Orthopaedic Sports Medicine Fellowship Directors Are Predominantly White Men With a High Degree of Research Productivity

M Lane Moore; Muhammad Ali Elahi; Matthew K Doan; Jordan R Pollock; Justin L Makovicka; Jeffrey D Hassebrock; Joseph C Brinkman; Karan A Patel

doi:10.1016/j.asmr.2021.07.006

Orthopaedic Sports Medicine Fellowship Directors Are Predominantly White Men With a High Degree of Research Productivity

Arthrosc Sports Med Rehabil. 2021 Aug 11;3(5):e1449-e1455. doi: 10.1016/j.asmr.2021.07.006. eCollection 2021 Oct.

Authors

M Lane Moore¹, Muhammad Ali Elahi¹, Matthew K Doan¹, Jordan R Pollock¹, Justin L Makovicka², Jeffrey D Hassebrock², Joseph C Brinkman², Karan A Patel²

Affiliations

¹ Mayo Clinic Alix School of Medicine, Scottsdale, Arizona, U.S.A.
² Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona, U.S.A.

Abstract

Purpose: To determine the objective characteristics of fellowship directors (FDs) in orthopaedic sports medicine by focusing on the demographics, academic background, institutional history, research experience, and professional affiliations of FDs in this field.

Methods: Data was collected for each FD via institutional biographies or publicly available curriculum vitae (CV). The data collected for each FD included age, gender, race/ethnicity, previous training institutions, residency and fellowship graduation years, additional advanced degrees, military affiliation, institutional loyalty, year hired by current institution, career timeline, Scopus H-index, number of publications, and total number of citations.

Results: Of the 88 FDs, 87 (98.9%) were male and 1 (1.1%) was female. The mean age for all FDs was 54.7 years (± 9.1 standard deviation). The majority of FDs were White (n = 80; 90.9%). The mean Scopus H-index, total number of publications, and total number of citations were 22.5 ± 16.6, 90.0 ± 91.6, and 2773.9 ± 3962.9, respectively. On average, it took 9.5 ± 7.3 years from fellowship graduation until FD appointment. Additionally, the mean number of years of employment or affiliation with the current institution was 17.2 ± 9.4, and the mean number of years in an FD role was 10.9 ± 9.3.

Conclusion: Orthopaedic sports medicine fellowship directors are largely distinguished by their high level of research productivity and accomplishment. Additionally, orthopaedic training pedigree seems to play a role in FD role attainment, with a handful of orthopaedic residency and sports medicine fellowship programs producing a large percentage of current FDs. Finally, FDs are overwhelmingly white males with little female or minority representation.

Clinical relevance: This study outlines some of the most important characteristics among orthopaedic sports medicine fellowship directors and identifies racial and gender disparities within this population of leaders that may have detrimental effects on the field as a whole.