Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-552
Nicolas Pascual-Leone, Preston W. Gross, Danielle E. Chipman, Shevaun M. Doyle, Peter D. Fabricant
Background : Previous studies have demonstrated that dress style can influence a patient’s impression of a physician’s compassion, trust, and competency. The purpose of this study was to understand the preferences pediatric patients and their caregivers have towards physician attire in the orthopaedic outpatient setting. The authors hypothesized that patients and parents/guardians would have no preference regarding the use of white coats and would prefer scrubs over other attire options. Methods : Between January and May 2022, patients aged 10 to 21 and their parents/guardians presenting to an outpatient orthopaedic office visit were approached to complete an anonymous, voluntary survey. The survey consisted of preference questions related to white coats, male physicians’ attire, and female physicians’ attire. Categorical variables were analyzed using Pearson Chi-Square with p≤0.05 used as threshold for statistical significance. A kappa analysis was performed to compare agreement between pediatric patients’ and their respective parents/guardians’ responses. Results : A total of 200 participants’ surveys were included in analysis: 100 patients and 100 parents/guardians. Patients had an average age of 14.1±2.4 years and were 47.0% female, while parents/guardians had an average age of 47.3±6
{"title":"Patients and Parents Prefer Scrubs: An Analysis of Pediatric Orthopaedic Physician Attire in the Post-COVID Pandemic Era","authors":"Nicolas Pascual-Leone, Preston W. Gross, Danielle E. Chipman, Shevaun M. Doyle, Peter D. Fabricant","doi":"10.55275/jposna-2023-552","DOIUrl":"https://doi.org/10.55275/jposna-2023-552","url":null,"abstract":"Background : Previous studies have demonstrated that dress style can influence a patient’s impression of a physician’s compassion, trust, and competency. The purpose of this study was to understand the preferences pediatric patients and their caregivers have towards physician attire in the orthopaedic outpatient setting. The authors hypothesized that patients and parents/guardians would have no preference regarding the use of white coats and would prefer scrubs over other attire options. Methods : Between January and May 2022, patients aged 10 to 21 and their parents/guardians presenting to an outpatient orthopaedic office visit were approached to complete an anonymous, voluntary survey. The survey consisted of preference questions related to white coats, male physicians’ attire, and female physicians’ attire. Categorical variables were analyzed using Pearson Chi-Square with p≤0.05 used as threshold for statistical significance. A kappa analysis was performed to compare agreement between pediatric patients’ and their respective parents/guardians’ responses. Results : A total of 200 participants’ surveys were included in analysis: 100 patients and 100 parents/guardians. Patients had an average age of 14.1±2.4 years and were 47.0% female, while parents/guardians had an average age of 47.3±6","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124611634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-638
Craig R. Louer Jr., K. Illingworth, Tyler D. Metcalf, L. Floccari
The posterior column osteotomy (PCO) is an adjunct technique for obtaining deformity correction during posterior spine fusion procedures. Full disarticulation of the posterior spinal column, including bony elements (namely the lamina and facet joints) and ligamentous complex is described as a PCO. This technique was originally described to allow for shortening of the posterior column during correction of excessive thoracic kyphosis; however, its indications have since been expanded to other spine deformities such as adolescent idiopathic scoliosis (AIS). Its expanded role in deformity surgery has been met with controversy: proponents tout increased flexibility and better spinal correction in three planes, while detractors cite lack of ostensible clinical benefit and potential for more complications. Differences in surgical technique are also prevalent. In this manuscript, we review the surgical technique of PCOs, including the traditional PCO as well as a modified posterior column release (PCR). Additionally, the controversy over when this technique should be utilized is further explored through summation of current literature on PCO outcomes.
