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Evaluation of Gender Bias Through Autonomy During Laparoscopic Cholecystectomy at a Rural Community General Surgery
Jessica Biller1, Thomas Simunich2, Shawna Morrissey1
1Department of Surgery, Conemaugh Memorial Medical Center, Johnstown, Pennsylvania.
Journal of Surgical Education
|June 23, 2023
Summary
Gender bias in surgical residencies is a concern. This study found no significant difference in perceived autonomy between male and female residents during laparoscopic cholecystectomy in a community program.
Area of Science:
- Medical Education
- Surgical Training
- Gender Studies in Medicine
Background:
- Gender disparities persist in surgical specialties despite equal medical school graduation rates.
- Investigating factors that may mitigate gender bias in surgical training is crucial.
Purpose of the Study:
- To assess perceived resident autonomy during laparoscopic cholecystectomy.
- To determine if smaller, close-knit surgical residency programs reduce gender bias in resident autonomy.
Main Methods:
- Anonymous questionnaires administered to surgery residents after laparoscopic cholecystectomy over two years.
- Residents reported perceived autonomy during specific surgical phases and overall.
- Data analyzed for differences in autonomy based on resident gender.
Main Results:
- Mean overall autonomy was statistically similar for male (71%) and female (72%) residents.
- No significant difference in case difficulty was observed between genders.
- Over 90% of residents felt their autonomy was not affected by gender.
Conclusions:
- Perceived autonomy during laparoscopic cholecystectomy was comparable between male and female residents.
- Gender bias did not appear to be a significant factor limiting resident autonomy in this setting.
