Diversity and Inclusion in an Orthopaedic Surgical Society: A Longitudinal Study.
Journal
Journal of pediatric orthopedics
ISSN: 1539-2570
Titre abrégé: J Pediatr Orthop
Pays: United States
ID NLM: 8109053
Informations de publication
Date de publication:
01 Aug 2021
01 Aug 2021
Historique:
medline:
19
5
2021
pubmed:
19
5
2021
entrez:
18
5
2021
Statut:
ppublish
Résumé
Diversity and inclusion are critical to providing the best possible health care. Previous studies have shown that diversity among physicians increases cultural competency, which in turn enhances the quality of care provided and increases minoritized patients' participation in decisions regarding their health care. However, physician diversity in both race and sex is lacking in orthopaedic surgery. This study seeks to determine the sex and racial diversity in the membership and leadership of the Pediatric Orthopaedic Society of North America (POSNA). POSNA membership and leadership were reviewed for the years 2010, 2015, and 2020. This data was gathered from membership directories and committee reference books. All North American Active Members' race/ethnicity and sex were recorded for each year. The categories for race/ethnicity are Caucasian, East/South/Middle Eastern Asian American (Asian), Hispanic/Latin/South American (HLSA), and African American. From 2010 to 2020, Active Members of POSNA increased from 608 to 818, and the percentage of female (14.6% to 23.7%), Asian (7.4% to 11.2%), HLSA (2.5% to 2.9%), and African American membership (1.6% to 1.8%) increased. Male (85.4% to 76.3%) and Caucasian (88.5% to 84.0%) membership decreased. From 2010 to 2020, male leadership decreased on both the Board of Directors and Committee Chairs (89.5% to 81.8% and 86.4% to 64.7%, respectively), as did Caucasians (94.7% to 81.8% and 90.9% to 88.2%, respectively). The number of Asian members holding positions on both the Board of Directors and Committee Chairs increased (0% to 18.2% and 4.5% to 11.8%, respectively) as did the number of females (10.5% to 18.2% and 13.6% to 35.3%, respectively). HLSA and African American members were proportionally represented in leadership for the years 2010 and 2015. Membership in POSNA has increased between 2010 to 2020 for every diversity category examined and POSNA membership exhibits significantly more diversity than the orthopaedic specialty as a whole. Leadership as a whole is more diverse in 2020 than it was in 2010. Level II-retrospective.
Sections du résumé
BACKGROUND
BACKGROUND
Diversity and inclusion are critical to providing the best possible health care. Previous studies have shown that diversity among physicians increases cultural competency, which in turn enhances the quality of care provided and increases minoritized patients' participation in decisions regarding their health care. However, physician diversity in both race and sex is lacking in orthopaedic surgery. This study seeks to determine the sex and racial diversity in the membership and leadership of the Pediatric Orthopaedic Society of North America (POSNA).
METHODS
METHODS
POSNA membership and leadership were reviewed for the years 2010, 2015, and 2020. This data was gathered from membership directories and committee reference books. All North American Active Members' race/ethnicity and sex were recorded for each year. The categories for race/ethnicity are Caucasian, East/South/Middle Eastern Asian American (Asian), Hispanic/Latin/South American (HLSA), and African American.
RESULTS
RESULTS
From 2010 to 2020, Active Members of POSNA increased from 608 to 818, and the percentage of female (14.6% to 23.7%), Asian (7.4% to 11.2%), HLSA (2.5% to 2.9%), and African American membership (1.6% to 1.8%) increased. Male (85.4% to 76.3%) and Caucasian (88.5% to 84.0%) membership decreased. From 2010 to 2020, male leadership decreased on both the Board of Directors and Committee Chairs (89.5% to 81.8% and 86.4% to 64.7%, respectively), as did Caucasians (94.7% to 81.8% and 90.9% to 88.2%, respectively). The number of Asian members holding positions on both the Board of Directors and Committee Chairs increased (0% to 18.2% and 4.5% to 11.8%, respectively) as did the number of females (10.5% to 18.2% and 13.6% to 35.3%, respectively). HLSA and African American members were proportionally represented in leadership for the years 2010 and 2015.
