Iran's Orthopaedic Landscape: Distribution, Per-Capita Ratios, Female Inclusion, and Academic Standing Among Residents and Surgeons Publisher



Hoveidaei AH ; Khadembashiri MA ; Ramezanpour MR ; Bahrami O ; Niakan R ; Rashidi F ; Esmaeili S
Source: Archives of Bone and Joint Surgery Published:2025

Abstract

Objectives: Iran's orthopaedic surgery care is facing significant challenges due to an aging population and the increasing prevalence of chronic medical conditions such as osteoarthritis, fractures, and trauma. These challenges underscore the pressing need for a more equitable distribution of the orthopaedic workforce. This study aimed to assess the per capita ratios and geographical distribution of orthopaedic surgeons (OSs) in Iran, as well as their distribution in academic and non-academic settings. Additionally, the involvement and scientific productivity of women in orthopaedic s were examined. Methods: This study investigated the distribution, per-capita ratios, and academic status of OSs and trainees in Iran, and compared these parameters with those in Turkey and the UK. This study used data from the Islamic Republic of Iran Medical Council, the Iranian Scientometrics Information Database, and the population census to indicate an uneven distribution of OSs across Iran. Results: The per capita ratio of OSs in Iran (3.13) is lower than in Turkey (4.00) and the United Kingdom (8.00), highlighting disparities in healthcare infrastructure and economic resources in low-income countries. Notably, 33.6% of Iranian OSs reside in Tehran, contributing to unequal access to care. Furthermore, female representation in orthopaedic s remains limited, with only 3.5% of OSs being women. These academic surgeons have a median H-index of 4, which is lower than that of their counterparts in Canada and the United States. Conclusion: The study emphasized the significance of governmental reforms and incentives in promoting equitable distribution, gender diversity, and academic progress within Iran's orthopaedic workforce. Financial incentives, advanced facilities, and career advancement opportunities could enhance academic involvement and diversity. Improving the distribution of surgeons, increasing support for women in orthopaedic, and fostering academic interests are essential steps toward achieving equitable healthcare and boosting scientific output in Iran. Level of evidence: IV. © 2025 Elsevier B.V., All rights reserved.