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公民任务与女医生:学术医学中的女性附加税?

Citizenship Tasks and Women Physicians: Additional Woman Tax in Academic Medicine?

机构信息

Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Department of Surgery, Center for Advanced Surgical Technology, University of Nebraska Medical Center, Omaha, Nebraska, USA.

出版信息

J Womens Health (Larchmt). 2021 Jul;30(7):935-943. doi: 10.1089/jwh.2020.8482. Epub 2020 Nov 17.

DOI:10.1089/jwh.2020.8482
PMID:33202161
Abstract

Our aim was to evaluate differences in reported citizenship tasks among women physicians due to personal or demographic factors and time spent performing those tasks for work. Attendees of a national women physician's leadership conference (Brave Enough Women Physicians Continuing Medical Education Conference) replied to a survey using Qualtrics (2019 Qualtrics, Provo, UT), in September 2019. Data collected included age, race, ethnicity, training level, medical practice, specialty, current annual total compensation, educational debt, and number of children. We asked about employment-related citizenship tasks, including time spent on those activities, and perceived obligation to volunteer for citizenship tasks. Descriptive and impact of demographic factors on those opinions were evaluated using IBM SPSS v26.0. Three hundred eighty-nine women physicians replied. When compared with their younger counterparts, women physicians older than 49 years stated they feel obligated to volunteer for these tasks because of their gender ( = 0.049), and were less likely able to decide which citizenship tasks they were assigned to ( = 0.021). Furthermore, a higher proportion of women of color physicians perceived race as a factor in feeling obligated to volunteer for work-related citizenship tasks, when compared with White women physicians ( < 0.001). Additionally, nearly 50% of women physicians reported spending more time on citizenship tasks than their male counterparts. Our findings suggest that gender, race, and age may play a role in the decision of women physicians to participate in work-related citizenship tasks. To our knowledge, this is the first study to report on work-related citizenship tasks as described by women physicians. Still, an in-depth assessment on the role citizenship tasks play in the culture of healthcare is warranted.

摘要

我们的目的是评估女性医生由于个人或人口统计学因素以及为工作完成这些任务所花费的时间而报告的公民任务差异。2019 年 9 月,参加全国女性医生领导力会议(勇敢的女性医生继续医学教育会议)的与会者使用 Qualtrics(2019 Qualtrics,普罗沃,犹他州)回答了一份调查。收集的数据包括年龄、种族、民族、培训水平、医疗实践、专业、当前年薪总额、教育债务和子女数量。我们询问了与就业相关的公民任务,包括花费在这些活动上的时间,以及自愿承担公民任务的意愿。使用 IBM SPSS v26.0 评估人口统计因素对这些观点的描述和影响。389 名女性医生做出了回应。与年轻女性医生相比,年龄在 49 岁以上的女性医生表示,由于性别原因,她们有义务自愿承担这些任务(=0.049),而且不太可能决定自己被分配到哪些公民任务(=0.021)。此外,与白人女性医生相比,有色人种女性医生中认为种族是有义务自愿承担与工作相关的公民任务的一个因素(<0.001)的比例更高。此外,近 50%的女性医生报告说,她们在公民任务上花费的时间比男性医生多。我们的研究结果表明,性别、种族和年龄可能会影响女性医生参与与工作相关的公民任务的决定。据我们所知,这是第一项报告女性医生所描述的与工作相关的公民任务的研究。尽管如此,仍需要对公民任务在医疗保健文化中的作用进行深入评估。

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