背景骨科手术中女性担任的全职教师职位数量最少,19%,拥有最令人垂涎和最有利的椅子。我们研究了来自美国前100名骨科学术中心和资金最高的肌肉骨骼(MSK)研究人员的捐赠教授的特征,以确定性别是否与捐赠教授有关。此外,我们试图确定性别是否与NIH对表现最好的肌肉骨骼研究人员的资助增加有关.方法我们的主要研究组包括美国新闻世界报道和Doximity排名定义的前100名骨科学术中心。我们的次要研究小组检查了MSK顶级研究人员,定义为主要调查员,从2018年到2021年,他每年获得超过40万美元的NIH资金。骨科部门包括MSK研究人员和骨科和医学中的亚专业。公开可用的来源被用来汇编机构,性别,H指数,引文编号,以及被赋予教授的亚专业数据;计算了统计比较。结果骨科学术院系前100名,4674名教师被确定。七百三十三(15.68%)被确认为女性,3941为男性(84.32%)。有一百九十四个人担任教授职位;13个获授予妇女(百分之六点七),185人(95.3%)被授予男性,显著优势比(OR)为2.95,有利于男性。对于MSK研究人员来说,OR增加到11.4。关节成形术和运动的禀赋最多。H指数的显著差异,出版物,和毕业年份在男性和女性之间确定为顶级MSK研究人员和骨科培训的外科医生;然而,当考虑到包括医学亚专科在内的异质骨科部门时,这些差异消失了,整形手术,手外科,和神经外科。在捐赠名称中观察到其他性别差异,纪念51.5%男性的奖项,7.2%女性,34%的家庭或团体。结论捐赠层面的性别不平等现象严重,很少有女性在肌肉骨骼医学中获得禀赋。H指数的差异,出版物,男女MSK研究人员和接受过骨科培训的外科医生之间的毕业年份,但不是联合骨科,PM&R,和医学专科部门,提出了骨科手术环境和历史中可能导致禀赋差异的独特挑战。没有发现性别与表现最好的肌肉骨骼研究人员的资金偏见有关。
Background Orthopaedic surgery has the lowest number of full-time faculty positions held by women, at 19%, with endowed chairs among the most coveted and advantageous. We examined the characteristics of endowed professors from the US top 100 orthopaedic academic centers and highest-funded musculoskeletal (MSK) researchers to determine if gender is associated with endowed professorship. Additionally, we sought to determine if gender is associated with increased NIH funding for top-performing musculoskeletal researchers. Methods Our primary study group included the top 100 orthopaedic academic centers defined by US News World Report and Doximity\'s rankings. Our secondary study group examined the top MSK researchers, defined as principal investigators, who received >$400,000 in annual NIH funding from 2018 to 2021. Orthopaedic departments included MSK researchers and subspecialties within orthopaedics and medicine. Publicly available sources were used to compile institutional, gender, H-index, citation number, and subspecialty data on endowed professors; statistical comparisons were calculated. Results Within the top 100 orthopaedic academic departments, 4674 faculty were identified. Seven hundred and thirty-three (15.68%) were identified as women, 3941 as men (84.32%). One hundred and ninety-four held endowed professorships; 13 were awarded to women (6.7%), and 185 (95.3%) were awarded to men, with a significant odds ratio (OR) of 2.95, favoring men. For MSK researchers, the OR increases to 11.4. Arthroplasty and sports had the highest numbers of endowments. Significant differences in H-index, publications, and graduation year were identified between men and women for top MSK researchers and orthopaedic-trained surgeons; however, these differences disappeared when considering heterogenous orthopaedic departments that included medicine subspecialties, plastic surgery, hand surgery, and neurosurgery. Additional gender differences were observed in endowment names, with awards commemorating 51.5% men, 7.2% women, and 34% families or groups. Conclusion Gender inequities at the endowment level are substantial, and there are very few women in musculoskeletal medicine to achieve endowments. Differences in H-index, publications, and graduation year between men and women MSK researchers and orthopaedic-trained surgeons, but not combined orthopaedic, PM&R, and medical subspecialty departments, suggest unique challenges in orthopaedic surgery environments and histories that may contribute to endowment disparity. Gender was not found to be associated with funding bias for top-performing musculoskeletal researchers.