Equitable Pathways Research Articles

Socioeconomic Disparities and Other Factors Affecting Time to Dispensing of Pediatric Hearing Aids.

Pediatric hearing loss can significantly impact speech, language, social, and educational development. Providing access to speech and environmental sounds using amplification devices, such as hearing aids, can help improve developmental outcomes. However, timely rehabilitation and intervention may be delayed due to limited access to resources, further prolonging the adverse effects of childhood hearing loss. The aim of this study was to investigate socioeconomic barriers in time to dispensing hearing aids in a diverse pediatric patient population. Data from an existing internal database from a tertiary pediatric hospital were analyzed from January 2020 through August 2022 for barriers associated with hearing aid (HA) dispensing delays. Demographic and clinical characteristics were obtained. Multivariate regression and survival analysis statistics were used to identify factors associated with delayed time to dispensing hearing aids. Of the 121 patients who had been appropriately diagnosed and fit, 108 (89.3%) had received hearings aids and 13 (10.7%) had not at the time of the study. Of those who had received HA, time to dispensing was not significantly impacted by sex, race, ethnicity, language, or income level. Insurance was found to be an influencing factor in time to receiving the HA. Factors such as insurance and hearing loss laterality contribute to delays in receiving hearing aids. Identifying these specific barriers and disparities in hearing rehabilitation services will prove vital in facilitating an expedited and equitable pathway to receiving hearing aids. 3 Laryngoscope, 2024.

Development of a new social prescribing intervention for families of children with cerebral palsy.

To co-design a social prescribing intervention (the EPIC-CP programme: Equitable Pathways and Integrated Care in Cerebral Palsy) with children with cerebral palsy (CP), their families, and clinicians to address unmet social needs. The study was conducted (August 2021 to March 2023) at the paediatric rehabilitation departments of the three tertiary paediatric hospitals in New South Wales, Australia. Eligible participants attended or worked at one of the departments, including children with CP, parents/caregivers, and clinicians. Mixed-methods co-design was used in intervention co-production and prototyping. The project was overseen by research advisors with lived experience of CP. More than 200 participants contributed to the co-design research. Families experienced a substantial burden of unmet social needs. Co-designed interventions involved systematic identification of unmet social needs with (1) targeted community resources and (2) engagement with a 'community linker' who supported children/young people and their families to access health, education, and social services that matched their identified needs and preferences. Research participants co-developed the programme logic model and prototype. This was piloted in research action cycles and iteratively refined until consensus was achieved. We co-designed a social prescribing programme responsive to the needs of its end-users and purposefully developed to be embedded in the Australian health setting. A pilot randomized controlled trial will further evaluate this intervention.

Remote Summer Research Program to Improve Opportunity and Mentorship for Underrepresented Students With Interest in Orthopaedic Surgery: 3-Year Experiences.

Medical students are challenged with a limited number of research opportunities to help prepare for an exceptionally competitive process for matching in an orthopaedic residency. The aim of this study was to assess the 3-year experience of our 8 to 10-week remote summer research program in support of underrepresented students with an interest in orthopaedic surgery. We received over 500 applications, and a total of 37 students (7.4%) participated in the program over the past 3 years. A total of 14 faculty mentors were matched with 1 or 2 students each. The research program delivered a curriculum including (1) research-related topics led by a content expert; (2) weekly faculty lectures discussing topics including orthopaedic conditions, diversity in orthopaedics, leadership, and work-life balance; and (3) a minimum of 8 weeks of mentorship experience with an assigned faculty and a peer mentor. Students and faculty were surveyed to measure skill progression, research productivity, and program satisfaction. Program participants represented a range of race/ethnic backgrounds and research experience levels. The cohort included a high rate of female (51%) and Black (35%) participants relative to representation of these groups in orthopaedic surgery. Postprogram surveys indicated that all participants improved their research skills, orthopaedic interest, and mentorship/networking skills. Most students (89%) stated that they were adequately matched to their faculty mentor. Most students (79%) indicated that they contributed to either manuscript or conference abstract as coauthors. The study findings suggest improved research skills, interest, and confidence to pursue orthopaedic residency and mentorship/networks in the field. Our long-term vision is to improve the accessibility and quality of mentorship for underrepresented students to foster an equitable pathway into the field of orthopaedic surgery.

