دورية أكاديمية

Perceptions of Racial and Gender Microaggressions in an Academic Orthopaedic Department.

التفاصيل البيبلوغرافية
العنوان: Perceptions of Racial and Gender Microaggressions in an Academic Orthopaedic Department.
المؤلفون: Carino Mason MR; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida., Pandya S; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida., Joshi P; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida., Cai N; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida., Murdock CJ; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida., Hui-Chou HG; Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, Florida.; Division of Hand, Peripheral Nerve & Upper Extremity Reconstructive Surgery, Department of Orthopaedic Surgery, University of Miami, Miami, Florida.
المصدر: JB & JS open access [JB JS Open Access] 2023 Aug 08; Vol. 8 (3). Date of Electronic Publication: 2023 Aug 08 (Print Publication: 2023).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: The Journal of Bone and Joint Surgery, Inc Country of Publication: United States NLM ID: 101726219 Publication Model: eCollection Cited Medium: Internet ISSN: 2472-7245 (Electronic) Linking ISSN: 24727245 NLM ISO Abbreviation: JB JS Open Access Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Needham, MA : The Journal of Bone and Joint Surgery, Inc., [2016]-
مستخلص: Orthopaedic surgery consistently ranks last among all medical specialties in diversity and inclusion. While active efforts have recently been implemented to enact change, no study to date has explored the potential effects that social microaggressions have on an individual's career in orthopaedic surgery. The primary aim of this study was to investigate the influence of the perceived experiences of gender and race-based microaggressions on orthopaedic surgery residents, fellows, and attendings in their decision to pursue a career in orthopaedic surgery.
Methods: A 34-question institutional review board-approved, modified version of the validated Racial and Ethnic Minorities Scale and Daily Life Experiences survey was sent to a total of 84 individuals at the University of Miami (UM) Department of Orthopaedics. Responses were anonymously collected from current UM orthopaedic residents, fellows, and attendings. Survey results were analyzed for the prevalence of microaggressions in the context of sex, race, ethnicity, academic goals, daily scenarios, and department support. p-Values less than 0.05 were considered statistically significant.
Results: Fifty-four of 84 respondents (64%) completed the survey. Female respondents experienced significantly more gender-based microaggressions than male respondents. On average, male participants disagreed that their experiences with microaggressions made them doubt their ability to pursue a career in orthopaedic surgery while female participants responded they were neutral. In comparison with their White counterparts, non-White and Hispanic ethnicity participants demonstrated a statistically significantly greater frequency of race and ethnicity-based microaggressions.
Conclusion: Our study demonstrates that female participants, non-White participants, and Hispanic minorities across all levels of training experience a higher frequency of microaggressions. The impact of these experiences on career decisions and goals for women and persons of color in orthopaedic surgery at this single institution is mixed. Experienced microaggressions should be further investigated as a potential barrier to recruitment and retention of under-represented minorities in orthopaedic surgery.
Level of Evidence: III.
(Copyright © 2023 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.)
References: Am Psychol. 2019 Jan;74(1):128-142. (PMID: 30652905)
JB JS Open Access. 2020 May 11;5(2):. (PMID: 32832828)
Iowa Orthop J. 2019;39(1):1-5. (PMID: 31413667)
J Vasc Surg. 2021 Aug;74(2S):101S-110S. (PMID: 34303449)
Perspect Med Educ. 2019 Jun;8(3):143-151. (PMID: 31161479)
Ann Surg. 2023 Jan 1;277(1):e192-e196. (PMID: 33843793)
Child Dev. 2009 Mar-Apr;80(2):406-17. (PMID: 19467000)
Plast Reconstr Surg Glob Open. 2021 Dec 22;9(12):e4062. (PMID: 34963876)
J Am Acad Orthop Surg. 2020 Mar 15;28(6):241-247. (PMID: 31305355)
J Am Acad Orthop Surg. 2020 Dec 15;28(24):e1097-e1104. (PMID: 32187075)
Acad Med. 2020 Mar;95(3):450-457. (PMID: 31688038)
JAMA Surg. 2019 Sep 1;154(9):868-872. (PMID: 31290954)
Clin Orthop Relat Res. 2021 Dec 1;479(12):2610-2617. (PMID: 34180873)
J Natl Med Assoc. 2021 Jun;113(3):310-314. (PMID: 33358632)
Acad Med. 2020 Oct;95(10):1529-1538. (PMID: 33006870)
World J Surg. 2021 May;45(5):1409-1422. (PMID: 33575827)
Clin Orthop Relat Res. 2016 Sep;474(9):1967-72. (PMID: 27084717)
Orthop Clin North Am. 2019 Jul;50(3):337-344. (PMID: 31084836)
Cultur Divers Ethnic Minor Psychol. 2012 Apr;18(2):153-164. (PMID: 22506818)
J Gen Intern Med. 2022 Feb;37(2):298-307. (PMID: 33939079)
تواريخ الأحداث: Date Created: 20230809 Latest Revision: 20230810
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10405998
DOI: 10.2106/JBJS.OA.22.00150
PMID: 37554580
قاعدة البيانات: MEDLINE
الوصف
تدمد:2472-7245
DOI:10.2106/JBJS.OA.22.00150