なぜ女性は 外科研修を辞めるのか? 定性的でフェミニスト的な研究
Rhea Liang1, Tim Dornan2, Debra Nestel3
1Department of Surgery, Gold Coast Hospital and Health Service, Robina, QLD, Australia.
Lancet (London, England)
|February 12, 2019
まとめ
女性が外科研修を辞める割合は高くなります この定性的な研究では,休暇の提供不可能なことや,その影響への恐れを含む,この状況に寄与する6つの新しい要因が特定され,多面的な介入の必要性が強調された.
科学分野:
- 医学教育
- 手術 の 訓練
- 医学におけるジェンダー研究
背景:
- 女性は手術に欠けていて 退学率は男性より高い
- 現存する研究はしばしばフェミニストの視点が欠けていて,問題の複雑さには適さない定量的な方法を採用しています.
研究 の 目的:
- 女性が外科研修を辞める理由を 質的に探求すること
- 女性が外科のキャリアを辞める要因を特定する.
- これらの要因の複雑な相互作用を説明するモデルを開発する.
主な方法:
- 外科研修を終了した12人の女性をインタビューした定性研究
- 専門外科大学の通信を通じて 目的のスノーボールサンプルを採取します
- テーマのコード化と説明的な視覚的なアナログモデルの開発
主要な成果:
- 女性の外科研修を辞める理由が 確認されています
- 6つの新しい要因が特定されました. 休職の不可用性,不具合の休職,精神的健康,専門的な支援ネットワークの欠如,報復への恐れ,特定の支援の途径の欠如です.
- 複雑で時には矛盾する関係が"ブロックの塔"として視覚化されました.
結論:
- 介入は意図しない悪影響に注意を払い,ジェンダーを過度に強調せずに複数の要因に対処する必要があります.
- 効果的な介入には 貢献する要因や 微妙な影響や 外科研修の幅広い文脈に 注意を払う必要があります
- 推奨事項には,地元の社会環境,医療環境,訓練プログラム構造を考慮することが含まれます.
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