Exploring gender disparities: a survey among orthopedic residents.

Introduction: The representation of women in the medical field has significantly increased in recent decades. However, their presence in surgical specialties, particularly in orthopedic surgery, remains disproportionately low. This study investigates gender discrimination and disparities in Italian orthopedic residency programs, expanding on existing literature, which indicates that female surgeons worldwide face challenges such as fewer promotions, lower salaries, and higher rates of harassment.

Materials and methods: From June to August 2024, the SIAGASCOT Junior Committee conducted a voluntary and anonymous survey among registered male and female orthopedic residents. The survey was distributed via email and social media and included 23 questions covering demographics, training opportunities, perceptions of gender discrimination, and experiences of physical or verbal harassment. Statistical analyses were performed using the Chi-squared test and Mann-Whitney U test to compare gender-based differences.

Results: A total of 394 residents were invited to participate in the survey, and 81 residents participated: 46 women (56.8%), 34 men (42%), and 1 respondent who preferred not to disclose his or her gender (response rate: 20.5%). While no significant gender disparities were observed in access to training opportunities, such as international experiences or professional memberships, significant gender differences emerged in perceptions of discrimination. Notably, 84.8% of female respondents reported being considered "unsuitable" for orthopedic surgery solely owing to their gender, compared with 0% of male respondents (p < 0.01). In addition, 85% of women reported experiencing verbal or physical harassment, primarily from male superiors or patients.

Conclusions: This study highlights the persistence of gender disparities in orthopedic surgery, with notable differences in perceived discrimination and harassment experiences between male and female residents. Although training opportunities appear to be equally distributed, the reported gender disparities seem to arise from subjective perceptions and cultural attitudes rather than measurable differences. Addressing these disparities requires cultural shifts, mentorship programs, and institutional policies aimed at eliminating harassment and promoting equity, ultimately fostering a more inclusive and supportive environment in orthopedic surgery.

Level of evidence: III.