为什么女性离开外科培训? 一个定性和女性主义的研究
Rhea Liang1, Tim Dornan2, Debra Nestel3
1Department of Surgery, Gold Coast Hospital and Health Service, Robina, QLD, Australia.
Lancet (London, England)
|February 12, 2019
概括
女人离开外科培训的比例更高. 这项定性研究发现了六个新的因素,包括假期的缺失和对影响的担忧,强调了多方面的干预措施的必要性.
科学领域:
- 医学教育
- 手术培训
- 医学中的性别研究
背景情况:
- 妇女在外科手术方面的代表性较低,而且退学率比男性高.
- 现有的研究往往缺乏女权主义的视角, 并采用不适合问题的复杂性量化方法.
研究的目的:
- 为什么女性选择离开外科培训.
- 找出导致女性退出外科专业的因素.
- 开发一个模型来解释这些因素的复杂相互作用.
主要方法:
- 这项定性研究涉及12名退休外科妇女的采访.
- 通过专业的外科院校进行有目的的雪球采样.
- 主题编码和解释视觉模拟模型的开发.
主要成果:
- 证实之前报告的女性离开外科培训的原因.
- 确定了六个新的促成因素:假期不可用,残疾假期原因,心理健康不佳,缺乏专业支持网络,担心报复,缺乏具体的支持途径.
- 这些因素之间的复杂,有时矛盾的关系被视为"块的塔".
结论:
- 干预措施应警意外的负面影响,并应对多种因素,但不要过分强调性别.
- 有效的干预需要注意促成因素,微妙的影响,以及外科培训的更广泛背景.
- 建议包括考虑当地社会背景,医疗保健环境和培训计划结构.
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