A traits-based approach to assess aquaculture’s contributions to food, climate change, and biodiversity goals

Aquaculture has the potential to support a sustainable and equitable food system in line with the United Nations Sustainable Development Goals (SDG) on food security, climate change, and biodiversity (FCB). Biological diversity amongst aquaculture organisms can drive diverse contributions to such goals. Existing studies have assessed the performance of a limited number of taxa in the general context of improving aquaculture production, but few explicitly consider the biological attributes of farmed aquatic taxa at the FCB nexus. Through a systematic literature review, we identify key traits associated with FCB and evaluate the potential of aquaculture to contribute to FCB goals using a fuzzy logic model. The majority of identified traits are associated with food security, and two-thirds of traits linked with food security are also associated with climate change or biodiversity, revealing potential co-benefits of optimizing a single trait. Correlations between FCB indices further suggest that challenges and opportunities in aquaculture are intertwined across FCB goals, but low mean FCB scores suggest that the focus of aquaculture research and development on food production is insufficient to address food security, much less climate or biodiversity issues. As expected, production-maximizing traits (absolute fecundity, the von Bertalanffy growth function coefficient K, macronutrient density, maximum size, and trophic level as a proxy for feed efficiency) highly influence a species’ FCB potential, but so do species preferences for environmental conditions (tolerance to phosphates, nitrates, and pH levels, as well as latitudinal and geographic ranges). Many highly farmed species that are typically associated with food security, especially finfish, score poorly for food, climate, and biodiversity potential. Algae and mollusc species tend to perform well across FCB indices, revealing the importance of non-fish species in achieving FCB goals and potential synergies in integrated multi-trophic aquaculture systems. Overall, this study provides decision-makers with a biologically informed assessment of desirable aquaculture traits and species while illuminating possible strategies to increase support for FCB goals. Our findings can be used as a foundation for studying the socio-economic opportunities and barriers for aquaculture transitions to develop equitable pathways toward FCB-positive aquaculture across nuanced regional contexts.

The role of municipal ownership for urban net-zero path creation

Particularly within recent years, the rising number of city actors worldwide declaring climate emergencies and pledging commitments to carbon neutrality has sparked a spatial turn in broader sustainable transition thinking, noting the importance of the local level for governing sustainable transitions. Using a Geographical Political Economy approach, this paper critically engages with path creation theory and sustainable transitions literature to explore the potential of urban net-zero carbon transitions in a multi-scalar governance framework. The main argument is that municipal ownership across sectors has a fundamental role in sustainable transitions at the city level. This paper makes a distinct conceptual contribution to sustainable transitions literature by drawing on path creation theory to illustrate how municipal ownership is a central tenet of path creation by bringing together local actors and enabling political capacity and agency to control and strategize integrated sustainable urban pathways. Using the transport and energy sectors in Nottingham in the UK, it applies the Path Creation Framework in an urban setting to illustrate that municipal ownership stimulates a positive path creation through three main arguments. First, municipal ownership enables a positive embeddedness and historical legacy in the provision of sustainable urban energy and transport services; second, it facilitates the establishment of skills and expertise that positively reinforces urban political capacity for the pursuit of urban sustainability; and third, it stimulates the creation of innovative urban projects for sustainable and equitable pathways.

Social Determinants of Health and College Food Insecurity.

In recent years, many students have faced economic hardship and experienced food insecurity, even as universities strive to create more equitable pathways to college. There is a need for a more holistic perspective that addresses the complexity of food insecurity amongst college students. To this end, we examined the relationship between the social determinants of health, including college food insecurity (CoFI) and childhood food insecurity (ChFI), and their relationship with well-being measures. The study sample was a convenience sample that included 372 students at a public university who responded to an online survey in fall 2021. Students were asked to report their food security status in the previous 30 days. We used the following analytical strategies: chi-square tests to determine differences between food secure (FS) and food insecure (FI) students; binary logistic regression of CoFI on student demographics and ChFI; and ordinal or binary logistic regression for well-being measures. Black students, off-campus students, first-generation students, in-state students, and humanities/behavioral/social/health sciences majors were more likely to report CoFI. FI students were more likely to have experienced ChFI and to have lower scores on all well-being measures. ChFI was associated with four well-being measures and its effects were mediated by CoFI. College student health initiatives would benefit from accounting for SDOH, including ChFI experiences and its subsequent cumulative disadvantages experienced during college.

