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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Related Experiment Video

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Disparities in the Operative Experience Between Female and Male General Surgery Residents: A Multi-institutional

Leah K Winer1, Sarah Kader2, Jonathan S Abelson2

  • 1Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH.

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Female general surgery residents performed fewer operations than males, but this gap is narrowing. Further interventions are needed to ensure equitable surgical training opportunities for all residents.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Health Equity

Background:

  • Despite increased female representation in surgery, disparities in residency experiences persist.
  • Operative volume differences between male and female general surgery residents lack multi-institutional comparison.

Purpose of the Study:

  • To compare operative experience between male and female general surgery residents.
  • To identify potential sex-based disparities in surgical training volume.

Main Methods:

  • Utilized data from the US Resident Operative Experience Consortium (2010-2020).
  • Analyzed demographic characteristics and case logs of general surgery residents.
  • Employed univariable, multivariable, and linear regression analyses to compare operative volumes.

Main Results:

  • Female residents (35%) performed fewer total cases (1140 vs. 1177) and junior surgeon cases (829 vs. 863) than male residents.
  • Female sex was associated with being a lower-volume resident (OR=0.74, P=0.03).
  • Female residents showed a faster annual increase in case volume (+16/year) compared to males (+13/year).

Conclusions:

  • Female general surgery graduates had significantly lower operative case volumes than males.
  • The disparity in operative experience appears to be decreasing over time.
  • Interventions are recommended to promote equitable surgical training for female residents.