{"title":"Posterior Column Osteotomies in Adolescent Idiopathic Scoliosis","authors":"Craig R. Louer Jr., K. Illingworth, Tyler D. Metcalf, L. Floccari","doi":"10.55275/jposna-2023-638","DOIUrl":"https://doi.org/10.55275/jposna-2023-638","url":null,"abstract":"The posterior column osteotomy (PCO) is an adjunct technique for obtaining deformity correction during posterior spine fusion procedures. Full disarticulation of the posterior spinal column, including bony elements (namely the lamina and facet joints) and ligamentous complex is described as a PCO. This technique was originally described to allow for shortening of the posterior column during correction of excessive thoracic kyphosis; however, its indications have since been expanded to other spine deformities such as adolescent idiopathic scoliosis (AIS). Its expanded role in deformity surgery has been met with controversy: proponents tout increased flexibility and better spinal correction in three planes, while detractors cite lack of ostensible clinical benefit and potential for more complications. Differences in surgical technique are also prevalent. In this manuscript, we review the surgical technique of PCOs, including the traditional PCO as well as a modified posterior column release (PCR). Additionally, the controversy over when this technique should be utilized is further explored through summation of current literature on PCO outcomes.","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116205162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-605
Phillip T. Grisdela Jr., Peter J. Ostergaard, Colyn J. Watkins, A. Bauer
The utilization of nerve transfer procedures in the upper extremity following brachial plexus injury, trauma, spinal cord injury, tumors, infection, or other etiologies are well established. Nerve injuries in the lower extremity pose several additional challenges, including longer distance to target motor end plates, delayed presentation, and concomitant limb trauma. Nerve transfers in the lower extremity have the potential to provide functional (sensory or motor) recovery distally after direct surgical coaptation of a functional donor nerve to a non-functional recipient nerve. The ability to perform pure motor or sensory fascicular transfers allows for focused recovery while limiting donor morbidity. Indications for nerve transfers in the lower extremity are evolving, but transfers have been utilized for non-recovering peroneal, obturator, femoral, or tibial nerve palsies, to provide protective sensation to the plantar aspect of the foot as well as for painful neuropathies/neuromas. There is a paucity of orthopaedic literature on this topic and our review aims to highlight the current state of lower extremity nerve transfers as they relate to the practicing orthopaedist, including future directions in the field.
{"title":"Nerve Transfers in the Lower Extremity","authors":"Phillip T. Grisdela Jr., Peter J. Ostergaard, Colyn J. Watkins, A. Bauer","doi":"10.55275/jposna-2023-605","DOIUrl":"https://doi.org/10.55275/jposna-2023-605","url":null,"abstract":"The utilization of nerve transfer procedures in the upper extremity following brachial plexus injury, trauma, spinal cord injury, tumors, infection, or other etiologies are well established. Nerve injuries in the lower extremity pose several additional challenges, including longer distance to target motor end plates, delayed presentation, and concomitant limb trauma. Nerve transfers in the lower extremity have the potential to provide functional (sensory or motor) recovery distally after direct surgical coaptation of a functional donor nerve to a non-functional recipient nerve. The ability to perform pure motor or sensory fascicular transfers allows for focused recovery while limiting donor morbidity. Indications for nerve transfers in the lower extremity are evolving, but transfers have been utilized for non-recovering peroneal, obturator, femoral, or tibial nerve palsies, to provide protective sensation to the plantar aspect of the foot as well as for painful neuropathies/neuromas. There is a paucity of orthopaedic literature on this topic and our review aims to highlight the current state of lower extremity nerve transfers as they relate to the practicing orthopaedist, including future directions in the field.","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133031231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-648
L. Bellaire, Elizabeth T. Lee-Ray, M. Payares-Lizano, S. Bidar-Sielaff
{"title":"Two Sides to Every Conversation: Communication Strategies and Appropriate Interpreter Utilization in Pediatric Orthopaedics","authors":"L. Bellaire, Elizabeth T. Lee-Ray, M. Payares-Lizano, S. Bidar-Sielaff","doi":"10.55275/jposna-2023-648","DOIUrl":"https://doi.org/10.55275/jposna-2023-648","url":null,"abstract":"","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134495819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-634
A. Houtrow, C. Sabatini, J. Jarvis
Like all children, children with disabilities deserve the fair and just opportunity to be as healthy as possible. There are many barriers to optimal health for children with disabilities. Eliminating health disparities requires removing or minimizing the obstacles that keep children from being healthy. Because pediatric orthopaedic surgeons are often engaged in the clinical management of children with temporary or permanent disabilities, they are uniquely suited to advocate for inclusive orthopaedic care for all children regardless of their circumstances. Pediatric orthopaedic surgeons can promote health equity for children with disabilities by recognizing how ableist beliefs and actions negatively impact the clinical care of children with disabilities and can take action by addressing biases in their clinical practices and beyond.
