Altieri Maria S, Price Kristie L, Yang Jie, Jones Daniel B, Pryor Aurora D
†Department of Family, Population and Preventive Medicine, Stony Brook University Medical Center, Stony Brook, New York; and.
‡Minimally Invasive Surgical Services, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Am Surg. 2020 Mar 1;86(3):266-272.
Despite an increase in percentage of women entering the surgical field, women tend to favor certain surgical subspecialties. The purpose of this study was to investigate how surgeons advise trainees in pursuit of a surgical career. An 18-question survey was administered to members of the American College of Surgeons through their monthly newsletter . Respondents were asked to identify subspecialties that they would consider to be most receptive to men or women and how they would advise men and women pursuing a surgical specialty. There were 663 respondents, of which the majority (n = 465, 70.99%) were male. When asked if participants had a role model in medical school, 61.10 per cent had male role models/mentors, whereas only 7.96 per cent had female role models/mentors. Among the 23 surgical subspecialties listed, the top five specialties viewed as receptive for women were breast surgery, obstetrics and gynecology, plastic surgery, ophthalmology, and GS. Surgical specialty and gender of the respondent played a role in how surgeons advised men and women trainees, especially in specialties that traditionally have less female representation. There is inherent gender-based bias in advisement of trainees that may affect surgical specialty choice. Surgeon gender, age, and surgical specialty could be predictors as to how trainees are advised.
尽管进入外科领域的女性比例有所增加,但女性往往倾向于某些外科亚专业。本研究的目的是调查外科医生如何为追求外科职业的实习生提供建议。通过美国外科医师学会的月度通讯对其成员进行了一项包含18个问题的调查。受访者被要求指出他们认为对男性或女性最接纳的亚专业,以及他们会如何建议追求外科专业的男性和女性。共有663名受访者,其中大多数(n = 465,70.99%)为男性。当被问及参与者在医学院是否有榜样时,61.10%的人有男性榜样/导师,而只有7.96%的人有女性榜样/导师。在列出的23个外科亚专业中,被视为对女性接纳度最高的前五个专业是乳腺外科、妇产科、整形外科、眼科和普通外科。受访者的外科专业和性别在外科医生如何建议男性和女性实习生方面发挥了作用,尤其是在传统上女性代表较少的专业。在为实习生提供建议方面存在基于性别的固有偏见,这可能会影响外科专业的选择。外科医生的性别、年龄和外科专业可能是影响如何为实习生提供建议的预测因素。