Evidence map›Paper›PMID 39754372›Full record

ArticleANZ journal of surgery2025

Barriers and facilitators for female practitioners in orthopaedic training and practice: a scoping review.

Clara Freeman, Rebecca Evans, Natalie Drever, Jordy White, Sarah Larkins, Christopher Morrey

Abstract readScoping Review
In one paragraph

Article in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. The 'leaky pipeline' in orthopaedic surgery: why female trainees drop out?Journal of orthopaedic surgery and research · 2025
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Clara FreemanCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.ORCID 0009-0009-3023-3837
Rebecca EvansCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Natalie DreverCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
Jordy WhiteDepartment of Orthopaedics, Cairns Hospital, Cairns, Queensland, Australia.
Sarah LarkinsCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Christopher MorreyCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in medical education and professional opportunities, orthopaedic surgery remains the least gender-diverse medical specialty, with women significantly underrepresented globally. This scoping review aims to synthesize existing literature to provide a comprehensive overview of the barriers and facilitators encountered by females in orthopaedic surgery training and practice.

methodsA comprehensive search of Medline (OVID), Scopus, Embase, Emcare, and CINAHL was performed from inception to 14 July 2024. Additional sources were identified via citation searching and Google Scholar. Any primary studies employing qualitative, quantitative, or mixed methods approaches to explore barriers and facilitators experienced by female orthopaedic trainees and consultants in high-income countries. Quality analysis of included articles was conducted using the Mixed Methods Appraisal Tool.

resultsSeventy-nine studies met the inclusion criteria, involving over 100 000 participants between 1993 and 2024. Most studies were cross-sectional surveys. Sixty-eight barriers and 38 facilitators were identified. Analysis using the Socio-Ecological Model revealed the complex interplay of factors at the individual, interpersonal, organizational, community, and policy levels. The largest proportion of barriers and facilitators resided at the organizational level.

conclusionThis scoping review provides a comprehensive mapping of current evidence on barriers and facilitators for female practitioners in orthopaedic surgery training and practice. The findings suggest the need for multifaceted interventions to promote gender equity. Future research should evaluate the effectiveness of specific interventions and develop strategies to support women in orthopaedics, ultimately contributing to a more inclusive and diverse workforce.

Indexed as

OrthopedicsPhysicians, WomenFemaleHumansdiversityequityfemaleinclusionorthopaedicsorthopaedic surgeonswomenworkforce diversity

Identifiers

PMID39754372
PMCPMC11982664

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.