Academic Metrics Do Not Explain the Underrepresentation of Women in Orthopaedic Training Programs

被引:15
作者
Poon, Selina [1 ,2 ,3 ,4 ]
Nellans, Kate [1 ,2 ,3 ,5 ,6 ]
Crabb, Rocio A. L. [1 ,2 ,3 ,6 ]
Rothman, Alyssa [1 ,2 ,3 ,6 ]
Wendolowski, Stephen F. [1 ,2 ,3 ,7 ]
Kiridly, Daniel [1 ,2 ,3 ,5 ]
Gecelter, Rachel [1 ,2 ,3 ,7 ]
Akerman, Meredith [1 ,2 ,3 ,8 ]
Chahine, Nadeen O. [1 ,2 ,3 ,9 ]
机构
[1] Northwell Hlth, New York, NY USA
[2] Columbia Univ, New York, NY USA
[3] Shriners Children Med Ctr, Pasadena, CA USA
[4] Shriners Children Med Ctr, Orthopaed Surg, Pasadena, CA 91105 USA
[5] Northwell Hlth, Dept Orthopaed Surg, Long Isl Jewish Med Ctr, New York, NY USA
[6] Donald & Barbara Zucker Sch Med Hofstra Northwell, East Garden City, NY USA
[7] Northwell Hlth, Cohen Childrens Med Ctr, Dept Pediat Orthopaed, New York, NY USA
[8] Northwell Hlth, Feinstein Inst Med Res, Biostat Unit, New York, NY USA
[9] Columbia Univ, Dept Orthoped Surg & Biomed Engn, New York, NY USA
基金
美国国家科学基金会;
关键词
RESIDENCY; SURGERY; PERFORMANCE; GENDER; ACHIEVEMENT; APPLICANTS;
D O I
10.2106/JBJS.17.01372
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Background: Among medical specialties, orthopaedic surgery persistently has one of the lowest representations of women in residency programs. This study examined whether differences exist in the academic metrics of the orthopaedic residency applicants and enrolled candidates by sex, which may be contributing to the persistent underrepresentation of women. Differences in enrollment rate in orthopaedic residency programs also were analyzed. We hypothesized that academic metrics were similar for female and male applicants and thus do not explain the underrepresentation of women in training programs. Methods: Academic data of first-time applicants (n = 9,133) and candidates who enrolled in an orthopaedic residency (n = 6,381) in the U.S. from 2005 to 2014 were reviewed. The United States Medical Licensing Examination (USMLE) Step-1 and Step-2 Clinical Knowledge (CK) scores, Alpha Omega Alpha (A Omega A) Honor Medical Society status, number of publications, and volunteer experiences were compared by sex and were analyzed over time. Results: From 2005 to 2014, representation of female applicants increased from 12.6% to 16.0%, corresponding with an increase in the percentage of enrolled female residents (from 12.9% to 16.1%); 70.3% of male and 67.1% of female applicants to orthopaedic residency enrolled as residents (p = 0.082). Mean academic metrics increased significantly over time for applicants and enrolled candidates, irrespective of sex. Comparing by sex, the mean USMLE Step-1 scores of male applicants and enrolled candidates were approximately 2% higher than those of female applicants (p < 0.0001). Volunteer experiences of female applicants and enrolled candidates were 12% higher compared with male applicants (p < 0.0001). There was no significant difference in USMLE Step-2 CK scores, number of publications, or A Omega A status by sex. Conclusions: The enrollment rate of male and female applicants in orthopaedic residencies was similar and did not change during the 10-year study period. The academic metrics of applicants and enrolled candidates have increased significantly. The academic metrics were found to be comparable by sex; the differences in USMLE Step-1 scores and volunteer experiences were small relative to the magnitude of accomplishments that these values represent. The growth rate of the proportion of women in orthopaedic residencies lags other surgical subspecialties but appears to be independent of academic metrics.
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页数:8
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