在男性和女性外科医生中,临床实践发展的障碍和促进因素
Caitlin B Finn1,2,3, Solomiya Syvyk2, Emna Bakillah2,3,4
1Department of Surgery, Weill Cornell Medicine, New York, New York.
JAMA surgery
|October 18, 2023
概括
早期职业生涯的外科医生面临着外部障碍,以实践成长,女性经历了额外的基于性别的歧视. 解决这些系统性问题可以提高学术外科的公平性和保留率.
科学领域:
- 外科手术实践发展发展
- 学术医学是一门学术医学.
- 卫生公平性健康公平性
背景情况:
- 早期职业生涯的外科医生在发展临床实践时经常面临挑战,导致倦怠和疲劳.
- 与男性相比,女性在外科手术中在转诊和实践机会方面存在差异.
- 了解社会和结构障碍对于支持学术外科医生至关重要.
研究的目的:
- 确定影响外科医生临床实践发展的障碍和促进因素.
- 专门研究这些因素的性别相关差异.
- 为支持公平实践增长的干预提供信息.
主要方法:
- 一个多机构的定性描述性研究.
- 与5个美国学术医疗中心的45名外科医生进行半结构面试.
- 有根据的理论分析,以确定外科医生的观点的主题.
主要成果:
- 外科医生将竞争,病例分布,资源分配和市场和列为常见的障碍.
- 妇女报告了其他挑战,包括性别歧视,资源分配不平等以及非操作性需求.
- 与患者和转诊医生的性别一致性促进了女性的实践成长.
结论:
- 外部背景因素对外科医生实践发展产生重大影响.
- 学术机构应该审查政策,以促进公平的增长和减少早期职业生涯外科医生的障碍.
- 解决系统性问题可以加速实践发展,提高工作场所的公平性.
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