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A Pilot Needs Assessment Addressing Gender-Based Microaggressions in Surgical Trainees.

Giulia Daneshgaran¹, Nikhitha Thrikutam¹, Mohini Dasari²

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA 98104.

Journal of Surgical Education

|May 15, 2024

Summary

Female surgical trainees experience more microaggressions and worry about their mental health impact compared to males. Early training interventions addressing gender-based microaggressions are recommended.

Keywords:

female experience gender bias microaggressions surgical education surgical training

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Published on: May 9, 2015

Area of Science:

Medical Education
Surgical Training
Gender Studies

Background:

Microaggressions perpetuate unintentional discrimination against marginalized groups.
Female trainees are underrepresented in surgical training programs.
Understanding the impact of gender-based microaggressions is crucial for surgical education.

Purpose of the Study:

To explore the perceived effects of gender-based microaggressions on surgical trainees.
To compare the experiences and perceptions of male and female surgical interns regarding microaggressions.

Main Methods:

Anonymous Likert-scaled surveys administered pre-residency and one year post-entry.
Statistical analysis including Likert analysis and Mann-Whitney U testing.
Thematic analysis of focus group transcriptions from female surgical trainees.

Main Results:

Female interns were significantly more likely than males to anticipate experiencing microaggressions and their negative mental health effects.
Female interns reported experiencing microaggressions more frequently and feeling a greater impact on their mental health.
Focus groups revealed themes of environmental invalidation, second-class status, and assumed inferiority among female trainees.

Conclusions:

Female surgical interns face greater anxiety regarding microaggressions and experience them more frequently.
Microaggressions have a wide-ranging impact on female trainees across all training levels.
Formal microaggression training before surgical residency could benefit new trainees.