{"title":"Health Equity for Children with Disabilities","authors":"A. Houtrow, C. Sabatini, J. Jarvis","doi":"10.55275/jposna-2023-634","DOIUrl":"https://doi.org/10.55275/jposna-2023-634","url":null,"abstract":"Like all children, children with disabilities deserve the fair and just opportunity to be as healthy as possible. There are many barriers to optimal health for children with disabilities. Eliminating health disparities requires removing or minimizing the obstacles that keep children from being healthy. Because pediatric orthopaedic surgeons are often engaged in the clinical management of children with temporary or permanent disabilities, they are uniquely suited to advocate for inclusive orthopaedic care for all children regardless of their circumstances. Pediatric orthopaedic surgeons can promote health equity for children with disabilities by recognizing how ableist beliefs and actions negatively impact the clinical care of children with disabilities and can take action by addressing biases in their clinical practices and beyond.","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124586649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.55275/jposna-2023-631
Maike van Niekerk, K. Shea, J. Samora, Kerwyn C. Jones, Brian K. Brighton, S. Pinney, Kali R. Tileston
Numerous frameworks have been developed as methods to address complex quality improvement (QI) problems. We aim to provide orthopaedic surgeons with a foundational understanding of QI in order to facilitate their engagement in QI initiatives. We begin by providing a broad overview of QI terms and frameworks and then present a step-by-step guide for conducting QI initiatives using a popular, intuitive, and practical method: Lean (A3). We accompany our descriptions with links to publicly accessible short QI videos developed by the Stanford Medicine Center for Improvement. Additionally, we list key educational resources offered by the American Academy of Orthopaedic Surgeons (AAOS) and the Pediatric Orthopaedic Society of North America (POSNA) as well as provide information on a recently published textbook devoted to QI and patient safety in orthopaedic surgery
{"title":"A Step-by-Step Guide to Understanding and Conducting Quality Improvement Initiatives in Orthopaedic Surgery","authors":"Maike van Niekerk, K. Shea, J. Samora, Kerwyn C. Jones, Brian K. Brighton, S. Pinney, Kali R. Tileston","doi":"10.55275/jposna-2023-631","DOIUrl":"https://doi.org/10.55275/jposna-2023-631","url":null,"abstract":"Numerous frameworks have been developed as methods to address complex quality improvement (QI) problems. We aim to provide orthopaedic surgeons with a foundational understanding of QI in order to facilitate their engagement in QI initiatives. We begin by providing a broad overview of QI terms and frameworks and then present a step-by-step guide for conducting QI initiatives using a popular, intuitive, and practical method: Lean (A3). We accompany our descriptions with links to publicly accessible short QI videos developed by the Stanford Medicine Center for Improvement. Additionally, we list key educational resources offered by the American Academy of Orthopaedic Surgeons (AAOS) and the Pediatric Orthopaedic Society of North America (POSNA) as well as provide information on a recently published textbook devoted to QI and patient safety in orthopaedic surgery","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115935171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.55275/jposna-2023-624
.H-SK-it.'--...-MM -or, G. Hall
