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多机构研究研究了手术内委托和居民性别
Samantha Baker1, Julie Evans2, Niki Matusko2
1University of Alabama at Birmingham, 1808 7th Ave S, #503U, Birmingham, AL, 35294, USA.
American journal of surgery
|September 6, 2024
概括
居民的性别没有影响对多机构外科培训的信任. 然而,一个地点显示出差异,表明复杂的因素影响居民的信任和培训经验.
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:
- 之前的单一站点研究报告了不一致的性别关联与外科住院的委托.
- 这项研究旨在评估多个机构的居民性别和手术内委托.
研究的目的:
- 调查居民性别与手术内委托之间的关系.
- 确定性别是否影响外科培训计划中的基于信任的互动.
主要方法:
- 利用OpTrust工具对教师委托和居民可信度进行客观的业内评估.
- 在四个基于大学的培训计划中观察到手术病例.
- 采用独立的样本t测试和回归分析,采用集群调整的标准误差.
主要成果:
- 根据多个机构 (p=0.30) 的居民性别,没有发现居民可信度的显著差异.
- 在被评为更困难的病例中观察到女性居民 (p=0.04).
- 一个机构显示,男性居民的居民信任度和教师信任度较高 (分别为p=0.007和p=0.022).
结论:
- 总体而言,在多机构层面上,根据居民性别的委托没有差异.
- 单一地点的差异表明,培训差异受到多因素的影响.
- 需要进一步的研究来探索影响性别和对外科教育的信任的特定场所因素.
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