Abstract：
BACKGROUND: There has been an increase in diversity initiatives regarding selecting speakers for the American Academy of Orthopaedic Surgeons (AAOS) annual meeting and courses. The purpose of this study was to determine the percentage of female or underrepresented minority (URM) speakers for instructional course lectures (ICLs) and AAOS courses over the past 2 decades including a surrogate for expertise.
METHODS: For 2002, 2012, and 2022, the academic and demographic information of speakers and the number of publications at the time of their speaking role were obtained and compared by sex and URM status. Owing to the unequal sample sizes between male versus female cohorts and URM versus non-URM cohorts, the Welch t -test was used.
RESULTS: The percentage of ICL and AAOS course speakers who were female increased over time (ICL, AAOS courses): 2002 (2.6%, 3.3%), 2012 (3.9%, 6.3%), and 2022 (11.8%, 15.5%) ( P < 0.001, P < 0.001). The percentage of female AAOS fellows in these years was 2.9%, 4.7%, and 7.4%, respectively. For ICLs and AAOS course speakers, female presenters had fewer publications than male counterparts (ICL, AAOS courses): 2002 ( P < 0.001, P = 0.048), 2012 ( P = 0.003, P < 0.001), and 2022 ( P < 0.001, P < 0.001). For ICLs in 2022, URM speakers had a similar number of publications compared with non-URM speakers. In 2022, URMs comprised 6.9% of ICL speakers and 4% of AAOS fellows. For 2022 ICLs, there were no significant differences in academic institution, position, or region when compared by sex or URM status. For AAOS courses, the percentage of URM speakers increased over time: 2002 (1.1%), 2012 (4.5%), and 2022 (8.6%). For AAOS courses, URM presenters had similar publications compared with non-URM presenters in 2002 and 2022 but less in 2012 ( P = 0.027).
CONCLUSIONS: The percentage of women and URMs presenting ICLs and AAOS courses has increased over the past 2 decades and exceeded the percentage they represent in the AAOS by over 50%. The female cohort has fewer publications, on average, than the male cohort for all years evaluated, indicating no institutional bias against female speakers.
METHODS: For 2002, 2012, and 2022, the academic and demographic information of speakers and the number of publications at the time of their speaking role were obtained and compared by sex and URM status. Owing to the unequal sample sizes between male versus female cohorts and URM versus non-URM cohorts, the Welch t -test was used.
RESULTS: The percentage of ICL and AAOS course speakers who were female increased over time (ICL, AAOS courses): 2002 (2.6%, 3.3%), 2012 (3.9%, 6.3%), and 2022 (11.8%, 15.5%) ( P < 0.001, P < 0.001). The percentage of female AAOS fellows in these years was 2.9%, 4.7%, and 7.4%, respectively. For ICLs and AAOS course speakers, female presenters had fewer publications than male counterparts (ICL, AAOS courses): 2002 ( P < 0.001, P = 0.048), 2012 ( P = 0.003, P < 0.001), and 2022 ( P < 0.001, P < 0.001). For ICLs in 2022, URM speakers had a similar number of publications compared with non-URM speakers. In 2022, URMs comprised 6.9% of ICL speakers and 4% of AAOS fellows. For 2022 ICLs, there were no significant differences in academic institution, position, or region when compared by sex or URM status. For AAOS courses, the percentage of URM speakers increased over time: 2002 (1.1%), 2012 (4.5%), and 2022 (8.6%). For AAOS courses, URM presenters had similar publications compared with non-URM presenters in 2002 and 2022 but less in 2012 ( P = 0.027).
CONCLUSIONS: The percentage of women and URMs presenting ICLs and AAOS courses has increased over the past 2 decades and exceeded the percentage they represent in the AAOS by over 50%. The female cohort has fewer publications, on average, than the male cohort for all years evaluated, indicating no institutional bias against female speakers.
摘要：
背景：在选择美国骨科医师学会（AAOS）年度会议和课程的演讲者方面，多样性举措有所增加。这项研究的目的是确定在过去的20年中，女性或代表性不足的少数族裔（URM）演讲者参加教学课程讲座（ICL）和AAOS课程的百分比，其中包括专业知识的代理人。
方法：对于2002年，2012年和2022年，获得了说话者的学术和人口统计信息以及他们说话时的出版物数量，并按性别和URM状态进行了比较。由于男性与女性队列以及URM与非URM队列之间的样本量不相等，使用Welcht检验。
结果：ICL和AAOS课程使用者中女性的百分比随着时间的推移而增加（ICL，AAOS课程)：2002年(2.6%，3.3%），2012年（3.9%，6.3%），和2022年（11.8%，15.5%)(P<0.001,P<0.001)。这些年的女性AAOS研究员比例为2.9%，4.7%，和7.4%，分别。对于ICL和AAOS课程演讲者，女性主持人的出版物少于男性主持人(ICL，AAOS课程）：2002年（P<0.001，P=0.048），2012年（P=0.003，P<0.001），和2022年（P<0.001，P<0.001）。对于2022年的ICL，URM发言者与非URM发言者的出版物数量相似。2022年，URM占ICL演讲者的6.9%和AAOS研究员的4%。对于2022年ICL，学术机构没有显著差异，position,或按性别或URM状态进行比较的地区。对于AAOS课程，URM发言人的百分比随时间上升:2002年(1.1%)，2012年（4.5%），和2022年（8.6%）。对于AAOS课程，与2002年和2022年的非URM演讲者相比，URM演讲者的出版物相似，但在2012年较少（P=0.027）。
结论：在过去的20年里，参加ICL和AAOS课程的妇女和URM的百分比有所增加，超过了它们在AAOS中所占的百分比超过50%。女性群体的出版物较少，平均而言,比所有评估年份的男性队列，表明对女性演讲者没有体制上的偏见。
方法：对于2002年，2012年和2022年，获得了说话者的学术和人口统计信息以及他们说话时的出版物数量，并按性别和URM状态进行了比较。由于男性与女性队列以及URM与非URM队列之间的样本量不相等，使用Welcht检验。
结果：ICL和AAOS课程使用者中女性的百分比随着时间的推移而增加（ICL，AAOS课程)：2002年(2.6%，3.3%），2012年（3.9%，6.3%），和2022年（11.8%，15.5%)(P<0.001,P<0.001)。这些年的女性AAOS研究员比例为2.9%，4.7%，和7.4%，分别。对于ICL和AAOS课程演讲者，女性主持人的出版物少于男性主持人(ICL，AAOS课程）：2002年（P<0.001，P=0.048），2012年（P=0.003，P<0.001），和2022年（P<0.001，P<0.001）。对于2022年的ICL，URM发言者与非URM发言者的出版物数量相似。2022年，URM占ICL演讲者的6.9%和AAOS研究员的4%。对于2022年ICL，学术机构没有显著差异，position,或按性别或URM状态进行比较的地区。对于AAOS课程，URM发言人的百分比随时间上升:2002年(1.1%)，2012年（4.5%），和2022年（8.6%）。对于AAOS课程，与2002年和2022年的非URM演讲者相比，URM演讲者的出版物相似，但在2012年较少（P=0.027）。
结论：在过去的20年里，参加ICL和AAOS课程的妇女和URM的百分比有所增加，超过了它们在AAOS中所占的百分比超过50%。女性群体的出版物较少，平均而言,比所有评估年份的男性队列，表明对女性演讲者没有体制上的偏见。
