眼科住院毕业生中病例数量的性别差异,2014-2023年
Susan M Culican1, Misha F Syed2, Yoon Soo Park3
1Office of Medical Education, Department of Ophthalmology and Visual Neurosciences, University of Minnesota Medical School, Minneapolis.
JAMA ophthalmology
|May 1, 2025
概括
女性眼科医生比男性进行的白内障手术少. 女性和医学界代表不足 (URiM) 居民报告的整体手术数量较少,这表明手术培训量存在差异.
科学领域:
- 眼科医生 眼科 眼科
- 外科教育的外科教育
- 健康差异 在健康上的差异
背景情况:
- 之前的研究表明,在美国眼科住院项目中,手术量存在性别差异.
- 这些研究结果在所有美国眼科住院医生的代表性仍然不清楚.
研究的目的:
- 根据自我报告的性别和在医学 (URiM) 中代表性不足的地位,调查美国眼科住院毕业生报告的外科手术体积的变化.
主要方法:
- 一项追溯观察纵向队列研究分析了2014年至2023年间美国医学研究生教育认证委员会 (ACGME) 的非身份化手术日志数据.
- 数据涵盖了所有美国眼科住院计划的毕业生,根据性别和URiM状态比较手术经验.
主要成果:
- 与10年期间的男性居民相比,女性居民进行的白内障手术 (平均差异: -4.4%) 和总手术 (平均差异: -7.4%) 较少.
- 医学代表性不足 (URiM) 状态与白内障手术的差异无关,但与较少的整体手术有关 (平均差异: -5.3%).
结论:
- 与男性住院医生相比,女性住院医生在白内障手术和整体上总体上报告了较低的外科手术量.
- 无论是女性还是URiM的住院医生,都经历了较低的整体外科手术量,突出了住院医生培训的潜在差异,需要进一步调查.
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