Narrative Insights and Perspectives Into Burnout and Wellness Among U.S. Orthopedic Surgery Residents: The Influence of Gender and Minority Identification

Background Completing an orthopedic surgery residency accredited by the Accreditation Council for Graduate Medical Education requires managing academic, clinical, and personal duties. For underrepresented minorities (URMs), additional challenges related to ethnicity, gender, religious affiliation, and socioeconomic status contribute to burnout. Despite initiatives to address well-being, burnout rates remain high. This qualitative study uses a narrative approach to explore how URM orthopedic residents experience burnout, with a focus on psychosocial stressors. Methodology We conducted semi-structured interviews with 20 URM orthopedic residents using the Consolidated Criteria for Reporting Qualitative Research framework for qualitative research. Data were analyzed thematically, identifying six key themes. Results Findings include the impact of intersectional fatigue, magnifying glass phenomena, self-fulfilling prophecy, and stereotype threat. Participants highlighted the emotional toll of code-switching and feelings of isolation. Conclusions Suggested interventions included promoting diversity in leadership, fostering supportive peer relationships, and organizing wellness events. This study emphasizes the need for inclusive programs that reduce burnout, enhance well-being, and support the retention of URMs in orthopedic surgery.