Diversity in orthopaedic surgery for pacific islanders: the battle continues


  • Tiffany Ruan Department of Osteopathic Manipulative Medicine, Kansas City University, Kansas City, MO, USA




Diversity in orthopaedic surgery, Pacific islanders, Underrepresented minorities in medicine


It’s no secret that orthopaedic surgery is the specialty with the least diversity when it comes to race and gender. More than likely, patients from different ethnic backgrounds desire to be treated by physicians ethnic backgrounds desire to be treated by physicians who look like them but due to the lack of diversity in the field of orthopaedic surgery, it makes it difficult to find physicians who fully understand the cultural barriers to medicine. A systemic review was completed by reviewing research from The American Journal of Surgery, the Journal of the AAOS, and The Journal of Bone and Joint Surgery, among others. Since the rapid immigration into the United States in the early 2000s, Pacific Islanders have begun to make up an increasing portion of the US population, yet a significant increase in the representation of Pacific Islanders in orthopaedic surgery has not reflected this. This acute problem can cause long-term negative effects on the community of Pacific islanders as they continue to be treated by physicians who do not look like them and who do not completely understand the cultural barriers faced by their communities.


Ramirez RN, Franklin CC. Racial diversity in orthopedic surgery. Orthop Clin North Am. 2019;50(3):337-44.

Vij N, Singleton I, Bisht R, Lucio F, Poon S, Belthur MV. Ethnic and sex diversity in academic orthopaedic surgery: A cross-sectional study. JAAOS: Global Rese Rev. 2022;6(3).

Palaniappan LP, Araneta MR, Assimes TL. Call to action: Cardiovascular disease in Asian Americans. Circulation. 2010;122(12):1242-52.

Okike K, Utuk ME, White AA. Racial and ethnic diversity in Orthopaedic Surgery Residency Programs. J Bone Joint Surg. 2011;93(18).

McDonald TC, Drake LC, Replogle WH, Graves ML, Brooks JT. Barriers to increasing diversity in orthopaedics. JBJS Open Access. 2020;5(2).

McFarling UL. The whitest specialty: As medicine strives to close its diversity gaps, one field remains a stubborn outlier. STAT. 2021. Available at: https://www.statnews.com/2021/12/13/whitest-specialty-as-medicine-strives-to-close-diversity-gaps-orthopedic-surgery-remains-stubborn-outlier/. Accessed on 13 February 2023.

Kuo LE, Chu DI, Gao T, Brahmbhatt TS, Wang TS. Asian American and Pacific Islander experiences and challenges in academic surgery. Am J Surg. 2022;223(1):211-3.

Cummings PE, Alder KD, Marigi EM, Hidden KA, Kakar S, Barlow JD. Demographics and characteristics of Orthopaedic Surgery Residency Program directors. JBJS Open Access. 2023;8(1).

Ajayi PT, Murdock CJ, Destine H, Trenchfield D, Aiyer A, Oni J. Trends in Racial, Ethnic, and Gender Diversity in Orthopaedic Surgery Adult Reconstruction Fellowships From 2007 to 2021. J Arthroplasty. 2023;S0883-5403(23):00571-5.

Day MA, Owens JM, Caldwell LS. Breaking Barriers: A Brief Overview of Diversity in Orthopedic Surgery. Iowa Orthop J. 2019;39(1):1-5.

Adelani MA, Harrington MA, Montgomery CO. The distribution of underrepresented minorities in U.S. orthopaedic surgery residency programs. J Bone Joint Surg. 2019;101(18).

Koech H, Albanese J, Saeks D, Habashi K, Strawser P, Hall M Jr, et al. Minority Resident Physicians' Perspectives on the Role of Race/Ethnicity, Culture, and Gender in Their Surgical Training Experiences. J Surg Educ. 2023;80(6):833-45.

Saha S. Student body racial and ethnic composition and diversity-related outcomes in US medical schools. JAMA. 2008;300(10):1135.

Taylor E, Dacus AR, Oni J, Suleiman LI. An introduction to the Orthopaedic Diversity Leadership Consortium. J Bone Joint Surg. 2022;104(16).

Diversity & Aaos - American Academy of Orthopaedic Surgeons. AAOS. Available at: https://www.aaos.org/about/diversity-in-orthopaedics/. Accessed on 08 August 2023.






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