Flexible coupling and grid-responsive scheduling assessments of distributed energy resources within existing zero energy houses

Technological advancement and supportive government policy have accelerated investments in distributed energy resources (DERs) in buildings, demand-side management has become essential to fully exploit their value, including demand flexibility and grid support. Using high-resolution smart-meter data, this work presents an optimization framework for assessing the flexible scheduling of coupling distributed resources in existing zero energy houses (ZEHs) in Kyushu, Japan. Two price-based energy management programs are investigated for different energy coupling models with associated variables and constraints. Specifically, demand sides are encouraged to adjust energy usage and grid feed-in photovoltaics (PV) generation following a fixed Feed-in Tariff (FiT) value or market-oriented Feed-in Premium (FiP). The scheduling results present the impacts of proposed dispatch strategies on PV consumption and grid interactions. Results show two price-following strategies result in significant differences in dynamic grid feed-in power flows, the trade-off between dynamic PV self-consumption and grid import helps reduce the annual energy cost to feed PV generation by matching real-world spot prices. The improvement of PV self-consumption through coupling strategies has a close relationship with the pattern of household demand profiles. The energy flexibility potential of the heat pump system is constrained by daily hot water demand, flexible scheduling of coupled PV/battery/heat pump systems achieves the highest PV self-consumption ratios. The flexible dispatch of battery storage systems presents reliable performances in increasing on-site PV self-consumption and reducing annual household energy costs, the effects of storage charging rates on cost savings are less, especially for larger capacity batteries. Findings may help design sustainable and equitable pathways for decentralized solar PV system deployment.

A diverse portfolio of marine protected areas can better advance global conservation and equity

Marine protected areas (MPAs) are widely used for ocean conservation, yet the relative impacts of various types of MPAs are poorly understood. We estimated impacts on fish biomass from no-take and multiple-use (fished) MPAs, employing a rigorous matched counterfactual design with a global dataset of >14,000 surveys in and around 216 MPAs. Both no-take and multiple-use MPAs generated positive conservation outcomes relative to no protection (58.2% and 12.6% fish biomass increases, respectively), with smaller estimated differences between the two MPA types when controlling for additional confounding factors (8.3% increase). Relative performance depended on context and management: no-take MPAs performed better in areas of high human pressure but similar to multiple-use in remote locations. Multiple-use MPA performance was low in high-pressure areas but improved significantly with better management, producing similar outcomes to no-take MPAs when adequately staffed and appropriate use regulations were applied. For priority conservation areas where no-take restrictions are not possible or ethical, our findings show that a portfolio of well-designed and well-managed multiple-use MPAs represents a viable and potentially equitable pathway to advance local and global conservation.

Disentangling the complexity of human–nature interactions

Abstract Human–nature interactions have been identified as an important leverage point for achieving sustainability. Processes to recognize, protect, improve and reimagine human–nature interactions will be central to shift the world to more sustainable and equitable pathways and futures. In the context of the interconnected and rapidly changing Anthropocene, work on human–nature interactions must move beyond dominant linear assumptions of a relatively simple and easily and predictably manipulated world to acknowledge and engage with the complex, dynamic, asymmetrical and unequal nature of the interactions connecting people and nature. Based on three key features highlighted by the study of complex social–ecological systems (SES)—that these systems are relational, open and dynamic—we propose three new directions for the study and management of human–nature interactions that can help to acknowledge and disentangle the globally intertwined and dynamic nature of these interactions. These features suggest new directions and foci for sustainability science: the inseparable and relational qualities of the interactions between people and nature; the cross‐scale nature of these relationships; and the continuously evolving and changing form of these relationships. To bridge the gap between the theory of complex, inseparable and unequal human–nature interactions and the reductionist tendencies in research and practice, SES research raises opportunities to connect local action and global learning; to mobilize and develop new cross‐scale and relational capacities to encourage synergies and avoid trade‐offs; and to explore, experiment and learn our way forward onto more sustainable and equitable pathways. Read the free Plain Language Summary for this article on the Journal blog.

