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Investigating Association Between Sex and Faculty Teaching Evaluation in General Surgery Residency Programs: A
Adam D Shellito1, Christian de Virgilio2, Grace Lee1
1Department of Surgery, Harbor-UCLA Medical Center, Torrance.
Journal of the American College of Surgeons
|July 14, 2020
Summary
Female general surgery faculty received higher teaching evaluations than men, contrary to expectations. This finding was particularly pronounced in programs with fewer women faculty and residents.
Area of Science:
- Medical Education
- Surgical Training
- Gender Studies in Medicine
Background:
- Gender disparities exist in academic surgery, with women faculty often receiving lower teaching evaluations.
- These lower scores can negatively impact career progression for women in male-dominated specialties.
- Understanding factors influencing teaching evaluations is crucial for promoting gender equity in surgery.
Purpose of the Study:
- To investigate the association between faculty gender and teaching evaluation scores in general surgery residency programs.
- To determine if the proportion of women faculty or residents influences these evaluation scores.
- To challenge the hypothesis that women faculty receive lower scores.
Main Methods:
- Anonymous resident evaluations of faculty teaching from 21 general surgery programs were collected over one year.
- A composite score was calculated for each faculty member.
- Statistical analysis, including cluster-adjusted t-tests, compared male and female faculty scores, controlling for program-level correlations. Programs were stratified by quartiles of female representation.
Main Results:
- A total of 20,187 evaluations for 1,177 faculty members were analyzed.
- Women faculty had significantly higher composite teaching evaluation scores (90.6%) compared to men (89.5%, p < 0.05).
- Female faculty scores were higher than male faculty scores in programs with the lowest representation of women faculty and residents.
Conclusions:
- Contrary to the initial hypothesis, female general surgery faculty received higher teaching evaluation scores than their male counterparts.
- This finding may reflect evolving gender dynamics and attitudes in a traditionally male-dominated field.
- Higher scores for female faculty were observed in programs with lower overall female representation, suggesting a complex interplay of factors.

