Background: 

In the United States, female and minority representation in the field of orthopaedic surgery remains low, and there are few reports regarding orthopaedic society leadership composition, selection criteria, and academic participation. We aimed to determine the demographic composition of national orthopaedic societies and report the academic participation metrics of leadership.

Methods: 

This was a mixed-methods study using surveys and publicly available data from national orthopaedic societies for the 2020 to 2021 year. Twenty-four orthopaedic society websites were queried for their transparency in leadership selection and demographic information, including sex, racial, and ethnic composition of overall society and board membership. Data were collected regarding the academic participation of board leadership.

Results: 

In total, 19 (79%) of the 24 national orthopaedic societies publish survey data regarding sex and racial demographics. One society elected not to participate, and there was no response from 4 others. Sixteen (89%) of the societies collect sex-related data from their membership, and 19 (100%) report sex-related data for their board members. Five (28%) collect data regarding the race and ethnicity of their general membership, and 10 (53%) report data regarding the race and ethnicity of board members. The average membership was 89% male and 11% female, and the leadership boards were 86% male and 14% female. In the societies that reported on race and ethnicity, on average, 80% of the members were White and 85% of the board members were White. Few societies (13%) publicly list their presidential nominating criteria, and none list their criteria for nonpresidential-line positions. Female sex and ≤10 years in practice were significantly associated with lower Hirsch index (h-index) scores, but these differences dissipated beyond 10 years.

Conclusions: 

There is a lack of sex, racial, and ethnic diversity in orthopaedic society leadership. More robust recording of these data by societies can help track improvements in diversity among members and leaders. Academic participation may be one component of leadership selection, but other factors play an important role. Overall transparency of leadership selection criteria could be clarified among orthopaedic societies.

中文翻译：

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骨科学会领导多样性和学术参与：我们现在处在什么位置？

背景： 

在美国，骨科领域的女性和少数族裔代表仍然很低，关于骨科学会领导组成、选择标准和学术参与的报道很少。我们的目的是确定国家骨科协会的人口构成，并报告领导层的学术参与指标。

方法： 

这是一项混合方法研究，使用了 2020 年至 2021 年国家骨科协会的调查和公开数据。询问了 24 个骨科协会网站在领导选择和人口统计信息方面的透明度，包括整个社会和董事会成员的性别、种族和民族构成。收集了有关董事会领导的学术参与的数据。

结果： 

总共有 24 个国家骨科协会中的 19 个 (79%) 发布了有关性别和种族人口统计的调查数据。1个社团选择不参加，另外4个社团没有回应。16 个（89%）社团从其成员那里收集与性相关的数据，19 个（100%）社团向其董事会成员报告与性相关的数据。五家 (28%) 收集有关其普通成员种族和民族的数据，10 家 (53%) 报告有关董事会成员种族和民族的数据。平均成员中男性占 89%，女性占 11%，领导委员会中男性占 86%，女性占 14%。在报告种族和种族的社会中，平均 80% 的成员是白人，85% 的董事会成员是白人。很少有社会 (13%) 公开列出他们的总统提名标准，没有人列出他们对非总统职位的标准。女性和 ≤10 年的实践与较低的 Hirsch 指数（h 指数）分数显着相关，但这些差异在 10 年后消失。

结论： 

骨科协会领导层缺乏性别、种族和民族多样性。社会对这些数据进行更有力的记录可以帮助追踪成员和领导者之间多样性的改善情况。学术参与可能是领导选择的一个组成部分，但其他因素也起着重要作用。骨科协会可以澄清领导选择标准的总体透明度。