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德国泌尿科中心资深医师的职业和个人方面的性别差异:基于网络的调查结果。

Gender-Specific Variations in Professional and Personal Aspects among Senior Urology Physicians at German Centers: Results of a Web-Based Survey.

机构信息

Department of Urology and Pediatric Urology, Hospital Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany,

Department of Urology, University Medicine Greifswald, Greifswald, Germany.

出版信息

Urol Int. 2020;104(3-4):309-322. doi: 10.1159/000503869. Epub 2019 Nov 12.

Abstract

INTRODUCTION

Senior urology physicians represent a heterogeneous group covering various clinical priorities and career objectives. No reliable data on gender-specific variations among senior urology physicians are available concerning professional and personal aspects.

METHODS

The objective of this study was to analyze professional perspectives, professional and personal settings, and individual career goals. A Web-based survey containing 55 items was designed which was available for senior physicians at German urologic centers between February and April 2019. Gender-specific differences were evaluated using bootstrap-adjusted multivariate logistic regression models.

RESULTS

One hundred and ninety-two surveys were evaluable including 29 female senior physicians (15.1%). Ninety-five percent would choose urology again as their field of specialization - with no significant gender-specific difference. 81.2% of participants rate the position of senior physician as a desirable career goal (comparing sexes: p = 0.220). Based on multivariate models, male participants self-assessed themselves significantly more frequently autonomously safe performing laparoscopic, open, and endourologic surgery. Male senior physicians declared 7 times more often to run for the position of head of department/full professor.

CONCLUSION

This first study on professional and personal aspects among senior urology physicians demonstrates gender-specific variations concerning self-assessment of surgical expertise and future career goals. The creation of well-orchestrated human resources development strategies especially adapted to the needs of female urologists seems advisable.

摘要

简介

资深泌尿科医师代表了一个涵盖各种临床重点和职业目标的多样化群体。目前尚无关于资深泌尿科医师在专业和个人方面的性别差异的可靠数据。

方法

本研究旨在分析专业观点、专业和个人环境以及个人职业目标。设计了一个包含 55 个项目的基于网络的调查,该调查于 2019 年 2 月至 4 月期间在德国泌尿科中心的资深医师中进行。使用 bootstrap 调整的多变量逻辑回归模型评估了性别差异。

结果

评估了 192 份调查,其中包括 29 名女性资深医师(15.1%)。95%的人会再次选择泌尿科作为他们的专业领域——没有明显的性别差异。81.2%的参与者将资深医师的职位评为理想的职业目标(比较性别:p=0.220)。基于多变量模型,男性参与者自我评估自己进行腹腔镜、开放和内镜手术的自主性安全性的频率明显更高。男性资深医师宣布担任系主任/教授的可能性要高出 7 倍。

结论

这是第一项关于资深泌尿科医师专业和个人方面的研究,表明在手术专业知识和未来职业目标方面存在性别差异。制定特别适合女性泌尿科医生需求的协调良好的人力资源发展战略似乎是明智的。

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