Flynn Brigid, Stiles Katherine, Fritzel Abbey, Weyker Paul, Ivascu Natalia, Nazir Niaman, Lozenski Jeanette
Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center, Kansas City, KS, USA.
Anesth Essays Res. 2020 Apr-Jun;14(2):177-182. doi: 10.4103/aer.AER_17_20. Epub 2020 Oct 12.
Disparities encountered by men and women physicians are well documented. However, evidence is lacking concerning the effects of gender on daily practice in the specialty of anesthesiology.
To evaluate gender disparities perceived by female anesthesiologists.
Anonymous, voluntary 30-question, electronic secure REDcap survey.
Survey link was sent via email, Twitter and the Facebook page, Physician Mom's Group. Instructions dictated that only female attending anesthesiologists participate and to partake in the survey one time.
Categorical variables were summarized using frequencies and percentages. Associations between categorical variables were tested using Chi-square test. Likert scale items were treated as continuous variables. T-tests were utilized to examine differences between those who reported burnout and those who did not.
502 survey responses were received and analyzed. Female leadership was valued by 78%, yet only 47% had leadership roles. Being female was identified by 51% as negatively affecting career advancement and 90% perceived that women in medicine need to work harder than men to achieve the same career goals. Sexual harassment was experienced by 55%. Nearly 35% of institutions did not offer paid maternity leave. Burnout was identified in 43% of respondents and was significantly associated with work-life balance not being ideal ( < 0.0001), gender negatively affecting career advancement ( < 0.0001), experiencing sexual harassment at work ( = 0.002), feeling the need to work harder than men ( = 0.0033), being responsible for majority of household duties ( = 0.0074), lack of weekly exercise ( = 0.0135) and lack of lactation needs at work ( = 0.0007).
Understanding perceptions of female anesthesiologists may lead to actionable plans aimed at improving workplace equity or conditions.
男女医生所面临的差异已有充分记录。然而，关于性别对麻醉学专业日常实践的影响，证据却很缺乏。
评估女性麻醉医生所感受到的性别差异。
一项30个问题的匿名、自愿的电子安全REDCap调查。
调查链接通过电子邮件、推特和“医生妈妈群”的脸书页面发送。说明规定只有女性麻醉科主治医生参与且只能参与一次调查。
分类变量用频率和百分比进行总结。分类变量之间的关联用卡方检验。李克特量表项目被视为连续变量。采用t检验来检验报告有职业倦怠者与未报告者之间的差异。
共收到并分析了502份调查问卷回复。78%的人重视女性领导力，但只有47%的人担任领导职务。51%的人认为女性身份对职业发展有负面影响，90%的人认为医学领域的女性要比男性更加努力才能实现相同的职业目标。55%的人经历过性骚扰。近35%的机构不提供带薪产假。43%的受访者存在职业倦怠，且职业倦怠与工作生活平衡不理想（<0.0001）、性别对职业发展有负面影响（<0.0001）、在工作中遭受性骚扰（=0.002）、感觉比男性更需努力工作（=0.0033）、承担大部分家务（=0.0074）、缺乏每周锻炼（=0.0135）以及工作中缺乏哺乳需求（=0.0007）显著相关。
了解女性麻醉医生的看法可能会促成旨在改善工作场所公平性或工作条件的可行计划。
