Advancing diversity in spine surgery: the critical role of professional societies and foundations

Introduction: Spine surgery faces significant challenges in achieving diversity, equity, and inclusion (DEI), with persistent underrepresentation of women and underrepresented in medicine (URiM) minorities. Addressing these disparities is crucial for aligning the field with broader societal diversity and ensuring equitable healthcare. This study reviews the role of professional societies and foundations in promoting DEI within spine surgery and examines barriers, achievements, and areas for improvement.

Methods: This review synthesizes findings from academic articles, organizational reports, and DEI initiatives within neurosurgery and orthopedic surgery societies. It highlights key initiatives led by professional societies, including the American Society of Black Neurosurgeons, Women in Neurosurgery (WINS), and Nth Dimensions, focusing on their strategies in education, mentorship, policy advocacy, and resource allocation to support DEI.

Results: Professional societies and foundations play a vital role in advancing DEI in spine surgery through targeted interventions such as mentoring programs, DEI scholarships, and leadership development. Pipeline programs like those offered by Nth Dimensions demonstrate substantial impact, with participating URiM students showing a 15-fold increase in orthopedic residency applications and women 45 times more likely to pursue orthopedics compared to non-participants. These outcomes underscore the potential of similar initiatives in spine surgery to significantly improve URiM representation. Nonetheless, systemic barriers and recent legislative challenges threaten DEI progress, emphasizing the need for strategic advocacy and sustained support.

Conclusion : Professional societies and foundations are instrumental in promoting DEI within spine surgery by leveraging resources to foster a more inclusive field. Continued support and adaptation of these efforts will help to cultivate a diverse spine surgery workforce, enhancing patient care by incorporating a broader range of perspectives and experiences.