Alternative Pathways to Social Work Licensure: A Critical Review and Social Equity Policy Analysis

ABSTRACT Purpose In August 2022, the Association of Social Work Boards released a long called for pass rate analysis that revealed significant disparities. While many states look to cease the requirement of the Bachelors, Masters, and Advanced Generalist exams in their licensure process, status quo bias leads to hesitancy to remove the requirement of the Clinical exam. Method A critical review was undertaken to identify possible alternatives to the current multiple-choice competency-based exam which yielded three assessment formats (oral exams, portfolios, and performance assessment/simulations) and two alternatives (jurisprudence exams and provisional licensure). Informed by an Afrocentric lens, we undertook a social and racial policy analysis to examine alternative pathways for licensure from the perspective of a social work board member. We centered our analysis on the impacts on (1) Black social workers, who currently have the highest pass-rate disparities; (2) social workers whose primary language is not English, and (3) social workers with disabilities who have anecdotally reported difficulty with getting testing accommodations. We rated each alternative on four social equity analysis criteria of procedural fairness, access, quality, and outcomes. These ratings were computed into an overall rating for each alternative from equitable to inequitable. Results We found jurisprudence exams and provisional licensure have the best possibility of being equitable pathways to licensure, with potential impacts on the regulation of supervision and continuing education. Conclusion Anti-racism and social justice as praxis require social work as a profession to divest from competency-based testing to eliminate racism in our own professional policies.

Avoiding an unjust transition to sustainability: An equity metric for spatial conservation planning

The need for rapid and ambitious conservation and restoration is widely acknowledged, yet concern exists that the widespread reallocation of land to nature would disproportionately affect the world's poor. Conservation and restoration may limit nutrition and livelihood options and thus negatively affect social development objectives. Although much research looks into global-scale scenarios and planning of conservation and restoration, spatial evaluations of these trade-offs in terms of equity remain limited. We fill this gap by identifying areas where conservation or restoration under different future scenarios and prioritization maps expand nature into landscapes that likely support land-dependent communities in their local food security. By contrasting the expansion of nature into areas supporting land-dependent communities vs. places where the food system is supported by regional to global markets, we highlight the need for disaggregated indicators that reflect the diversity of human land-use needs in order to identify more equitable pathways. Conservation prioritizations were found to result in more equitable land-use outcomes than the land-use outcomes of widely used socioeconomic scenarios. Accounting for differentiated social impacts in model-based conservation and restoration planning and global scale scenario assessment can help achieve a more inclusive transition to sustainability as well as reduce barriers to meaningful change.

Challenges and Opportunities for Equity in US School Meal Programs: A Scoping Review of Qualitative Literature Regarding the COVID-19 Emergency.

The emergency school meals program provided free meals to children in the United States (US) during COVID-19-related school closures. This scoping review aims to synthesize the existing qualitative empirical evidence published between March 2020 and January 2023 on the operations and utilization of emergency school meal programs during the pandemic. Qualitative, US-based peer-reviewed literature was collected from three sources: (1) parent review of all federal nutrition assistance programs; (2) systematic search of four databases; and (3) manual search of grey literature. Identified scientific articles and grey literature reports (n = 183) were uploaded into Covidence and screened for duplicates and inclusion/exclusion criteria. Our final sample included 21 articles/reports, including 14 mixed methods and seven qualitative-only projects. Articles spanned all U.S. states. Articles had similar research questions to understand school meals and/or general food access during COVID-19, with an emphasis on long-term policy implications. Hybrid deductive/inductive analytic coding was used to analyze data, utilizing domains from the Getting to Equity Framework (GTE). GTE considers multi-level factors that influence nutrition behavior while centering more equitable pathways to improve nutrition security and reduce adverse health. Findings were sorted into two categories: operational challenges during the pandemic and solutions to address inequities in school meal distribution during and after the pandemic, particularly during school closures such as summers or future emergencies. Key challenges related to supply chain issues, safety, and balancing families' needs with limited staff capacity. Programs addressed equity by (a) reducing deterrents through federally issued waivers and increased communications which allowed the serving of meals by programs to families who previously did not have access, (b) building community capacity through collaborations and partnerships which allowed for increased distribution, and (c) preparing and distributing healthy options unless barriers in supply chain superseded the effort. This review highlights the importance of emergency school meal programs and provides insights into addressing challenges and promoting equity in future out-of-school times. These insights could be applied to policy and practice change to optimize program budgets, increase reach equitably, and improve access to nutritious meals among populations at highest risk for nutrition insecurity.

