性别对泌尿外科住院病例记录量的影响:一项为期11年的全国性研究
Jenna Bates Maffei1, Angeline Johny1, Yoon Soo Park2
1Scott Department of Urology, Baylor College of Medicine, Houston, TX.
Journal of surgical education
|May 3, 2025
概括
女性泌尿器科住院医生与男性住院医生相比,总体病例和特定程序类型的记录较少,尽管满足了最低要求. 在手术病例数量中的这种性别差异需要注意,因为它与患者的结果有关.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 在居民之间分发外科病例日志对于技能发展至关重要.
- 了解在泌尿器科住院培训中潜在的基于性别的差异对于公平的教育和患者护理至关重要.
研究的目的:
- 进行首次在国家层面对性别与泌尿器科住院病例日志分布关系的审查.
- 调查男性和女性泌尿器科住院医生之间的整体病例数量和特定索引病例类别的假设差异.
主要方法:
- 一个新型数据库的回顾回顾,该数据库集成了来自研究生医学教育认证委员会 (ACGME) 国家数据系统的居民特征.
- 在11年的时间里 (2013-2023) 分析了来自145个泌尿器科计划的3335名毕业生病例日志.
主要成果:
- 女性泌尿器科住院医生总体上记录的病例比男性住院医生少 (p < 0.001).
- 在特定病例类别中观察到差异,男性记录了更多的一般性泌尿病学,内镜和瘤病例.
- 虽然女性在某些年份记录了更多的儿科和重建病例,但整体趋势表明,与男性相比,记录的病例较少,特别是在最近几年.
结论:
- 在为期11年的研究期间,女性泌尿器科住院医生的比例在统计学上保持不变.
- 尽管达到认证病例最低限度,但在记录的外科病例数量中仍然存在显著的性别差距,女性总体上和关键子专业中记录的病例较少.
- 考虑到手术病例数量与患者结果之间的相关性,解决泌尿病学住院病例日志中的性别差异至关重要.
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