Aziz Shittu,Kiera Lunn,Delano R Trenchfield,Henson Destine,Christopher J Murdock,Nichelle M Enata,Joshua J Wright-Chisem,Eric W Carson,Aaron M Brandt,Justin J Hicks
{"title":"2007年至2024年骨科外科运动医学奖学金的种族、民族和性别多样性趋势。","authors":"Aziz Shittu,Kiera Lunn,Delano R Trenchfield,Henson Destine,Christopher J Murdock,Nichelle M Enata,Joshua J Wright-Chisem,Eric W Carson,Aaron M Brandt,Justin J Hicks","doi":"10.1177/03635465251380290","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nDespite increases in gender, racial, and ethnic representation in medical school, orthopaedics continues to be recognized as one of the least diverse fields in medicine, as progress in achieving a more diverse orthopaedic community has not occurred nearly as rapidly.\r\n\r\nPURPOSE\r\nTo ascertain and discuss the current state of racial, ethnic, and gender demographic trends in orthopaedic surgery sports medicine fellowships from 2007 to 2024.\r\n\r\nSTUDY DESIGN\r\nDescriptive epidemiology study.\r\n\r\nMETHODS\r\nFellowship demographic data were collected through the Accreditation Council for Graduate Medical Education. Data include gender, race and ethnicity, and total number of orthopaedic sports medicine fellows. Percentage equivalents were calculated for each group from 2007 to 2024. A χ2 test for trend was conducted to determine if there was a significant change in the percentages of each race, ethnicity, and gender during the study period. Results were considered statistically significant at P < .05. The 114 fellows (3.2%) who did not report gender and 468 fellows (16.8%) who reported other or unknown were excluded from their respective analyses.\r\n\r\nRESULTS\r\nFrom 2007 to 2024, White non-Hispanic males composed the majority of sports medicine fellowship positions. White non-Hispanic representation ranged from 74.9% to 88.2%, Asian from 6.6% to 16.3%, Hispanic from 0.0% to 8.4%, and Black non-Hispanic from 1.5% to 6.9%. There was a significant increase in the proportion of Hispanic orthopaedic sports medicine fellows (P = .001) but no other significant changes among the racial and ethnic makeup of fellows. There was a significant increase in the representation of female fellows (P = .041), with a range of 5.4% to 13.2%.\r\n\r\nCONCLUSION\r\nOur study reveals a significant increase in female and Hispanic representation among orthopaedic sports medicine fellows from 2007 to 2024, but no other racial or ethnic groups showed significant change. The disparities identified in our study suggest that systemic interventions throughout the orthopaedic education pipeline may be necessary to improve sports medicine fellowship diversity.","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"106 1","pages":"3635465251380290"},"PeriodicalIF":0.0000,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Sports Medicine Fellowships From 2007 to 2024.\",\"authors\":\"Aziz Shittu,Kiera Lunn,Delano R Trenchfield,Henson Destine,Christopher J Murdock,Nichelle M Enata,Joshua J Wright-Chisem,Eric W Carson,Aaron M Brandt,Justin J Hicks\",\"doi\":\"10.1177/03635465251380290\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\r\\nDespite increases in gender, racial, and ethnic representation in medical school, orthopaedics continues to be recognized as one of the least diverse fields in medicine, as progress in achieving a more diverse orthopaedic community has not occurred nearly as rapidly.\\r\\n\\r\\nPURPOSE\\r\\nTo ascertain and discuss the current state of racial, ethnic, and gender demographic trends in orthopaedic surgery sports medicine fellowships from 2007 to 2024.\\r\\n\\r\\nSTUDY DESIGN\\r\\nDescriptive epidemiology study.\\r\\n\\r\\nMETHODS\\r\\nFellowship demographic data were collected through the Accreditation Council for Graduate Medical Education. Data include gender, race and ethnicity, and total number of orthopaedic sports medicine fellows. Percentage equivalents were calculated for each group from 2007 to 2024. A χ2 test for trend was conducted to determine if there was a significant change in the percentages of each race, ethnicity, and gender during the study period. Results were considered statistically significant at P < .05. The 114 fellows (3.2%) who did not report gender and 468 fellows (16.8%) who reported other or unknown were excluded from their respective analyses.\\r\\n\\r\\nRESULTS\\r\\nFrom 2007 to 2024, White non-Hispanic males composed the majority of sports medicine fellowship positions. White non-Hispanic representation ranged from 74.9% to 88.2%, Asian from 6.6% to 16.3%, Hispanic from 0.0% to 8.4%, and Black non-Hispanic from 1.5% to 6.9%. There was a significant increase in the proportion of Hispanic orthopaedic sports medicine fellows (P = .001) but no other significant changes among the racial and ethnic makeup of fellows. There was a significant increase in the representation of female fellows (P = .041), with a range of 5.4% to 13.2%.\\r\\n\\r\\nCONCLUSION\\r\\nOur study reveals a significant increase in female and Hispanic representation among orthopaedic sports medicine fellows from 2007 to 2024, but no other racial or ethnic groups showed significant change. The disparities identified in our study suggest that systemic interventions throughout the orthopaedic education pipeline may be necessary to improve sports medicine fellowship diversity.\",\"PeriodicalId\":517411,\"journal\":{\"name\":\"The American Journal of Sports Medicine\",\"volume\":\"106 1\",\"pages\":\"3635465251380290\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The American Journal of Sports Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/03635465251380290\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American Journal of Sports Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/03635465251380290","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Sports Medicine Fellowships From 2007 to 2024.
BACKGROUND
Despite increases in gender, racial, and ethnic representation in medical school, orthopaedics continues to be recognized as one of the least diverse fields in medicine, as progress in achieving a more diverse orthopaedic community has not occurred nearly as rapidly.
PURPOSE
To ascertain and discuss the current state of racial, ethnic, and gender demographic trends in orthopaedic surgery sports medicine fellowships from 2007 to 2024.
STUDY DESIGN
Descriptive epidemiology study.
METHODS
Fellowship demographic data were collected through the Accreditation Council for Graduate Medical Education. Data include gender, race and ethnicity, and total number of orthopaedic sports medicine fellows. Percentage equivalents were calculated for each group from 2007 to 2024. A χ2 test for trend was conducted to determine if there was a significant change in the percentages of each race, ethnicity, and gender during the study period. Results were considered statistically significant at P < .05. The 114 fellows (3.2%) who did not report gender and 468 fellows (16.8%) who reported other or unknown were excluded from their respective analyses.
RESULTS
From 2007 to 2024, White non-Hispanic males composed the majority of sports medicine fellowship positions. White non-Hispanic representation ranged from 74.9% to 88.2%, Asian from 6.6% to 16.3%, Hispanic from 0.0% to 8.4%, and Black non-Hispanic from 1.5% to 6.9%. There was a significant increase in the proportion of Hispanic orthopaedic sports medicine fellows (P = .001) but no other significant changes among the racial and ethnic makeup of fellows. There was a significant increase in the representation of female fellows (P = .041), with a range of 5.4% to 13.2%.
CONCLUSION
Our study reveals a significant increase in female and Hispanic representation among orthopaedic sports medicine fellows from 2007 to 2024, but no other racial or ethnic groups showed significant change. The disparities identified in our study suggest that systemic interventions throughout the orthopaedic education pipeline may be necessary to improve sports medicine fellowship diversity.