Addressing Issues of Inclusive Workplace Culture for Women Orthopaedic Surgeons in Academia: A Qualitative Investigation.

IF 4.4 1区 医学 Q1 ORTHOPEDICS
Katherine M Gerull, Amanda M Faust, Carrie N Reaver, Eshan S Sane, Cara A Cipriano, Anna N Miller
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Abstract

Background: The scarcity of women in academic orthopaedics has persisted for decades despite general interest in promoting diversity. Therefore, we aimed to understand what aspects of workplace culture enhance or detract from building an inclusive workplace for women surgeons in academic orthopaedics.

Methods: Women orthopaedic surgeons in the United States with a range of training backgrounds, races/ethnicities, academic institutions, subspecialties, and geographic locations were recruited using purposive sampling techniques until thematic saturation was achieved. All women currently hold or previously held an academic position in orthopaedics. Forty-minute virtual semistructured interviews were conducted from December 2023 to April 2024. Data were analyzed using grounded theory methodology to develop a conceptual model of inclusive culture.

Results: Of the 35 women approached for participation, 26 (74%) participated. Eighty-one percent were currently in academia, and 19% had left academia; 12% identified as Asian, and 23% identified as Underrepresented in Medicine (URiM). Our model of inclusive workplace culture is built on 2 interrelated pillars: "supportive structures" and "social inclusion." The first pillar, supportive structures, is primarily under the direction of department leaders and includes themes of intentional career development, valuing diverse contributions, transparent policies, and building department cohesiveness. The second pillar, social inclusion, relies on all members of an organization. Themes within social inclusion are respect for women, male allyship, women supporting women, and true integration of women surgeons.

Conclusions: With intentional effort, orthopaedic departments can create the structures of support necessary to foster women's career success, as well as the social inclusion to encourage their longevity in academia.

Clinical relevance: TK.

解决学术界骨科女外科医生的包容性工作场所文化问题:定性调查。
背景:几十年来,尽管人们普遍关注促进多样性,但骨科学术界一直缺少女性。因此,我们旨在了解工作场所文化的哪些方面会加强或削弱为学术骨科女外科医生建立一个包容性的工作场所:我们采用目的性抽样技术招募了美国不同培训背景、种族/民族、学术机构、亚专科和地理位置的骨科女外科医生,直到达到主题饱和为止。所有女性目前或之前都在骨科领域担任学术职务。在 2023 年 12 月至 2024 年 4 月期间进行了 40 分钟的虚拟半结构化访谈。采用基础理论方法对数据进行分析,以建立包容性文化的概念模型:结果:在 35 位被邀请参加访谈的女性中,有 26 位(74%)参加了访谈。81%的人目前在学术界工作,19%的人已经离开学术界;12%的人被认定为亚裔,23%的人被认定为医学界代表不足(URiM)。我们的包容性工作场所文化模式建立在两个相互关联的支柱之上:"支持性结构 "和 "社会包容"。第一个支柱是 "支持性结构",主要由部门领导负责,包括有意识的职业发展、重视多元化贡献、透明的政策和建立部门凝聚力等主题。第二个支柱是社会包容,它依赖于组织的所有成员。社会包容的主题是尊重女性、男性同盟、女性支持女性以及女外科医生的真正融入:通过有意识的努力,骨科部门可以建立必要的支持结构,以促进女性在事业上取得成功,并建立社会包容性,鼓励她们在学术界长盛不衰:临床相关性:TK.
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来源期刊
CiteScore
8.90
自引率
7.50%
发文量
660
审稿时长
1 months
期刊介绍: The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.
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