Wayne State University, Department of Surgery, Detroit, MI, USA.
Am J Surg. 2012 Mar;203(3):397-400; discussion 400. doi: 10.1016/j.amjsurg.2011.09.020.
This study was performed to assess the hypothesis that performance levels for Fundamentals of Laparoscopic Surgery (FLS) tasks were not dependent on trainee gender.
Initial and final task completion times for 4 FLS tasks performed by 132 novices (4th-year medical students and 1st-year residents) were collated by task type and compared by gender.
All novices improved significantly with training (P > .001) on all tasks. Initial performance by men was better than by women but only reached significance for peg transfer and intracorporeal knot tying (P > .05). With training, women's performance became equivalent to that of men but showed a comparable or greater response to training.
The gender-related differences noted in initial FLS task performance disappeared after training. Gender displayed no effect on FLS training outcomes. The use of initial FLS task performance levels, seemingly objective selection criteria, would introduce gender bias into the ranking process.
本研究旨在评估以下假设，即腹腔镜手术基础技能（FLS）任务的表现水平不受受训者性别影响。
通过任务类型对 132 名新手（四年级医学生和一年级住院医师）完成的 4 项 FLS 任务的初始和最终任务完成时间进行整理，并按性别进行比较。
所有新手在训练中都有显著提高（P >.001），所有任务的表现均有所提高。男性的初始表现优于女性，但仅在针转移和腔内打结方面达到显著水平（P >.05）。经过培训，女性的表现与男性相当，但对培训的反应更相似或更大。
培训后，初始 FLS 任务表现中的性别相关差异消失。性别对 FLS 培训结果没有影响。使用初始 FLS 任务表现水平（看似客观的选择标准）会将性别偏见引入排名过程。