CONCLUSIONS
CONCLUSIONS
Membership in POSNA has increased between 2010 to 2020 for every diversity category examined and POSNA membership exhibits significantly more diversity than the orthopaedic specialty as a whole. Leadership as a whole is more diverse in 2020 than it was in 2010.
LEVEL OF EVIDENCE
METHODS
Level II-retrospective.
Identifiants
pubmed: 34001804
doi: 10.1097/BPO.0000000000001851
pii: 01241398-900000000-98099
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e489-e493Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
S.C.P. reports grants from Pediatric Orthopaedic Society of North America, personal fees from Medtronic Inc., personal fees from Stryker Inc., grants from Orthopaedic Research and Education Foundation, all outside and unrelated to the submitted work. The remaining authors declare no conflicts of interest.
Références
Lightfoote JB, Fielding JR, Deville C, et al. Improving diversity, inclusion, and representation in radiology and radiation oncology part 1: why these matter. J Am Coll Radiol. 2014;11:673–680.
Person SD, Jordan CG, Allison JJ, et al. Measuring diversity and inclusion in academic medicine: the Diversity Engagement Survey. Acad Med. 2015;90:1675–1683.
Tienda M. Diversity ≠ inclusion: promoting integration in higher education. Educ Res. 2013;42:467–475.
Slonim AD, Pollack MM. Integrating the Institute of Medicine’s six quality aims into pediatric critical care: relevance and applications. Pediatr Crit Care Med. 2005;6:264–269.
Ramirez RN, Franklin CC. Racial diversity in orthopedic surgery. Orthop Clin North Am. 2019;50:337–344.
Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient-physician relationship. J Am Med Assoc. 1999;282:583–589.
Saha S, Arbelaez JJ, Cooper LA. Patient-physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93:1713–1719.
Sotto S. Time to reconsider the word minority in academic medicine. J Best Pract Health Prof Divers. 2019;12:72–78.
Okike K, Phillips DP, Johnson WA, et al. Orthopaedic faculty and resident racial/ethnic diversity is associated with the orthopaedic application rate among underrepresented minority medical students. J Am Acad Orthop Surg. 2020;28:241–247.
Day CS, Lage DE, Ahn CS. Diversity based on race, ethnicity, and sex between academic orthopaedic surgery and other specialties: a comparative study. J Bone Joint Surg Am. 2010;92:2328–2335.
Saha S, Guiton G, Wimmers PF, et al. Student body racial and ethnic composition and diversity-related outcomes in US medical schools. JAMA. 2008;300:1135–1145.
Earp BE, Mora AN, Rozental TD. Extending a hand: increasing diversity at the american society for surgery of the hand. J Hand Surg Am. 2018;43:649–656.
AAOS Department of Clinical Quality and Value. Orthopaedic practice in the US 2018; 2019:1–68.
Poon S, Abzug J, Caird M, et al. A five-year review of the designated leadership positions of Pediatric Orthopaedic Society of North America: where do women stand? Orthop Clin North Am. 2019;50:331–335.
Kuo LE, Parangi S, Cho NL. Diversity and inclusion in a surgical society: a longitudinal investigation. Surgery. 2019;165:808–813.
United States Census Bureau. QuickFacts United States. Available at: www.census.gov/quickfacts. Accessed May 6, 2020.
Tolo VT. Leadership, diversity are challenges for future. New AAOS President sets priorities; April 2002 Bulletin. Available at: http://www2.aaos.org/bulletin/apr02/acdnws7.htm. Accessed September 27, 2020.
Poon S, Kiridly D, Mutawakkil M, et al. Current trends in sex, race, and ethnic diversity in orthopaedic surgery residency. J Am Acad Orthop Surg. 2019;27:e725–e733.
The Perry Initiative. Building the pipeline for women in engineering and medicine. 2020. Available at: https://perryinitiative.org/mission-history/. Accessed September 2, 2020.
Nth Dimensions. 2020. Available at: www.nthdimensions.org/about-nthdimensions. Accessed September 2, 2020.
Morton MJ, Sonnad SS. Women on professional society and journal editorial boards. J Natl Med Assoc. 2007;99:764–771.