Ensuring student-centered value with skills-denominated credentials

PurposeThe global labor market has been upended and a new landscape has emerged. New models for ensuring the value and relevance of post-secondary education are needed. Learners need better understanding of the value and relevancy which the education provides and more immediate return on the educational investment. Education providers must ensure the relevance of the credentials. Employers require transparency into skills an individual possesses based on the credentials they hold. New models are needed to guide an understanding of credentials so that all have equitable pathways to opportunity. This paper aims to discuss the aforementioned objectives.Design/methodology/approachThe authors in this paper discuss how Western Governors University implemented a Unified Credential Framework (UCF) for ensuring credentials are relevant, verified, transparent and portable. The UCF is predicated on the use of skills as an underlying foundation.FindingsUsing a structured theory for understanding skills and micro-credentials creates more transparency into what post-secondary credentials represent, and the value they hold for individuals, employers and education providers.Research limitations/implicationsThis paper represents a use case where the proposed solution is still emergent. Additional research is warranted as longitudinal data become available on student outcomes and impacts.Originality/valueThis paper presents a model that any organization can implement for clearer line of sight into the value and relevance of post-secondary credentials.

Stronger Together: A Call for Gender-Inclusive Leadership in Business Schools

Gender equity and inclusion has taken center stage in business, science, and policy making. We reflect on three systemic challenges that might hinder the rise of qualified women scholars to leadership positions in business schools: (a) The masculine social structure of business schools, (b) a muddled approach to performance evaluation, and (c) an under-representation of research topics that affect women in the workplace. Drawing on the extant science in gender bias and gender equity, combined with the collective expertise and experience of the author team, we offer 12 actionable solutions for gender-inclusive leadership in business schools. We believe that addressing these challenges could benefit all members, not just women, because it could signal more equitable pathways to multiple business school stakeholders and intended beneficiaries, such as students, donors, practitioners, and policy makers.

Equitable Response in Crisis: Methodology and Application for COVID-19

Abstract Equitable allocation and distribution of the COVID-19 vaccine have proven to be a major policy challenge exacerbated by incomplete pandemic risk data. To rectify this shortcoming, a three-step data visualization methodology was developed to assess COVID-19 vaccination equity in the United States using state health department, U.S. Census, and CDC data. Part one establishes an equitable pathway deviation index to identify populations with limited vaccination. Part two measures perceived access and public intentions to vaccinate over time. Part three synthesizes these data with the social vulnerability index to identify areas and communities at particular risk. Results demonstrate significant equity differences at a census-tract level, and across demographic and socioeconomic population characteristics. Results were used by various federal agencies to improve coordinated pandemic risk response and implement a commitment to equity as defined by the Executive Order regarding COVID-19 vaccination and booster policy. This methodology can be utilized in other fields where addressing the difficulties of promoting health equity in public policy is essential.

Strategic PV expansion and its impact on regional electricity self-sufficiency: Case study of Switzerland

Solar photovoltaics (PV) will play an important role in decarbonising the energy system. To date, most assessments of PV transition pathways focus on least-cost aspects, without neither considering the time needed to achieve a substantial PV deployment, nor the impacts on regional electricity supply equality. In this work, we propose two alternative PV expansion strategies for Switzerland: The first strategy prioritises the most productive roofs and reaches national PV targets by exploiting the minimum number of rooftops, while the second strategy aims at maximising regional self-sufficiency as proxy of PV supply equality. Both strategies are assessed for several PV expansion scenarios using real hourly PV potential data for the entire Swiss building stock. The scenarios are compared to hourly electricity demand profiles for the residential and service sector. Results suggest that when employing the first strategy, at least 46% of suitable rooftops – mostly large roofs with low tilt angles – are needed to reach Switzerland’s 2050 PV expansion target of 35 TWh. For the projected electricity demand in 2050, this leads to annual electricity self-sufficiency in about 40% of Swiss districts. This percentage can be increased to over 70% by following strategy two to maximise self-sufficiency – which may feature several economic and societal advantages – at the cost of covering 86% of suitable rooftops with PV. The findings may support policy makers and local utilities to find efficient and equitable pathways for a decentralised PV expansion, while at the same time reaching the ambitious national renewable energy targets within due time.

Critical perspectives on leadership identity development.

