你的性别是否影响居民的操作经验? 一个多机构的定性研究
Polina Zmijewski1, Carla Aleman1, Nicole Panzica1
1Department of Surgery, The University of Alabama at Birmingham, Birmingham, AL, USA.
Journal of surgical education
|December 22, 2024
概括
由于文化规范,女性外科住院医生在手术经验中面临基于性别的差异. 解决微型攻击和实施结构化指导可以改善外科培训中的公平性.
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:
- 定量数据表明,女性外科住院医生比男性外科住院医生执行的病例少得多.
- 这种差异相当于女性住院人员的操作经验减少了1-3个月.
- 聚焦小组进行了探索这些观察到的差异背后的原因.
研究的目的:
- 调查女性整体外科住院医生的经验,以了解她们在手术方面的差异.
- 识别导致女性住院医生手术病例数减少的障碍.
- 探索改善运营经验权益的潜在途径.
主要方法:
- 来自21个项目的25名女性整形外科住院医生参加了这次活动.
- 进行了9个虚拟焦点小组,每个小组持续1小时.
- 截稿由三个独立审稿人编码,以确保可靠性.
主要成果:
- 居民报告了"微型攻击"和压力,以平衡自信与感知.
- 障碍包括不成比例的地板工作,缺乏尊重,不愿意"夺取空间".
- 提出了怀孕歧视和哺乳期支持不足的担忧;建议的改进包括多元化的教师和结构化的指导.
结论:
- 性别主导的文化规范对女性居民的操作经验产生了负面影响.
- 解决方案包括公平教育,对员工的明确期望和结构化的指导计划.
- 这些干预措施旨在弥补外科住院教育的差异.
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