A Grassroots Start
In 2016, a “Women in Orthopaedics” Facebook group was formed by Dr. Samara Friedman, with 400 initial members. With women representing only 6% of all orthopaedic surgeons, many lack female colleagues. This group served as a safe space for women to share experiences and ask clinical questions in a space free from shaming and judgment. The supportive environment blossomed, membership grew to 1,800, and people started asking hard questions.
In early 2021, stories of harassment were shared in response to a question in this Facebook group: “What is the most sexist thing ever said to you or asked of you during your interviews, residency, or fellowship?“ There were over 360 responses, some of which were horrific, and in some instances even criminal. Some commented that though the stories were from several years ago-expressing shock, this behavior persisted.
The apparent demand was to change our culture. As women with a history of leadership in orthopaedics, the founding members of SUO were tagged in the conversation, requesting answers and action. After reading the stories, the founders created SpeakUpOrtho in March 2021. The SpeakUpOrtho group started collecting stories on social media. The goal was to share the reality of events occurring in orthopaedic surgery in the present.
This culture that should have been antiquated and outgrown sadly still existed and even flourished in the orthopaedic workplace. Social media outlets allowed the anonymous sharing of real stories, and individuals quickly realized that they were and are not alone. The experienced members of the community were shocked that the challenges faced 20 and 30 years ago in training remained unchecked. The stories increased awareness of the extent of the problem in orthopaedic surgery and became an impetus for raising awareness, having difficult conversations, and driving change.
The stories collected were and are powerful. The emotions in receiving these stories range from sadness to anger to helplessness. Yet, there was and is agreement: How can this can persist? Taking action, the SpeakUpOrtho team worked on developing relationships with other groups, creating educational materials and resources, and providing recommendations to push for change within the field of orthopaedics. SpeakUpOrtho is paving the way to create a culture of diversity and inclusivity within orthopaedic surgery.