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Gender associations with selection into Australian General Surgical Training: 2016-2022.

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Gender bias exists in general surgery selection tools, specifically the curriculum vitae (CV) and multiple mini-interview (MMI). However, overall success rates in general surgery training were not impacted by gender.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Gender Equity in Medicine

Background:

  • General surgery selection is a critical step for aspiring surgeons.
  • Understanding gender-based differences in selection tools is vital for improving workforce equity.
  • Key selection tools include curriculum vitae (CV), referee reports (RR), and multiple mini-interviews (MMI).

Purpose of the Study:

  • To identify gender-based differences in general surgery selection tools and their outcomes.
  • To inform the Royal Australasian College of Surgeons and the Australian Board in General Surgery on improving gender equity.
  • To analyze the impact of gender on applicant success in general surgery training.

Main Methods:

  • A seven-year review of applicant data for general surgery selection.
  • Analysis of curriculum vitae (CV), referee report (RR), and multiple mini-interview (MMI) scores, stratified by gender.
  • Comparison of success rates in general surgery selection based on gender.

Main Results:

  • Female applicants were consistently fewer than male applicants.
  • Females scored lower on CVs but higher on MMIs compared to males.
  • No significant gender differences were found in referee reports or overall selection success rates.

Conclusions:

  • The CV and MMI demonstrated gender-associated biases.
  • Lower female representation in general surgery training is primarily due to fewer female applicants.
  • Gender did not ultimately impact an applicant's ability to be selected for general surgery training in Australia.