The Current State of Diversity, Equity, and Inclusion (DEI) in Orthopedics at the Medical Student Level: A Systematic Review

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-03-11 DOI:10.1016/j.jsurg.2025.103496

Nicolette Ann Schurhoff BS , Hannah Mosher BS , Hallie B. Remer BS, Camila Sacher BS, Jenna Adalbert MD, MPH, Giselle M. Hernandez MD

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引用次数: 0

Abstract

Introduction

Females and individuals underrepresented in medicine currently comprise 50.5% and 23.8% of all medical student matriculates in the United States, respectively. However, orthopedic surgery remains the least diverse specialty with 18.3% female and 17.3% URiM residents. There has been an increasing amount of effort to increase diversity, equity, and inclusion (DEI) and remedy these representation gaps; however, there remains a gap in the literature summarizing the effectiveness of DEI initiatives at the medical student level and their impact on the future diversity of the orthopedic workforce. Thus, the purpose of this systematic review is to analyze the progress and current state of DEI efforts within orthopedics at the medical student level to inform future efforts focused on diversifying this specialty.

Methods

A systematic review of the English literature was performed according to PRISMA guidelines using the following databases: PubMed, Web of Science, Embase, Scopus, Cochrane from inception to October 20, 2023, using a combination of search terms. Eligible full text articles reported on various domains of DEI at the medical student level in the United States such as demographics, initiatives, and perspectives.

Results

A total of 3,184 studies were screened and 26 full-text articles met inclusion criteria. Eight articles discussed trends in diversity demographics application, and match with orthopedics (30.8%), 10 articles discussed initiatives detailing methods and results of how to increase DEI in orthopedics (38.4%), and 8 articles discussed perspectives on where to focus future outreach endeavors (30.8%).

Conclusion

Enhancing DEI in orthopedic surgery at the level of medical students requires a multifaceted approach which fosters early engagement and supports outreach and sustained mentorship. Medical specialties that seek to diversify their field may benefit from similarly structured initiatives.

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骨科专业医学生的多样性、公平性和包容性 (DEI) 现状：系统回顾

在美国，女性和医学中代表性不足的个人目前分别占所有医科学生的50.5%和23.8%。然而，骨科仍然是最不多样化的专业，女性占18.3%，URiM住院医生占17.3%。在增加多样性、公平和包容性（DEI）和弥补这些代表性差距方面，人们付出了越来越多的努力；然而，在总结医学生层面DEI举措的有效性及其对未来骨科劳动力多样性的影响的文献中仍然存在空白。因此，本系统综述的目的是分析医学生水平骨科DEI工作的进展和现状，以告知未来该专业多样化的努力。方法根据PRISMA指南，使用PubMed、Web of Science、Embase、Scopus、Cochrane等数据库对自成立至2023年10月20日的英文文献进行系统综述。符合条件的全文文章报告了美国医学生水平的DEI的各个领域，如人口统计、倡议和观点。结果共筛选3184项研究，26篇全文文章符合纳入标准。8篇文章讨论了多样性人口统计学应用的趋势，并与骨科相匹配（30.8%），10篇文章讨论了如何增加骨科DEI的方法和结果（38.4%），8篇文章讨论了未来推广工作的重点（30.8%）。结论提高医学生骨科DEI水平需要采取多方面的方法，促进早期参与，支持外展和持续的指导。寻求使其领域多样化的医学专业可能受益于类似的结构化举措。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.