MEDICAL STUDENT PERCEPTIONS OF BARRIERS TO ORTHOPAEDIC SURGERY DIFFER BY GENDER
Notice bibliographique
Résumé
Women have consistently comprised more than half of Canadian medical students since the 1990s, however, they represent only 13.6% of orthopaedic surgeons in Canada. To promote gender equity in the specialty, it is essential to understand and address the factors negatively affecting female medical students considering a career in orthopaedic surgery. The primary objective of this study was to determine the barriers identified by medical students when considering pursuing a career in orthopaedic surgery. The secondary objective was to assess whether there are gender-based differences in factors affecting medical students considering pursuing a career in orthopaedic surgery. A cross-sectional mixed-methods survey was distributed to all final-year students at a Canadian medical school. Quantitative survey responses were assessed using a five-point Likert scale or closed-ended questions. Descriptive analyses, including means and standard deviations, were calculated for the entire study population and gender subgroups. Chi-square or Fisher's exact tests were employed for binary data, and non-parametric Mann-Whitney U tests for ordinal data, to compare responses between gender subgroups. Illustrative excerpts from open-text responses were presented. Sixty-four medical students participated, representing a response rate of 59.3%. Forty-four respondents identified as women and 20 as men. Male privilege and physical strength were identified as strong barriers to pursuing a career in orthopaedic surgery by both women and the entire study population. Women additionally reported less exposure (p=0.003), less mentorship (p=0.028), disproportionate constraints (performance scrutinized differently, p=0.001), and concern about hostility (verbal abuse, p In this study, male privilege and physical strength were identified as strong barriers to pursuing a career in orthopaedic surgery. Lack of exposure, insufficient support, disproportionate constraints, and hostility were additional factors which were found to differentially affect women and men considering pursuing a career in orthopaedic surgery. These barriers are rooted in a culture of gender bias and stereotypes, perpetuating the underrepresentation of women in orthopaedic surgery. Breaking this cycle with require concerted, deliberate efforts at every step along the pipeline to orthopaedic surgery, from early exposure in medical school training to the creation of sustainable mentorship programs, to bias training for trainees and staff. Recognizing that gender diversity is just one aspect of promoting overall diversity, comprehensive interventions that address intersecting identities are necessary to foster true inclusivity and equity within the orthopaedic workforce.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».