Demographic and academic characteristics of orthopaedic shoulder and elbow division chiefs in the United States

• Published in: Journal of shoulder and elbow surgery
• Main Authors: Proal, Joshua D., DiStefano, David, Park, Andrew, Ikpeze, Tochukwu, Li, Xinning, Mesfin, Addisu
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 14-08-2024
• Subjects: academic; diversity; division chief; elbow; leadership; Shoulder; Internet Sources; elbow; diversity; Shoulder; academic; leadership; Survey Study; division chief; Division Chief; Leadership; Shoulder and Elbow; Diversity
• ISSN: 1058-2746; 1532-6500; 1532-6500
• DOI: 10.1016/j.jse.2024.07.004

Division chiefs (DCs) and department leadership play an integral role within the service, and in the department as a whole. The goal of this study was to assess the demographics and academic characteristics of the leadership in orthopedic shoulder and elbow services across academic centers in the United States and comment on the diversity within these leadership positions.
Academic medical centers were identified using the FRIEDA database. DCs were identified using the hospitals’ respective websites where data such as sex, race/ethnicity, academic rank, fellowship institution, and time since graduating fellowship. Scopus database was used to determine individual h-indices.
Of 198 academic programs identified, 49 were found to have a DC of the orthopedic shoulder and elbow division. An additional 26 programs' websites, in which data was found, were noted to have a shoulder and elbow division, but were not found to have a DC of the division. These DCs were mostly White (n = 43, 87.8%), with only 6 identified DCs with a different ethnicity. Forty-five of the DCs (91.8%) were male and 4 were female (8.2%). The average time out of fellowship was 20.7 years, and the average h-index was 18.9. More than 20% of the DCs trained at Columbia’s Neer Shoulder and Elbow Fellowship. Six DCs were current or past president of ASES and 5 DCs completed the ASES traveling fellowship.
There is a scarcity of available research on demographic and leadership characteristics in academic orthopedic shoulder and elbow. Shoulder and elbow DC had average h-index of 18.9 and 20% trained at one fellowship. There are also opportunities for increased gender, racial, and ethnic diversity among the leadership of shoulder and elbow divisions.