Evidence map›Paper›PMID 40948567›Full record

ReviewJB & JS open access

Faculty Diversity Associated With Decreased Orthopaedic Surgery Resident Attrition.

Xi Chen, Hiroko Matsumoto, Lee S Haruno, Melodie F Metzger, Carol A Lin, Milton T M Little, Selina C Poon

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. Article
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

7 authors.

Xi ChenDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0003-3855-2591
Hiroko MatsumotoDepartment of Orthopedic Surgery and Sports Medicine, Boston Children's Hospital, Boston, Massachusetts.
Lee S HarunoDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-5767-4263
Melodie F MetzgerDepartment of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, California.ORCID https://orcid.org/0000-0001-8892-7035
Carol A LinDepartment of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, California.ORCID https://orcid.org/0000-0003-3633-323X
Milton T M LittleDepartment of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, California.ORCID https://orcid.org/0000-0002-4317-6378
Selina C PoonShriners Children's Southern California, Pasadena, California.ORCID https://orcid.org/0000-0001-6428-1663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Underrepresented minority (URM) and female orthopaedic surgical residents have an increased risk of attrition. The purpose of this study was to investigate the relationship between orthopaedic faculty demographic diversity and resident attrition. Methods: Demographic data for full-time faculty in departments or divisions of Orthopaedic Surgery at accredited medical schools in the United States and demographic and attrition data for 13,785 affiliated orthopaedic residents were sourced from the Association of American Medical Colleges. Faculty diversity was defined by the number of female and/or URM faculty at medical school affiliated with residency. The faculty per year (FPY) was calculated by dividing the total number of female and URM faculty by the number of years in residency for each resident. The average FPY across all programs was calculated to assess whether programs had above-average FPY (greater faculty diversity) or below-average FPY. This stratification was used to investigate the relationship between faculty diversity and resident attrition. Diverse faculty was defined as the aggregate of URM and female faculty. A p-value of <0.05 was considered statistically significant. Results: Overall resident attrition was 3.2%. Female and URM residents had attrition rates of 6.2% and 6.3%, respectively. The average URM FPY for all orthopaedic surgery departments was 2.0; the average female FPY was 5.8; and the average diverse FPY was 7.5. Residents in programs with above-average female and URM FPY had a decreased risk of attrition (relative risk [RR] = 0.25, p < 0.001; RR = 0.23, p < 0.001, respectively). Programs with below-average female, URM, and diverse FPY significantly increased the risk of all resident attrition by 82% (RR = 1.82, p < 0.001), 47% (RR = 1.47, p < 0.001), and 88% (RR = 1.88, p < 0.001), respectively. Conclusions: Programs with increased racial and gender faculty diversity are associated with lower resident attrition, regardless of resident race or sex. Below-average faculty diversity is associated with the greatest risk of attrition among female and URM residents.

Identifiers

PMID40948567
PMCPMC12431768

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.