The Ohio State University College of Medicine, Columbus, OH, USA.
Ohio State University Wexner Medical Center, Department of Surgery, Columbus, OH, USA; Center for Surgical Health Assessment, Research and Policy (SHARP), Ohio State Wexner Medical Center, Columbus, OH, USA.
Am J Surg. 2019 Oct;218(4):803-808. doi: 10.1016/j.amjsurg.2019.07.008. Epub 2019 Jul 17.
In parallel to women entering general surgery training, acute care surgery (ACS) has been developing as a team-based approach to emergency general surgery (EGS). We sought to examine predictors of women surgeons in EGS generally, and ACS particularly.
From our national survey, we determined the proportion of women surgeons within EGS hospitals. We compared the proportion of women surgeons based on hospitals characteristics using chi-squared tests, then used regression models to measure odds of ACS relative to the proportion of women.
779 (50.4%) hospitals had zero women surgeons. These hospitals were more likely non-ACS and non-teaching with <200 beds. ACS had a higher median proportion of women surgeons (17%) compared to non-ACS (0%).
Our study highlights the dearth of women representation within EGS hospitals nationally and illuminates some of the underlying characteristics of ACS that may draw women: urban, academic, and staffed by more recently trained surgeons.
Using a national survey of Emergency General Surgery (EGS) hospitals, we sought to examine predictors of women surgeons in EGS generally, and acute care surgery (ACS) particularly. We found that 779 (50.4%) hospitals had zero women surgeons. Women were more likely to be among EGS surgeons at hospitals with ACS models. Our study highlights the dearth of women representation within EGS hospitals nationally and illuminates some of the underlying characteristics of ACS that may draw women: urban, academic, and staffed by a higher proportion of newly trained surgeons.
随着越来越多的女性进入普通外科培训，急症外科（ACS）已作为一种基于团队的紧急普通外科（EGS）方法发展起来。我们试图研究一般情况下女性外科医生和特别是 ACS 中女性外科医生的预测因素。
我们通过全国性调查，确定了 EGS 医院中女性外科医生的比例。我们使用卡方检验比较了根据医院特征的女性外科医生的比例，然后使用回归模型来衡量 ACS 相对于女性比例的优势比。
779 家（50.4%）医院没有女性外科医生。这些医院更可能是非 ACS 和非教学医院，床位数少于 200 张。ACS 的女性外科医生中位数比例（17%）高于非 ACS（0%）。
我们的研究强调了全国 EGS 医院中女性代表人数的不足，并阐明了 ACS 吸引女性的一些潜在特征：城市、学术和由最近培训的外科医生组成。
我们使用一项对急症普通外科（EGS）医院的全国性调查，试图研究一般情况下女性外科医生和特别是急症外科（ACS）中女性外科医生的预测因素。我们发现 779 家（50.4%）医院没有女性外科医生。在具有 ACS 模式的医院中，女性更有可能成为 EGS 外科医生。我们的研究强调了全国 EGS 医院中女性代表人数的不足，并阐明了 ACS 吸引女性的一些潜在特征：城市、学术和由最近培训的外科医生组成。
