Advertisement

Ladies in the Bone Room? Addressing the Gender Gap in Orthopaedics

      At the University of Louisville Hospital, the orthopaedic surgery on call room lies unremarkably in a hallway of on-call rooms for surgical subspecialties. At first glance, a stranger would be unlikely to guess which of these is affectionately nicknamed “The Bone Room,” denoting its orthopaedic ownership. The pull-up bar attached to the doorframe could be a hint (as pull-ups are the sine qua non of elite military units and professional male sports), as could the tubs of protein powder, known dietary staple of weightlifters, strewn across the room. However, there are subtle clues that the room is occupied by more than just the stereotypical white male whose presence dominates the reputation of American orthopaedics. A Peloton™ exercise bike (Peloton Interactive, Inc., New York, NY, USA) nestled in the corner, a windowsill full of thriving plants, and leaded aprons with patterned trim allude to the gender diversity seen within our residency program. The Bone Room acts as a microcosm of the field of American orthopaedic surgery–at first glance, there appear to be significant strides in diversity, equity, and inclusion. Yet on closer look, the field shows a lack of these ideals, especially from the perspective of gender. Globally, women have minimal participation in orthopaedic surgery whereas men represent over 95% of all orthopaedic surgeons worldwide [
      • Hiemstra LA
      • Kerslake S
      • Clark M
      • Temple-Oberle C
      • Boynton E.
      Experiences of Canadian Female Orthopaedic Surgeons in the Workplace: Defining the Barriers to Gender Equity.
      ].
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hiemstra LA
        • Kerslake S
        • Clark M
        • Temple-Oberle C
        • Boynton E.
        Experiences of Canadian Female Orthopaedic Surgeons in the Workplace: Defining the Barriers to Gender Equity.
        The Journal of Bone and Joint Surgery:. 2022; 104: 1455-1461
        • Baumhauer JF
        • Pinzur MS.
        Women in Orthopaedic Surgery.
        Foot & Ankle International. 2014; 35: 949-950
      1. American Academy of Orthopaedic Surgeons - AAOS. A Snapshot of U.S. Orthopaedic Surgeons: Results from the 2018 OPUS Survey.

        • Hill JF
        • Yule A
        • Zurakowski D
        • Day CS
        Residents’ Perceptions of Sex Diversity in Orthopaedic Surgery.
        The Journal of Bone and Joint Surgery-American Volume. 2013; 95 (e144-1-6)
        • Ramos T
        • Daban R
        • Kale N
        • Brown S
        • Miskimin C
        • Cannada LK
        • Mulcahey MK
        Women in Leadership in State and Regional Orthopaedic Societies.
        JAAOS: Global Research and Reviews. 2022; 6
        • Xepoleas MD
        • Munabi NC
        • Auslander A
        • Magee WP
        • Yao CA.
        The experiences of female surgeons around the world: a scoping review.
        Human Resources for Health. 2020; 18 ([Internet])
        • Al-Rashed AM
        • Al Youha SA
        • Al Safi SH
        The history and current status of women in surgery in the Arabian Gulf.
        International Journal of Surgery: Global Health. 2020; 3: e23
        • Van Heest A.
        Gender Diversity in Orthopedic Surgery: We All Know It's Lacking, but Why?.
        Iowa Orthopaedic Journal. 2020; 40: 1-4
        • Hemal K
        • Reghunathan M
        • Newsom M
        • Davis G
        • Gosman A.
        Diversity and Inclusion: A Review of Effective Initiatives in Surgery.
        Journal of Surgical Education. 2021; 78: 1500-1515
        • Whitaker J
        • Hartley B
        • Zamora R
        • Duvall D
        • Wolf V.
        Residency Selection Preferences and Orthopaedic Career Perceptions: A Notable Mismatch.
        Clinical Orthopaedics & Related Research. 2020; 478: 1515-1525
        • Lindsey RW.
        The Role of the Department Chair in Promoting Diversity.
        Journal of the American Academy of Orthopaedic Surgeons. 2007; 15: S65—S69
      2. AAMC. Figure 1. Percentage of applicants to U.S. medical schools by sex, academic years 1980-1981 through 2018-2019.