The 2022 POSNA Annual Meeting Pre-Course was the last single topic pre-course for POSNA. Going forward, the Annual Meeting will commence in the morning with a full academic agenda, including scientific talks and symposia. For the last pre-course, I wanted to choose a topic that was of vital importance to POSNA and required a deeper dive: Diversity, Equity, and Inclusion. I commend our pre-course chair, Dr. Julie Samora, on developing and executing an extraordinary program. Diversity issues are a hot topic; however, they remain difficult to discuss openly and are challenging to develop actionable strategies. The title of the pre-course was “Improving Patient Care through Diversity, Equity, and Inclusion.” This was intentional. The mission of POSNA is to “Advance Pediatric Orthopaedics by Promoting Education, Research, and Quality Care.” Diverse organizations make better decisions and outperform nondiverse organizations. Culturally appropriate healthcare that appreciates diversity is ultimately better for patients and results in better patient outcomes. Thus, diversity is not just politically correct, it is essential for our profession and our patients. As a subspecialty, Pediatric Orthopaedics leads the overall profession of Orthopaedic Surgery in terms of diversity. Approximately 25% of POSNA active members are female, and approximately 40% of candidate members are female. However, this is like having the fastest time in the slowest heat. Orthopaedic Surgery has the least diversity in terms of sex and race of all medical professions. Approximately 7% of AAOS members are female. Women account for 14.5% of orthopaedic residents; however, only 3.5% of orthopaedic residents are Hispanic/Latino and only 5.4% are African-American. This is unacceptable. What can POSNA do? POSNA must continue to lead in terms of greater diversity, equity, and inclusion within Pediatric Orthopaedics and orthopaedics at large. POSNA established a diversity task force that has been formalized into the Justice, Equity, Diversity, and Inclusion (JEDI) standing committee within the President’s Council. The Board of Directors has established a restricted fund to support DEI initiatives, including research grants specific to diverse investigators within pediatric orthopaedics. POSNA continues to work with organizations such as Nth Dimensions, the Ruth Jackson Society, the J. Robert Gladden Society, and AAOS to grow the pipeline of females and underrepresented minorities within Orthopaedic Surgery. At the 2022 Annual Meeting and IPOS®, POSNA supported Pride Ortho, which hosted an amazing reception for LGBTQ+ members and their allies. But POSNA must do more. As the first Asian-American President of POSNA, I appreciate what it is like to be the other; however, we cannot fully understand each other’s unique experiences. The POSNA Board of Directors includes 30% women and 30% non-white members. We need more women and underrepresented minorities in positions of leadership in the so
2022年POSNA年会预备课程是POSNA的最后一个单一主题预备课程。接下来，年会将于上午开始，议程包括科学讲座和专题讨论会。在最后的预备课程中，我想选择一个对POSNA至关重要的主题，需要深入研究:多样性、公平和包容。我赞扬我们的课前主席朱莉·萨莫拉博士制定并执行了一个非凡的项目。多样性问题是一个热门话题;然而，它们仍然难以公开讨论，并且很难制定可行的战略。预备课程的题目是“通过多样性、公平性和包容性改善患者护理”。这是故意的。POSNA的使命是“通过促进教育、研究和优质护理来推进儿科骨科”。多元化的组织能做出更好的决策，表现也优于非多元化的组织。文化上适当的医疗保健，欣赏多样性最终对患者更好，并导致更好的患者结果。因此，多样性不仅在政治上是正确的，而且对我们的职业和我们的病人都是必不可少的。作为一个亚专科，儿科骨科在多样性方面领先于整个骨科专业。大约25%的POSNA活跃会员是女性，大约40%的候选会员是女性。然而，这就像在最慢的热量中获得最快的时间。在所有医疗职业中，骨科在性别和种族方面的多样性最少。大约7%的AAOS成员是女性。女性占骨科住院医师的14.5%;然而，只有3.5%的骨科住院医生是西班牙裔/拉丁裔，只有5.4%是非裔美国人。这是不可接受的。POSNA能做些什么?POSNA必须继续在儿科骨科和整个骨科领域的更大的多样性，公平性和包容性方面发挥领导作用。POSNA建立了一个多元化工作组，该工作组已正式成为总统委员会内的正义、公平、多元化和包容(JEDI)常设委员会。董事会已经建立了一个有限的基金，以支持DEI的倡议，包括研究补助金具体到不同的研究人员在儿科骨科。POSNA继续与Nth Dimensions, Ruth Jackson Society, J. Robert Gladden Society和AAOS等组织合作，以增加女性和未被充分代表的少数民族在骨科手术中的管道。在2022年的年度会议和IPOS®上，POSNA支持Pride Ortho，为LGBTQ+成员及其盟友举办了一场精彩的招待会。但波斯纳必须做得更多。作为波斯纳的第一位亚裔主席，我很欣赏身为另一个人的感受;然而，我们不能完全理解彼此独特的经历。波斯纳董事会包括30%的女性和30%的非白人成员。我们需要更多的妇女和代表性不足的少数民族担任社会领导职务。POSNA职业生涯早期和中期领导力发展项目可以帮助我们识别和培养未来的领导者。我们需要意识到无意识的偏见是如何影响我们与他人、与病人和家人的互动的。最重要的是，我们需要将多样性问题放在最重要的位置，并将其纳入我们的对话中。我们需要欣赏和支持不同的观点和观点。最终，这将对我们的组织和我们的病人更好。毕竟，这是我们的使命。
