Baerlocher Mark O, Noble Jason
University of Toronto Radiology Residency Training Program, Department of Ophthalmology and Vision Sciences, Ontario, Canada.
Can J Ophthalmol. 2006 Apr;41(2):163-8. doi: 10.1139/I06-003.
Despite equalization of the ratio of men and women among matriculating medical students, it is possible that different rates of success for applicants at the level of resident selection in the annual residency match may occur on the basis of sex. As part of a larger project, we examined this issue across the medical specialties. In the current article, the effect of sex on resident selection within the specialty of ophthalmology is explored.
Data were obtained from the Canadian Medical Association, Canadian Institute for Health Information, Royal College of Physicians and Surgeons of Canada, Canadian Ophthalmological Society, and Canadian Residency Matching Service regarding sex- and age-specific demographics, as well as success rates for male and female applicants ranking an ophthalmology residency program as their top choice. The proportion of men who ranked ophthalmology as their top choice but did not match to any ophthalmology program was compared to the corresponding proportion of women.
The female: male ratio of practicing ophthalmologists has slowly increased over the past decade and is highest (0.41:1) within the under-45 age group. By grouping data from 1993 to 2004, we found that men who ranked an ophthalmology program as their first choice had odds of not being accepted to an ophthalmology program that were 1.1 times (95% confidence interval 0.8-2.0; p=0.34) the corresponding odds for women.
Our data suggest that discrimination on the basis of sex does not occur at the level of residency selection. The lower level of female recruitment may be due to decreased interest in this specialty among women. Nonetheless, the proportion of female ophthalmologists within the Canadian workforce continues to increase.
尽管医学院入学新生中的男女比例已实现均衡，但在年度住院医师匹配中，申请人在住院医师选拔层面的成功率可能因性别而异。作为一个更大项目的一部分，我们在各个医学专业中研究了这个问题。在本文中，探讨了性别对眼科专业住院医师选拔的影响。
从加拿大医学协会、加拿大卫生信息研究所、加拿大皇家内科医师与外科医师学院、加拿大眼科学会和加拿大住院医师匹配服务机构获取了有关性别和年龄特定人口统计学数据，以及将眼科住院医师项目列为首选的男性和女性申请人的成功率数据。将将眼科列为首选但未匹配到任何眼科项目的男性比例与相应的女性比例进行了比较。
在过去十年中，执业眼科医生的女性与男性比例缓慢上升，在45岁以下年龄组中最高（0.41:1）。通过对1993年至2004年的数据进行分组，我们发现将眼科项目列为首选的男性未被眼科项目录取的几率是女性相应几率的1.1倍（95%置信区间0.8 - 2.0；p = 0.34）。
我们的数据表明，在住院医师选拔层面不存在基于性别的歧视。女性招募水平较低可能是由于女性对该专业的兴趣降低。尽管如此，加拿大劳动力中女性眼科医生的比例仍在持续增加。