This article draws on critical race theory, intersectionality, critical feminism, queer and indigenous paradigms to critique existing approaches to leader/ leadership identity development (LID) and to illuminate how people from marginalized and oppressed communities can experience more just and equitable pathways to leadership. It offers recommendations for practice about how to create new possibilities for LID that counters patriarchal, white supremacist, hetero, and cis normative contexts. Liberatory pedagogies are suggested as ways to center social justice in LID.

Diversity in marine protected area regulations: Protection approaches for locally appropriate marine management

Globally, marine protected area (MPA) objectives have increasingly shifted from a primary focus on maintaining ecosystems through prohibiting extractive activities, to more equitable approaches that address the needs of both people and nature. This has led to MPAs with a diverse array of fisheries restrictions and recent debate on the type of restrictions that contribute to achieving biodiversity goals. Here we use a global dataset of 172 MPAs (representing 31 nations) alongside nine detailed case study MPAs (from Australia, Belize, Cambodia, Federated States of Micronesia, Fiji, Indonesia, Madagascar, Solomon Islands, and United States of America), including partially protected areas that allow regulated fishing, to illustrate the many diverse pathways that some MPAs have adopted to protect biodiversity and safeguard the rights and well-being of resource-dependent coastal communities. We group MPAs based on their restrictions and explore four key insights emerging from these groupings using our nine case studies: (i) MPAs use highly diverse approaches to regulate fisheries; (ii) partially protected areas can address gaps in regional fisheries management; (iii) devolving resource management rights to communities influences the chosen fisheries restrictions; and (iv) state-governed MPAs can use highly tailored fisheries restrictions to increase equity in access. We find that partially protected MPAs can offer effective and equitable pathways for biodiversity conservation if tailored to local context. Rather than focusing primarily on fully protected areas for achieving new global MPA targets, we recommend countries use a blend of locally-appropriate protection levels – from fully protected areas to partially protected MPAs to achieve positive biodiversity outcomes.

Opening up STEMM pathways among Indigenous people in the U.S.: what is the role of cultural, spiritual, and ethical conflicts in Indigenous people's STEMM educational and career decisions?

ABSTRACT This paper explores how the educational and career paths of Indigenous people in STEMM have been impacted by ethical, cultural, and/or spiritual issues. Based on a survey of over 400 Indigenous students and professionals in STEMM fields, plus over 30 follow up interviews, we find that these issues cause some Indigenous people to leave particular fields altogether, others to avoid certain tasks within their chosen field, and still others to intentionally select particular fields. Ethical, cultural, and/or spiritual issues also are the reason some Indigenous people choose certain career paths, because of their desire to help their communities. By understanding these pathway impacts, STEMM leaders and educators can ensure more equitable pathways and can prepare, recruit, and retain Indigenous people in STEMM fields.

A Pilot Program: Remote Summer Program to Improve Opportunity and Mentorship Among Underrepresented Students Pursuing Orthopaedic Surgery.

We received 115 applications, and a total of 17 students participated in the program (14.8%). Nine faculty mentors were matched with 1 or 2 students each. The program delivered a curriculum from June-August 2021 consisting of (1) weekly instructional courses on research-related topics led by a content expert; (2) weekly faculty lectures discussing topics including orthopaedic topics, diversity in medicine, leadership, and work-life balance; and (3) a research experience paired with a faculty mentor and peer mentor. We surveyed students to measure skill progression, satisfaction, and overall program evaluation. Preprogram/postprogram evaluation, midprogram check-in, and student feedback surveys were collected. Program participants represented a range of race and ethnic backgrounds, research experience levels, and various geographic locations across the United States. The cohort included a high rate of female (42%) and Black (35%) participants. On average, postprogram survey scores indicated that participants believed that the summer program improved their research skills (9.6 of 10), improved their orthopaedic interest (8.9 of 10), and improved mentorship and networking (9.1 of 10). For feedback surveys, 14 respondents of 15 total responses (93%) felt they were adequately matched to their faculty mentor. Twelve (80%) felt they had realistic deliverables for research projects within the 8-week program. Thirteen (87%) indicated they contributed to an abstract or manuscript as a coauthor. Our findings indicate that students improved their research skills, interest, and confidence to pursue orthopaedic residency and mentorship/networks in the field. The long-term goal is to improve the accessibility and quality of mentorship for underrepresented students in order to foster an equitable pathway into the field of orthopaedic surgery.