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在一般外科住院培训期间,住院人员对性别在操作经验中的作用的看法:一项混合方法研究
Leah K Winer1, Nicole Panzica2, Kenneth Lynch3
1Fox Chase Cancer Center, Department of Surgery, Philadelphia, PA, USA.
American journal of surgery
|May 8, 2024
概括
女性整形外科医生面临的障碍影响了她们的手术经验. 感知到的性别偏见和性别歧视是重要的问题,需要为公平的培训做出系统性改变.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医学中的性别研究.
背景情况:
- 在男性和女性整形外科住院医生之间,手术病例数量的差异仍然存在.
- 在外科培训中这些基于性别的差异的根本原因在很大程度上仍未被探索.
研究的目的:
- 调查导致手术病例性别差异的潜在因素.
- 确定解决方案,以提高所有居民的运营经验的公平性.
主要方法:
- 一项基于调查的探索性研究在21个认可的整体外科住院计划中进行.
- 该调查包括利克尔特比例和自由文本问题,以收集居民的观点.
主要成果:
- 在96名受访者中,69%是女性. 虽然22%的女性报告了个人障碍的操作经验 (vs. 13%的男性,p=0.41),52%的女性居民认为性别影响了他们的培训 (p=0.004).
- 常见的障碍包括临床任务. 女性居民最常提到感知到的性别歧视/性别偏见,包括错误识别,感到不受欢迎,缺乏信任/自治.
- 提出的解决方案包括结构化的计划审查,反机制和透明的案例分配标准.
结论:
- 女性整形外科医生认为,性别偏见显著影响了他们的培训.
- 进一步的混合方法研究对于充分理解和解决行动经验中基于性别的差异至关重要.
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