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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.
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.
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