Background: 

Only 13.6% of orthopaedic surgeons in Canada are women, even though there is nothing inherent to the practice of orthopaedic surgery that favors men over women. Clearly, there is a need to identify, define, and measure the barriers faced by women in orthopaedic surgery.

Methods: 

An electronic survey was distributed to 330 female-identifying Canadian orthopaedic surgeons and trainees and included the validated Gender Bias Scale (GBS) and questions about career burnout. The barriers for women in Canadian orthopaedics were identified using the GBS. The relationships between the GBS and burnout were investigated. Open-text questions explored the barriers perceived by female orthopaedic surgeons.

Results: 

The survey was completed by 220 female orthopaedic surgeons and trainees (66.7%). Five barriers to gender equity were identified from the GBS: Constrained Communication, Unequal Standards, Male Culture, Lack of Mentoring, and Workplace Harassment. Career burnout correlated with the GBS domains of Male Privilege (r = 0.215; p < 0.01), Disproportionate Constraints (r = 0.152; p < 0.05), and Devaluation (r = 0.166; p < 0.05). Five main themes emerged from the open-text responses, of which 4 linked closely to the barriers identified in the GBS. Work-life integration was also identified qualitatively as a theme, most notably the difficulty of balancing disproportionate parental and childcare responsibilities alongside career aspirations.

Conclusions: 

In this study, 5 barriers to workplace equity for Canadian female orthopaedic surgeons were identified using the validated GBS and substantiated with qualitative assessment using a mixed-methods approach. Awareness of these barriers is a necessary step toward dismantling them and changing the prevailing culture to be fair and equitable for all.

Clinical Relevance: 

A just and equitable orthopaedic profession is imperative to have healthy and thriving surgeons who are able to provide optimal patient care.

中文翻译：

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加拿大女性骨科医生在工作场所的经验：确定性别平等的障碍

背景： 

加拿大只有 13.6% 的骨科医生是女性，尽管骨科手术实践中并没有什么固有的因素偏爱男性而不是女性。显然，有必要识别、定义和衡量女性在骨科手术中面临的障碍。

方法： 

向 330 名女性身份的加拿大整形外科医生和学员分发了一项电子调查，其中包括经过验证的性别偏见量表 (GBS) 和有关职业倦怠的问题。使用 GBS 确定了加拿大骨科女性面临的障碍。研究了GBS与倦怠之间的关系。开放文本问题探讨了女性整形外科医生所感知的障碍。

结果： 

该调查由 220 名女性骨科医生和实习生（66.7%）完成。GBS 确定了性别平等的五个障碍：受限沟通、不平等标准、男性文化、缺乏指导和工作场所骚扰。职业倦怠与男性特权 (r = 0.215; p < 0.01)、不成比例的约束 (r = 0.152; p < 0.05) 和贬值 (r = 0.166; p < 0.05) 的 GBS 域相关。开放文本回复中出现了五个主题，其中四个与 GBS 中确定的障碍密切相关。工作与生活的融合也被定性地确定为一个主题，最值得注意的是平衡不成比例的父母和育儿责任与职业抱负之间的困难。

结论： 

在这项研究中，使用经过验证的 GBS 确定了加拿大女性整形外科医生工作场所公平的 5 个障碍，并使用混合方法方法进行了定性评估。意识到这些障碍是消除这些障碍和改变主流文化以对所有人公平公正的必要步骤。

临床相关性： 

一个公正和公平的骨科专业对于拥有能够提供最佳患者护理的健康和蓬勃发展的外科医生来说是必不可少的。