{"title":"Past President's Message","authors":".H-SK-it.'--...-MM -or, G. Hall","doi":"10.55275/jposna-2023-624","DOIUrl":"https://doi.org/10.55275/jposna-2023-624","url":null,"abstract":"The 2022 POSNA Annual Meeting Pre-Course was the last single topic pre-course for POSNA. Going forward, the Annual Meeting will commence in the morning with a full academic agenda, including scientific talks and symposia. For the last pre-course, I wanted to choose a topic that was of vital importance to POSNA and required a deeper dive: Diversity, Equity, and Inclusion. I commend our pre-course chair, Dr. Julie Samora, on developing and executing an extraordinary program. Diversity issues are a hot topic; however, they remain difficult to discuss openly and are challenging to develop actionable strategies.\u0000The title of the pre-course was “Improving Patient Care through Diversity, Equity, and Inclusion.” This was intentional. The mission of POSNA is to “Advance Pediatric Orthopaedics by Promoting Education, Research, and Quality Care.” Diverse organizations make better decisions and outperform nondiverse organizations. Culturally appropriate healthcare that appreciates diversity is ultimately better for patients and results in better patient outcomes. Thus, diversity is not just politically correct, it is essential for our profession and our patients. \u0000As a subspecialty, Pediatric Orthopaedics leads the overall profession of Orthopaedic Surgery in terms of diversity. Approximately 25% of POSNA active members are female, and approximately 40% of candidate members are female. However, this is like having the fastest time in the slowest heat. Orthopaedic Surgery has the least diversity in terms of sex and race of all medical professions. Approximately 7% of AAOS members are female. Women account for 14.5% of orthopaedic residents; however, only 3.5% of orthopaedic residents are Hispanic/Latino and only 5.4% are African-American. This is unacceptable. \u0000What can POSNA do? POSNA must continue to lead in terms of greater diversity, equity, and inclusion within Pediatric Orthopaedics and orthopaedics at large. POSNA established a diversity task force that has been formalized into the Justice, Equity, Diversity, and Inclusion (JEDI) standing committee within the President’s Council. The Board of Directors has established a restricted fund to support DEI initiatives, including research grants specific to diverse investigators within pediatric orthopaedics. POSNA continues to work with organizations such as Nth Dimensions, the Ruth Jackson Society, the J. Robert Gladden Society, and AAOS to grow the pipeline of females and underrepresented minorities within Orthopaedic Surgery. At the 2022 Annual Meeting and IPOS®, POSNA supported Pride Ortho, which hosted an amazing reception for LGBTQ+ members and their allies. \u0000But POSNA must do more. As the first Asian-American President of POSNA, I appreciate what it is like to be the other; however, we cannot fully understand each other’s unique experiences. The POSNA Board of Directors includes 30% women and 30% non-white members. We need more women and underrepresented minorities in positions of leadership in the so","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133173955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.55275/jposna-2023-606
Selina C. Poon
Orthopaedic surgery continues to be the least diverse subspecialty in medicine. The current culture and implicit bias contribute to the difficulty in recruiting qualified individuals who do not fit the stereotypical orthopaedic surgeon mold. Bullying, discrimination, and sexual harassment persist in our specialty, creating an unwelcoming environment for diverse students considering orthopaedics. Active effort must be employed to create a more welcoming culture.
