Evidence map›Paper›PMID 39777297›Full record

ReviewJB & JS open access

Assessing the Experiences of Sexual and Gender Minority Applicants to Orthopaedic Surgery Residency.

Douglas J Weaver, Tanios Dagher, Ngoc Duong, Sara Winfrey, Alexander Koo, Tessa Balach

Abstract readReview
In one paragraph

Review in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Douglas J WeaverDepartment of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0002-9808-6820
Tanios DagherDepartment of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, Illinois.
Ngoc DuongDepartment of Preventative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID https://orcid.org/0009-0000-9519-3682
Sara WinfreyDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University, Chicago, Illinois.ORCID https://orcid.org/0000-0001-8880-182X
Alexander KooDepartment of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0002-7647-8233
Tessa BalachDepartment of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0002-7909-7292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The rate of sexual and gender minority (SGM) orthopaedic surgeons is far less than in other specialties, and the field has, in part, had significant difficulty attracting SGM applicants. To provide a more welcoming environment, identifying where applicants experience discrimination along medical training must be of paramount concern. Our objective was to understand the challenges faced by SGM medical students applying into orthopaedic surgery. Methods: An anonymous survey was sent to applicants of a single orthopaedic residency program in 2023, soliciting demographics, exposure to lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) mentors, and experiences with discrimination. Data were stratified by sexual orientation, and univariate analysis was conducted using chi-squared tests. Afterward, logistic regressions adjusted for gender, age, and race were performed. Results: The overall response rate was 15.4% (n = 136/881). Fifteen percent (n = 20/135) identified as LGBTQ. Sixty-one percent of LGBTQ-identifying applicants experienced slurs and/or hurtful comments during orthopaedic rotations and research experiences, compared with 28% of their heterosexual peers (p < 0.001). In adjusted logistic regression models, LGBTQ respondents were 3.8 times more likely to report experiencing a hostile environment during training (p = 0.04) and 4.9 times more likely to have reported facing discrimination (p = 0.04) compared with heterosexual participants. Approximately 58% of respondents reported never having interacted with an LGBTQ-identifying orthopaedic attending, with only 5% reporting frequent interaction. Conclusion: LGBTQ-identifying orthopaedic surgery applicants experience barriers related to their sexual identity, including derogatory comments, hostile clinical environments, and lack of LGBTQ mentorship. These findings highlight challenges inherent to the residency application process that may disproportionately affect persons from sexual minority groups. The recognition of such challenges can help to optimize the establishment of informed policies regarding mistreatment and practices regarding diversity and inclusion.

Identifiers

PMID39777297
PMCPMC11692958

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.