciejewski3
1University of Toledo Colleges of Medicine and Engineering, Toledo, OH, USA.
Clinical Orthopaedics and Related Research
|February 28, 2024
Summary
Most lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) orthopaedic professionals are openly out at work but still face discrimination and bullying. Addressing these issues is vital for a more inclusive and effective surgical workforce.
Area of Science:
- Orthopaedic Surgery
- Workplace Diversity
- Inclusion in Medicine
Background:
- Minority populations, particularly lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals, face significant workplace discrimination.
- LGBTQ+ individuals encounter more barriers and stressors, impacting personal and professional lives.
- Limited research exists on the experiences of "out" LGBTQ+ professionals in orthopaedic surgery.
Purpose of the Study:
- To determine the prevalence of "out" status among LGBTQ+ orthopaedic trainees and professionals.
- To assess the rates of reported discrimination, bullying, and differential treatment experienced by this group.
- To investigate potential regional variations in these reported experiences.
Main Methods:
- An internet-based survey was administered to individuals registered with Pride Ortho, a community for LGBTQ+ individuals and allies in orthopaedics.
- The survey collected demographic information, including sexual orientation, gender identity, and workplace experiences.
- Data from 100 LGBTQ+ respondents were analyzed, with a focus on those who identified as attending physicians or trainees.
Main Results:
- 94% of LGBTQ+ respondents reported being "out" at their workplace, with nearly a third only partially out.
- 74% of respondents reported experiencing or potentially experiencing bullying, discrimination, or differential treatment.
- No significant geographic variation was found in the reported experiences of discrimination or bullying.
Conclusions:
- The majority of LGBTQ+ orthopaedic professionals are openly out, yet they disproportionately experience discrimination and bullying.
- Such negative experiences can discourage individuals from pursuing or completing orthopaedic surgery training.
- Institutions should enforce anti-discrimination policies, increase LGBTQ+ visibility, and implement diversity training with robust monitoring systems.
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