Jason Silvestre, Harris S Slone, William N Newton, Oluwadamilola O Kolade, John D Kelly
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引用次数: 0
Abstract
Purpose: To analyze the demographics and trends of orthopaedic surgeons entering the U.S. orthopaedic sports medicine workforce over the past decade.
Methods: This was a cross-sectional study of allopathic medical students, orthopaedic surgery residents, and orthopaedic sports medicine fellows in the United States (2013-2022) that leveraged data from the Accreditation Council for Graduate Medical Education and American Medical Association. Disparities in demographic representation between orthopaedic sports medicine fellows and the 2020 U.S. population census were quantified with participation-to-prevalence ratios (PPRs). A PPR between 0.8 and 1.2 was classified as equivalent representation and a PPR<0.8 was classified as under-representation, relative to the U.S.
Population:
Results: The representation of female, Hispanic, Black, and Asian trainees decreased at each stage of the training pipeline to orthopaedic sports medicine fellowship training. In contrast, the representation of White trainees increased at each stage of the training pipeline. Over the study period, there were modest increases in female (9.9% to 12.6%) and Hispanic (1.2% to 1.7%) trainee representation in orthopaedic sports medicine. In contrast, Asian (16.6% to 5.6%) and Black (5.1% to 1.9%) trainee representation decreased. Relative to the US population, female (PPR = 0.22), Black (PPR = 0.30), Hispanic (PPR = 0.19), Native Hawaiian/Pacific Islander (PPR = 0.01), and Native American/Alaskan Native (PPR = 0.00) trainees were under-represented. In contrast, male (PPR = 1.79), Asian (PPR = 1.96), and White (PPR = 1.36) trainees were over-represented in orthopaedic sports medicine.
Conclusions: There is limited diversity in the emerging orthopaedic sports medicine workforce relative to the U.S.
Population: Improvements in the representation of female, Black, and Hispanic trainees in orthopaedic sports medicine has been marginal relative to trends observed at U.S. allopathic medical schools.
Clinical relevance: Promoting diversity and inclusion in the orthopaedic sports medicine workforce can create more surgical provider options for diverse patient populations in the United States.
目的：本研究旨在分析过去十年中进入美国骨科运动医学队伍的骨科医生的人口统计数据和发展趋势：这是一项横断面研究，利用美国医学教育认证委员会（Accreditation Council for Graduate Medical Education）和美国医学协会（American Medical Association）提供的数据，研究对象包括全科医科学生、骨科外科住院医师和美国骨科运动医学研究员（2013-2022 年）。骨科运动医学研究员与 2020 年美国人口普查之间的人口代表性差异通过参与率与患病率之比（PPRs）进行量化。PPR在0.8-1.2之间被归类为同等代表性，PPR在0.8-1.2之间被归类为同等代表性：女性、西班牙裔、黑人和亚裔学员的比例在骨科运动医学研究员培训的每个阶段都有所下降。相比之下，白人学员的比例在培训管道的每个阶段都有所上升。在研究期间，女性（9.9% 到 12.6%）和西班牙裔（1.2% 到 1.7%）受训者在运动医学矫形领域的比例略有上升。相比之下，亚裔（16.6% 至 5.6%）和黑人（5.1% 至 1.9%）受训人员的比例有所下降。与美国人口相比，女性（PPR=0.22）、黑人（PPR=0.30）、西班牙裔（PPR=0.19）、夏威夷原住民/太平洋岛民（PPR=0.01）和美洲原住民/阿拉斯加原住民（PPR=0.00）受训人员的比例偏低。相比之下，男性（PPR=1.79）、亚裔（PPR=1.96）和白人（PPR=1.36）受训人员在骨科运动医学中的比例偏高：结论：相对于美国人口而言，新兴骨科运动医学人才队伍的多样性有限。女性、黑人和西班牙裔受训者在骨科运动医学领域的比例相对于在美国对抗疗法医学院观察到的趋势改善甚微：临床相关性：促进骨科运动医学人才队伍的多样性和包容性，可以为美国不同的患者群体提供更多的手术提供者选择。
期刊介绍：
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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