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Gender Differences in Case Volume Among Ophthalmology Residents
Dan Gong1, Bryan J Winn1, Casey J Beal2
1Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York.
Female ophthalmology residents performed fewer cataract operations and total procedures than male residents. This disparity highlights a need to ensure equitable surgical training experiences for all residents, regardless of gender.
Area of Science:
- Ophthalmology
- Medical Education
- Surgical Training
Background:
- Despite equal numbers of male and female students entering ophthalmology, surgical experience disparities during residency are unclear.
- Ensuring equitable surgical training is crucial for professional development and patient care.
Purpose of the Study:
- To compare cataract surgery and total procedural volumes between male and female ophthalmology residents.
- To investigate the impact of parental leave on surgical training volume for both genders.
Main Methods:
- Retrospective analysis of resident case logs from 24 US ophthalmology programs (July 2005-June 2017).
- Included 1271 residents; analyzed mean surgical volumes, resident gender, and parental leave status.
- Data analyzed from August 2017 to April 2018.
Main Results:
- Female residents performed fewer cataract operations (161.7 vs 176.7) and total procedures (451.3 vs 509.4) compared to male residents.
- Male residents taking paternity leave performed more cataract operations than those not taking leave; female residents taking maternity leave showed no significant difference.
- While both genders showed increased procedural volume over time, the increase was greater for men in total procedures.
Conclusions:
- Female ophthalmology residents had significantly lower cataract and total procedural volumes than male residents between 2005-2017.
- Findings suggest a need for further investigation into ensuring equitable surgical training experiences.
- Future research should include more programs to minimize selection bias and provide a comprehensive view.
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