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  11. Analysis Of The Diversity Pipeline For The Orthopedic Trauma Surgeon Workforce In The United States

Analysis of the diversity pipeline for the orthopedic trauma surgeon workforce in the United States

Jason Silvestre1, Jaimo Ahn2, Niloofar Dehghan3

  • 1Medical University of South Carolina, Charleston, SC, United States.

Injury
|July 3, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Women, racial, and ethnic minorities are underrepresented in orthopedic trauma fellowship training. Targeted recruitment and mentorship are needed to improve diversity in this surgical subspecialty.

Area of Science:

  • Orthopedic Surgery
  • Surgical Workforce Diversity
  • Medical Education

Background:

  • Limited research exists on racial, ethnic, and gender diversity within the orthopedic trauma field.
  • Understanding diversity in the orthopedic trauma workforce is crucial for equitable representation.

Purpose of the Study:

  • To analyze the racial, ethnic, and gender diversity of candidates in orthopedic trauma training pathways.
  • To assess representation at various stages of orthopedic trauma training.

Main Methods:

  • Demographic data (race, ethnicity, sex) were compared across medical students, orthopedic residents, and orthopedic trauma fellows (2013-2022).
  • Participation-to-prevalence ratios (PPRs) quantified equitable representation relative to the US population.
  • Representation was classified as overrepresented (PPR > 1.2), equitable (PPR = 0.8-1.2), or underrepresented (PPR < 0.8).
Keywords:
DiversityFellowshipOrthopedicsSurgery

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Main Results:

  • Female, Hispanic, Black, and Asian trainees were less represented in orthopedic trauma fellowships compared to earlier training stages.
  • Hispanic (PPR=0.14), Black (PPR=0.25), and female (PPR=0.37) trainees were underrepresented in orthopedic trauma.
  • White (PPR=1.36) and male (PPR=1.64) trainees were overrepresented, while Asian trainees were also overrepresented (PPR=2.04).
  • No Native American/Alaskan Native or Native Hawaiian/Pacific Islander trainees were identified in orthopedic trauma.

Conclusions:

  • Women and underrepresented minorities are significantly underrepresented in the emerging orthopedic trauma workforce.
  • Targeted recruitment and mentorship initiatives are recommended to enhance diversity in orthopedic trauma training.
  • Addressing these disparities is essential for a more inclusive surgical subspecialty.
Trauma
Women