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足手术中的多样性:系统性审查

Albert T Anastasio¹, Justin Leal², Alexis L Clifford²

¹Duke Department of Orthopaedic Surgery, Durham, North Carolina.

Journal of surgical orthopaedic advances

|June 27, 2025

概括

脚手术的多样性仍然很低,特别是在领导角色. 这一系统性审查突出显著的性别差异,表明需要有针对性的战略,以实现一个公平的外科工作人员.

科学领域:

整形外科手术整形外科手术
外科工作人员的多样性和多样性
医疗教育医学教育

背景情况:

历史上代表性不足的少数民族和性别多样性对于公平的医疗保健至关重要.
脚手术 (FA) 是一个子专业,其多样性指标尚未得到充分确立.
了解当前的多样性水平对于未来的劳动力发展至关重要.

研究的目的:

系统地审查和量化足手术中的性别多样性.
评估各种职业层面的多样性,包括领导和研究.
确定该领域内代表性的趋势和差异.

主要方法:

按照PRISMA指南进行了系统的文献搜索.
包含了10项横截面研究,并使用STROBE检查清单对其质量进行了评估.
对FA申请者,出席者,项目主管和研究人员提取了人口统计数据.

主要成果:

在所有级别的足手术中都观察到显著的性别差异.
女性在领导职位的百分比非常低,包括主席 (5.5%) 和教授 (0.9%).
虽然女性代表性在2010-2019年间从12%增加到14%,但尚未实现平等.

结论:

脚手术表现出明显的缺乏性别多样性,特别是在领导和学术角色.
目前的多样性指标不足以提供公平的代表性.
认识到这些差异是为更具包容性的FA劳动力实施有针对性的干预措施的第一步.

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...