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Trends in Orthopaedic Surgery Workforce Diversity: Analyzing Changes Over Time.

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Orthopaedic surgeon density increased between 2012 and 2018, with a rise in female and minority surgeons. Geographic distribution shifts were observed, but causes remain unclear.

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Area of Science:

  • Orthopaedic Surgery Workforce Analysis
  • Demographic Trends in Medicine

Background:

  • Orthopaedic surgeons' career changes are influenced by various factors.
  • Understanding the geographic distribution and demographic shifts within the orthopaedic surgery workforce is crucial.

Purpose of the Study:

  • To analyze the geographic distribution of orthopaedic surgeons based on age, sex, and race/ethnicity.
  • To examine changes in the orthopaedic surgery workforce over time.
  • To investigate potential correlations between workforce trends and policy/regulatory events.

Main Methods:

  • Utilized data from the American Academy of Orthopaedic Surgeons (AAOS) surveys of over 30,000 members.
  • Calculated geographic distributions and analyzed demographic changes (age, sex, race/ethnicity) over time.
  • Investigated potential influences of malpractice suits and tort reform on workforce patterns.

Main Results:

  • Overall orthopaedic surgeon density increased from 2012 to 2018.
  • Notable increases in female surgeons (4.6% to 5.7%) and underrepresented minorities (African Americans, Hispanic/LatinX, Asian, multiracial) were observed.
  • Age of surgeons increased (mean 1.7 years), while the percentage of Native American surgeons remained unchanged.

Conclusions:

  • The orthopaedic surgery workforce experienced an increase in density and diversity between 2012 and 2018.
  • While demographic shifts occurred, the underlying causes for these changes were not definitively identified.
  • Further research is needed to understand the drivers behind these workforce trends.