GENDER-BASED TRANSGRESSIONS AND BULLYING, HOMOPHOBIA, AND TRANSPHOBIA AMONG ORTHOPAEDIC SURGEONS AND TRAINEES: A SYSTEMATIC REVIEW OF LITERATURE AND AWARENESS PIECE ON WORKSPACE BEHAVIOURS

Abstract

Females and other minority groups including the LGBTQ community are largely under represented orthopaedics, with their negative experience of the work space being cited as a possible contributing factor. The aim of this systematic review was to a evaluate the literature for the prevalence of gender transgressions, homophobia, transphobia and bullying within the orthopaedic work space.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach was used with 2 independent reviewers.A search was conducted using Pubmed and Scopus which identified 973 articles, 94 of which were duplicates. 18 of these were retained after review, the majority of which were surveys. The prevalence of discriminatory behaviour was found to range from 53% to 74.5%, with males in positions of seniority being the most common perpetrators.Gender transgressions, homophobia, transphobia and bullying appears to be a prevalent issue in the orthopaedics, and this is bound to impact the emotional state of these minority groups, thereby impacting their retention in the work space.