Purpose
Despite the increasing percentage of women within the American Society for Surgery
of the Hand, women remain underrepresented within leadership in academic hand surgery.
Although this disparity in leadership representation may be improving, we aimed to
investigate the role mentorship plays in advancing women in academic hand surgery.
Methods
This is a survey-based, mixed-methods study. A written survey assessing themes in
personal and professional experiences with mentorship was sent to hand fellowship-trained
women. Inclusion criteria were the completion of a hand fellowship and current affiliation
with an academic institution. An evolved grounded theory framework was used to evaluate
the responses. Themes were identified based on common responses.
Results
Of 186 eligible participants, 144 (85.2%) received the survey. The response rate was
48.6%. Respondents indicated that residency was the stage at which mentorship was
most impactful (n = 25, 37%), and half of the respondents identified their desire to work in academic
hand surgery during residency (n = 35, 50%). Obstacles to finding a mentor included lack of availability (n = 46, 67.7%), hesitance in searching for a mentor (n = 16, 23.5%), and searching for a mentor within an environment that was not conducive
to success for trainees (n = 7, 10.3%). Most (84%) cited instances were the ones having the advice of a woman
mentor was more impactful than that of a mentor who is a man. The reported need for
same-sex mentorship fell into three categories: (1) insight into shared experiences,
(2) assistance with conflict/bias management, and (3) support during career navigation.
Conclusions
The findings of this study demonstrate the need for high-quality mentorship during
the residency with a specific emphasis on same-sex mentorship.
Clinical relevance
Our findings provide clear objectives related to improving access to and quality of
mentorship. This foundational understanding will enrich mentor-mentee relationships,
allowing for greater personal and professional success and satisfaction for both parties.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Analysis of gender diversity within hand surgery fellowship programs.J Hand Surg Am. 2021; 46: 772-777
- Race, gender, and international medical graduates: leadership trends in academic surgical societies.J Surg Res. 2022; 270: 430-436
- What is the trend in representation of women and under-represented minorities in orthopaedic surgery residency?.Clin Orthop Relat Res. 2021; 479: 2610-2617
- Diversity based on race, ethnicity, and sex between academic orthopaedic surgery and other specialties: a comparative study.J Bone Joint Surg Am. 2010; 92: 2328-2335
- Orthopaedic surgery faculty: an Evaluation of Gender and Racial Diversity Compared with Other Specialties.JB JS Open Access. 2020; 5: E20
- Is the glass-ceiling higher than we think? sex disparity trends in physician executive positions and academic plastic surgery.Ann Plast Surg. 2020; 85: S127-S128
- Gender diversity in plastic surgery: is the pipeline leaky or plugged?.Plast Reconstr Surg. 2021; 147: 1480-1485
- A 5-year review of the designated leadership positions of the american society for surgery of the hand (ASSH).J Hand Surg Am. 2021; 46: 151 e1-151 e5
- Representation of women in academic orthopaedic leadership: where are we now?.Clin Orthop Relat Res. 2022; 480: 45-56
- The role of same-sex mentorship and organizational support in encouraging women to pursue surgery.Am J Surg. 2017; 214: 640-644
- Surgical career choices: the vital impact of mentoring.J Surg Res. 2009; 155: 136-141
- Mentorship: A pathway to succeed in plastic surgery.Plast Reconstr Surg. 2019; 143: 353-355
- Mentors in medicine.Plast Reconstr Surg. 2021; 148: 29S-30S
- American Foundation for Surgery of the Hand.https://www.assh.org/afsh/s/david-p-green-mentorship-awardDate accessed: January 6, 2022
- Accreditation Council for Graduate Medical Education (ACGME).https://apps.acgme-i.org/ads/PublicDate accessed: January 6, 2022
- American Society for Surgery of the Hand (ASSH).https://www.assh.org/applications/s/fellowshipdirectoryDate accessed: January 6, 2022
- Grounded theory research: A design framework for novice researchers.SAGE Open Med. 2019; 72050312118822927
- Mentorship is not enough: exploring sponsorship and its role in career advancement in academic medicine.Acad Med. 2019; 94: 94-100
- Rationale and models for career advancement sponsorship in academic medicine: the time is here; the time is now.Acad Med. 2018; 93: 1620-1623
- Evaluation of sex, ethnic, and racial diversity across US ACGME-accredited orthopedic subspecialty fellowship programs.Orthopedics. 2018; 41: 282-288
- Sex differences in academic rank in US medical schools in 2014.JAMA. 2015; 314: 1149-1158
- Equity in surgical leadership for women: more work to do.Am J Surg. 2014; 208: 494-498
- The transition to hospital consultant and the influence of preparedness, social support, and perception: A structural equation modelling approach.Med Teach. 2013; 35: 320-327
- Understanding the transition from resident to attending physician: a transdisciplinary, qualitative study.Acad Med. 2010; 85: 1914-1919
- The new consultant survey 2005.Emerg Med J. 2006; 23: 461-463
- A journal club for peer mentorship: helping to navigate the transition to independent practice.Perspect Med Educ. 2016; 5: 312-315
- Positive value of a women's junior faculty mentoring program: a mentor-mentee analysis.J Womens Health (Larchmt). 2018; 27: 1045-1053
- Mentoring for women and underrepresented minority faculty and students: experience at two institutions of higher education.J Natl Med Assoc. 2006; 98: 1449-1459
- Mentoring programs for medical students–a review of the PubMed literature 2000-2008.BMC Med Educ. 2010; 10: 32
- Cross-mentorship: a unique lens into the realities and challenges of diversity in surgery.Ann Surg. 2022; 275: e6-e7
- Variability in women faculty's preferences regarding mentor similarity: a multi-institution study in academic medicine.Acad Med. 2016; 91: 1108-1118
- Childbearing and child care in surgery.Arch Surg. 2001; 136: 649-655
- Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds.BMC Med Educ. 2014; 14: 26
- The pregnant plastic surgical resident: results of a survey of women plastic surgeons and plastic surgery residency directors.Plast Reconstr Surg. 1995; 95: 330-335
- Business leadership from a gender perspective and its impact on the work environment and employee’s well-being in companies in the basque country.Int J Environ Res Public Health. 2021; 19: 30
- Gender effect on political leaders’ nonverbal communicative structure during the COVID-19 Crisis.Int J Environ Res Public Health. 2020; 17: 7789
- When a man debates a woman: Trump vs. Clinton in the first mixed gender presidential debates.J Gend Stud. 2019; 28: 699-719
- Can an angry woman get ahead? Status conferral, gender, and expression of emotion in the workplace.Psychol Sci Mar. 2008; 19: 268-275
- The subtle suspension of backlash: A meta-analysis of penalties for women's implicit and explicit dominance behavior.Psychol Bull. 2016; 142: 165-197
- Gender-based barriers to the advancement of women in academic emergency medicine: a multi-institutional survey study.West J Emerg Med. 2021; 22: 1355-1359
Article info
Publication history
Published online: February 23, 2023
Accepted:
December 20,
2022
Received:
June 28,
2022
Publication stage
In Press Corrected ProofFootnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2023 by the American Society for Surgery of the Hand. All rights reserved.