{"title":"The Effect of Implicit Bias and Current Culture in Orthopaedic Surgery","authors":"Selina C. Poon","doi":"10.55275/jposna-2023-606","DOIUrl":"https://doi.org/10.55275/jposna-2023-606","url":null,"abstract":"Orthopaedic surgery continues to be the least diverse subspecialty in medicine. The current culture and implicit bias contribute to the difficulty in recruiting qualified individuals who do not fit the stereotypical orthopaedic surgeon mold. Bullying, discrimination, and sexual harassment persist in our specialty, creating an unwelcoming environment for diverse students considering orthopaedics. Active effort must be employed to create a more welcoming culture.\u0000 ","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133045910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.55275/jposna-2023-573
Leta Ashebo, J. Flynn
Orthopaedic surgery has remained one of the least diverse medical specialties for decades. This reality drives our division’s targeted efforts to build more inclusive clinical and research teams. These efforts include promoting a pipeline of diverse talent through early, deliberate recruitment and prioritizing sponsorship as an advocacy tool for underrepresented backgrounds in medicine. Through this process, we have made sure to uphold curiosity and accountability. Here we seek to describe how we have used these considerations and efforts to work towards making the orthopaedics division we inherited more representative of our patients and communities.
{"title":"Building Diverse and Inclusive Teams in Orthopaedic Surgery: Creating a Culture that Supports Diversity of Background and Thought","authors":"Leta Ashebo, J. Flynn","doi":"10.55275/jposna-2023-573","DOIUrl":"https://doi.org/10.55275/jposna-2023-573","url":null,"abstract":"Orthopaedic surgery has remained one of the least diverse medical specialties for decades. This reality drives our division’s targeted efforts to build more inclusive clinical and research teams. These efforts include promoting a pipeline of diverse talent through early, deliberate recruitment and prioritizing sponsorship as an advocacy tool for underrepresented backgrounds in medicine. Through this process, we have made sure to uphold curiosity and accountability. Here we seek to describe how we have used these considerations and efforts to work towards making the orthopaedics division we inherited more representative of our patients and communities. ","PeriodicalId":412478,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129844344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.55275/jposna-2023-635
Julie Balch Samora
The current composition of the pediatric orthopaedic workforce does not reflect the U.S. population. However, a diverse workforce can improve productivity, innovation, communication, patient satisfaction, equitable care, and can increase care for the underserved, reduce health disparities, and ultimately enhance overall population health. In this supplement, issues surrounding diversity, equity, and inclusion will be reviewed. Diversity can relate to race/ethnicity, gender, age, socioeconomic status, sexual orientation, disability, work experience, and political beliefs. Equity refers to fairness and justice focusing on outcomes, keeping in mind that everyone faces different challenges and has unique needs. Inclusion involves authentic and empowered participation, with a true sense of belonging and full access to opportunities. The objectives for this supplement include expanding readers’ existing knowledge to be able to: 1) enhance the learning and work environment and improve patient outcomes by cultivating diversity, equity, and inclusion; 2) assess and appreciate individual implicit biases and develop tools to minimize unconscious biases when working with others, training young surgeons, and caring for patients; and 3) develop skills to address unique needs and considerations of individuals in non-majority populations. I would like to express my gratitude to Mininder Kocher, MD, who enthusiastically supported this Pre-Course, and to Ken Noonan, MD, who graciously agreed to publish these discussions in JPOSNA®. I would like to thank each of the authors for summarizing the literature in their distinct areas and for sharing their words of wisdom. And of course, none of this would be possible without Lisa DuShane’s constant beating of the drum, moving us toward the finish line. I hope you enjoy this rich compilation of data, anecdotes, and suggestions to make our pediatric orthopaedic environment an open, inclusive, and supportive place to work, learn, and heal.
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