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在爱尔兰和英国的创伤和骨科培训期间,实习生性别和操作自主性之间的相关性
Rosie Mc Colgan1, Fiona Boland1, Gerard A Sheridan2
1Royal College of Surgeons in Ireland, Dublin, Ireland.
Bone & joint open
|January 10, 2025
概括
男性的骨科实习生比女性实习生获得了更大的操作自主权. 女性实习生更频繁地协助,强调需要审查培训机会,以便在外科教育中取得公平的进展.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 整形医生 整形医生
背景情况:
- 操作自主性对于外科手术技能发展至关重要.
- 了解培训中的基于性别的差异对于公平的医学教育至关重要.
研究的目的:
- 调查爱尔兰和英国的男性和女性骨科学员之间操作自主性的差异.
- 根据培训年,案件复杂性,索引程序和专业领域分析这些差异.
主要方法:
- 在2012年7月至2022年7月期间记录的骨科手术的回顾性队列研究.
- 操作自主性定义为实习生在没有监督培训师进行手术的情况下进行手术.
- 分析了3,533,223个记录的操作.
主要成果:
- 与女性实习生相比,男性实习生进行了5%更多的自主手术 (30.5%与25.5%相比).
- 女学员在更多的手术中提供了协助 (35%对32%),并且在训练员擦洗后进行了更多的手术 (39%对37%).
- 在调整后,男性的自主性 (145%增加) 和监督程序 (35%增加) 的几率更高.
结论:
- 男性的骨科实习生表现出明显更高的操作自主性比女性实习生.
- 女性实习生参与的协助和监督案件比例较高.
- 建议对创伤和骨科培训进行全面审查,以确保所有学员都有平等的机会.
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