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Psychosurgery01:30

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Updated: Jun 10, 2025

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使用外科手术自主计划的操作自主性性别差异:一个多中心研究

Elayna P Kirsch1, Vishal Venkatraman1, Di Deng2

  • 1is Resident Physician, Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.

Journal of graduate medical education
|October 17, 2024
PubMed
概括
此摘要是机器生成的。

女性神经外科住院医生报告并获得的自主权低于男性,尽管随着时间的推移,差距越来越小. 女性也收到较少的操作反,突出显示在外科培训中持续存在的性别差异.

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科学领域:

  • 神经外科培训课程 神经外科培训
  • 医学教育 医学教育
  • 在外科住院外科住院.

背景情况:

  • 女性在手术中的比例越来越高.
  • 现有证据表明,在外科住院者自主性方面存在性别差异.
  • 需要调查神经外科手术中的这些差异.

研究的目的:

  • 使用外科手术自主计划 (SAP) 评估自主性的性别差异.
  • 在神经外科住院医生中比较自我报告和临床医生报告的自主性.
  • 分析男性和女性居民之间的操作反差异.

主要方法:

  • 利用了8所机构 (2017年7月至2024年2月) 外科自主计划 (SAP) 的数据.
  • 在定义的手术区域 (打开,曝光,关键部分,关闭) 中评估住院自主性.
  • 采用顺序回归和千平方分析来比较性别的自主性和反,控制共变量.

主要成果:

  • 与男性相比,女性居民获得的自主权显著减少 (OR 0.81),自我评估的自主权较低 (OR 0.73).
  • 女性在更高的自主性下工作的几率与在硬案中工作的几率相当.
  • 性别之间的自主评估差距随着时间的推移而减少,女性在关键部分的改善速度更快;女性收到的反较少 (74.2%对80.5%).

结论:

  • 女性神经外科住院医生经历较低的自主权,无论是自我评估还是参与评估.
  • 自主评估中的性别差距在培训期间缩小.
  • 女性住院医生接受的术后反较少,这表明外科教育的持续差异.