骨科领域的作者身份：基于性别的住院医师发表趋势。
Orthopaedic Authorship: Sex-Based Resident Publication Trends.
作者信息
Herczeg Chloe K, Aragon Santiago, Rumps Mia V, Mulcahey Mary K
机构信息
From the University of Massachusetts Medical School, Worcester, MA (Herczeg); the Tulane University School of Medicine, New Orleans, LA (Aragon); and the Department of Orthopedics and Rehabilitation (Ms. Rumps and Dr. Mulcahey), Loyola University Medical Center, Maywood, IL.
出版信息
J Am Acad Orthop Surg Glob Res Rev. 2025 May 9;9(5). doi: 10.5435/JAAOSGlobal-D-24-00261. eCollection 2025 May 1.
INTRODUCTION
Orthopaedic surgery is a historically male-dominated specialty. The purpose of this study was to analyze sex-specific, educational, geographic, and publication trends of orthopaedic surgery residents to quantify female representation in training and academia.
METHODS
Demographic information was collected from accredited orthopaedic surgery residency websites. Schools and programs were ranked by the Doximity Residency Navigator and US News & World Report evaluations. Publications metrics were searched in PubMed and Scopus.
RESULTS
Three thousand three hundred forty-five orthopaedic surgery residents were identified on residency websites, and 2,736 (81.8%) male and 609 (18.2%) female residents. Female residents more often attended top 20 residency programs (28.6% vs. 19.2%, P = 0.00000026), top 50 research medical schools (45.7% vs. 34.8%, P = 0.0000036), and residencies affiliated with top 20 research schools (19.0% vs. 14.1%, P = 0.0026). Female residents authored 1,740 publications (16.4%), whereas male residents authored 8,801 (82.9%). No difference was observed in H-indices, median interquartile range by training year, authorship position, publications in top journals, or research output.
CONCLUSION
Although female orthopaedic surgery residents were more likely to be affiliated with higher-ranking educational institutions, this had no clear influence on research productivity, as suggested by comparable median interquartile ranges and H-indices. Future studies should explore whether research productivity has evolved over time and, if so, how.
引言
骨科手术在历史上是一个男性主导的专业领域。本研究的目的是分析骨科住院医师的性别、教育背景、地域和发表趋势，以量化培训和学术界中的女性比例。
方法
从经认可的骨科住院医师项目网站收集人口统计学信息。学校和项目根据Doximity住院医师导航器和《美国新闻与世界报道》的评估进行排名。在PubMed和Scopus中搜索发表指标。
结果
在住院医师项目网站上识别出3345名骨科住院医师，其中男性住院医师2736名（81.8%），女性住院医师609名（18.2%）。女性住院医师更常就读于排名前20的住院医师项目（28.6%对19.2%，P = 0.00000026）、排名前50的研究型医学院（45.7%对34.8%，P = 0.0000036）以及与排名前20的研究型学校相关的住院医师项目（19.0%对14.1%，P = 0.0026）。女性住院医师发表了1740篇论文（16.4%），而男性住院医师发表了8801篇（82.9%）。在H指数、按培训年份划分的四分位距中位数、作者排名、在顶级期刊上的发表情况或研究产出方面未观察到差异。
结论
尽管女性骨科住院医师更有可能就读于排名较高的教育机构，但如四分位距中位数和H指数相当所示，这对研究生产力没有明显影响。未来的研究应探讨研究生产力是否随时间演变，如果是，演变方式如何。
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