Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa

Medicine in South Africa (SA), as in other parts of the world, is becoming an increasingly gender diverse profession, yet orthopaedic surgery continues to be dominated by men, with women constituting approximately 5% of the profession in SA. The aim of this descriptive qualitative study was to expl...

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Main Authors: Marí Thiart, Megan O’Connor, Jana Müller, Nuhaa Holland, Jason Bantjies
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-04-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://pagepressjournals.org/index.php/qrmh/article/view/10902
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author Marí Thiart
Megan O’Connor
Jana Müller
Nuhaa Holland
Jason Bantjies
author_facet Marí Thiart
Megan O’Connor
Jana Müller
Nuhaa Holland
Jason Bantjies
author_sort Marí Thiart
collection DOAJ
description Medicine in South Africa (SA), as in other parts of the world, is becoming an increasingly gender diverse profession, yet orthopaedic surgery continues to be dominated by men, with women constituting approximately 5% of the profession in SA. The aim of this descriptive qualitative study was to explore women’s experiences of training and working as orthopaedic surgeons in SA and identify structures, practices, attitudes, and ideologies that may promote or impede the inclusion of women. Data were collected via focus group discussions with women orthopaedic surgeons (n=16). Grounded in phenomenology, data were analysed using thematic analysis following a data-driven inductive approach to making sense of participants’ experiences. Five main themes emerged: i) dynamic working environments and the work of transformation; ii) negotiating competing roles of mother and surgeon; iii) belonging, exclusion and internalised sexism; iv) gaslighting and silencing; and v) acts of resistance – agency and pushing back. The findings highlight the dynamic process in which both men and women contribute to co-creating, re-producing, and challenging practices that make medicine more inclusive.
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series Qualitative Research in Medicine & Healthcare
spelling doaj-art-b49e770558fe49d0b2a14e3efd0536572025-08-20T02:54:40ZengKeAi Communications Co., Ltd.Qualitative Research in Medicine & Healthcare2532-20442023-04-017110.4081/qrmh.2023.10902Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South AfricaMarí Thiart0Megan O’Connor1Jana Müller2Nuhaa Holland3Jason Bantjies4Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Tygerberg, Stellenbosch UniversityDepartment of Orthopaedic Surgery, Inkosi Albert Luthuli Central Hospital, School of Clinical Medicine, University of KwaZulu-NatalUkwanda Centre for Rural Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch UniversityInstitute for Life Course Health Research, Department of Global Health, Stellenbosch UniversityInstitute for Life Course Health Research, Department of Global Health, Stellenbosch University; Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town Medicine in South Africa (SA), as in other parts of the world, is becoming an increasingly gender diverse profession, yet orthopaedic surgery continues to be dominated by men, with women constituting approximately 5% of the profession in SA. The aim of this descriptive qualitative study was to explore women’s experiences of training and working as orthopaedic surgeons in SA and identify structures, practices, attitudes, and ideologies that may promote or impede the inclusion of women. Data were collected via focus group discussions with women orthopaedic surgeons (n=16). Grounded in phenomenology, data were analysed using thematic analysis following a data-driven inductive approach to making sense of participants’ experiences. Five main themes emerged: i) dynamic working environments and the work of transformation; ii) negotiating competing roles of mother and surgeon; iii) belonging, exclusion and internalised sexism; iv) gaslighting and silencing; and v) acts of resistance – agency and pushing back. The findings highlight the dynamic process in which both men and women contribute to co-creating, re-producing, and challenging practices that make medicine more inclusive. https://pagepressjournals.org/index.php/qrmh/article/view/10902Diversitymedical trainingSouth Africawomenorthopaedic surgery
spellingShingle Marí Thiart
Megan O’Connor
Jana Müller
Nuhaa Holland
Jason Bantjies
Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
Qualitative Research in Medicine & Healthcare
Diversity
medical training
South Africa
women
orthopaedic surgery
title Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
title_full Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
title_fullStr Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
title_full_unstemmed Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
title_short Operating in the margins: Women’s lived experience of training and working in orthopaedic surgery in South Africa
title_sort operating in the margins women s lived experience of training and working in orthopaedic surgery in south africa
topic Diversity
medical training
South Africa
women
orthopaedic surgery
url https://pagepressjournals.org/index.php/qrmh/article/view/10902
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