Abstract
Background: In recent years, orthopedic residency programs in the United States have increasingly prioritized diversity, equity, and inclusion (DEI) efforts to address the longstanding underrepresentation of minorities, women, and disadvantaged individuals. Historically, orthopedic surgery has been one of the least diverse medical specialties, with a predominance of white male practitioners. The growing recognition of the importance of culturally competent care has driven residency programs to implement DEI initiatives, including mentorship programs, outreach to minority-serving institutions, and implicit bias training. The aim of this study is to understand the incorporation of DEI in the recruitment process within orthopedic residency programs.
Method: the orthopedic surgery residency program at Community Memorial Healthcare System in California conducted this survey study. It sought to evaluate the integration of DEI principles within U.S. orthopedic surgery residency programs. 28 residency programs encompassing 601 residents. The study utilized a 13-question survey to assess the prevalence of DEI initiatives, such as scholarships for underrepresented minorities (URM) and efforts to create a more inclusive training environment.
Results: Key findings show significant gender and racial disparities among residents, with 79% male and only 21% female. Underrepresented minorities constituted an average of 21% of residents, though this varied among programs. Despite some progress, only 43% of the surveyed programs had introduced DEI or URM visiting student scholarships, with most of these initiatives launched within the last five years. Challenges remain in matching scholarship recipients to residency programs, as 81% of programs reported that none of their scholarship recipients matched at their institution. Additionally, most programs do not provide additional support or mentorship for scholarship recipients, and 96% of programs have no plans to expand or modify their DEI efforts in the future.
Conclusion: Overall, the survey results highlight the progress and the ongoing challenges in promoting diversity, equity, and inclusion within orthopedic surgery residency programs. While some programs have taken steps to address these issues, much more work is needed to create a truly inclusive and equitable training environment for all residents, particularly those from underrepresented backgrounds.