"Distanced Traveled" Program Increases Interest in Orthopedics in Title I High School Students.

Abstract

Objectives: The Distance Traveled program aims to increase access to orthopedic education by increasing early exposure, knowledge, and interest in musculoskeletal (MSK) medicine among title 1 high school students. Title 1 high schools are a federal designation for schools serving a high percentage of students from low-income families. The program focuses on addressing barriers such as limited field exposure, lack of role models, misconceptions about physical demands, and negative stereotypes.

Design: A pipeline initiative utilizing hands-on simulations, mock surgeries, expert lectures, and Q&A sessions. The program employed pre- and postprogram surveys to assess changes in participants' interest, career orientation, and knowledge of orthopedics. Data were analyzed using within-subject T-tests (alpha = 0.05).

Setting: Implemented in Title I public high schools across New York City, targeting communities traditionally underrepresented in medicine and orthopedics.

Participants: In its inaugural year, the program reached 160 students through 5 events. Survey responses were collected from 100 participants before the program and 66 after its completion. The cohort was notably diverse: 36% identified as Black or African American, 65% as Hispanic, and 72% as female.

Results: Participants showed statistically significant improvements in several areas: increased interest in orthopedics (p = 0.003), Greater inclination toward pursuing medical school (p = 0.014) and orthopedic careers (p = 0.02), Improved perceptions of orthopedic surgeons (p = 0.012), Enhanced familiarity with orthopedic terminology and overall confidence in understanding the field (p = 0.001) CONCLUSIONS: The Distance Traveled program is a promising model for increasing access to orthopedic surgery amongst a diverse group of students. By improving early exposure and interest in the field among underrepresented high school students, this initiative has the potential to contribute to a more representative physician workforce.