Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.
Department of Surgery, University of South Florida, Tampa, FL, USA.
Am Surg. 2023 Nov;89(11):4878-4880. doi: 10.1177/00031348211011143. Epub 2021 Apr 15.
As women surgeons continue to represent a minority within the surgical field while also holding lower ranked positions, gaining a sub-specialized set of clinical skills through surgical fellowships, like surgical critical care (SCC), is one approach to advance within the surgical field. A cross-sectional analysis was performed investigating the websites of all 106 US-based SCC fellowships. A total of 116 SCC fellows were included in this analysis, comprising 67 (59.3%) men and 46 (40.7%) women. There were 977 SCC fellowship faculty were evaluated, comprising 619 (67.9%) men and 292 (32.1%) women. Additionally, 103 SCC fellowship program directors were analyzed, consisting of 77 (74.8%) men and 26 (25.2%) women. There is a significantly lower proportion of women fellows and faculty members (P < .001) compared to men. SCC programs with female program directors on average have higher proportions of female fellows and faculty compared to programs with male program directors (52% and 36% vs 31% and 29%, respectively). There is a stable yet unbalanced gender distribution throughout all positions in SCC fellowship programs. Actively supporting women surgeons pursuing SCC fellowship and removing barriers to their advancement through effective interventions can disrupt the persistently low prevalence of women SCC fellows, faculty, and program directors.
虽然女性外科医生在外科领域仍然只占少数，而且职位也较低，但通过外科研究员课程（如外科重症监护）获得一套专门的临床技能是在外科领域取得进步的一种方法。本研究对所有 106 个美国 SCC 研究员课程的网站进行了横断面分析。共有 116 名 SCC 研究员参与了这项分析，其中 67 名（59.3%）为男性，46 名（40.7%）为女性。共评估了 977 名 SCC 研究员课程教师，其中 619 名（67.9%）为男性，292 名（32.1%）为女性。此外，分析了 103 名 SCC 研究员课程主任，其中 77 名（74.8%）为男性，26 名（25.2%）为女性。与男性相比，女性研究员和教师的比例明显较低（P<.001）。平均而言，女性研究员课程主任的 SCC 课程中女性研究员和教师的比例高于男性研究员课程主任的 SCC 课程（分别为 52%和 36%，以及 31%和 29%）。SCC 研究员课程的所有职位中都存在稳定但不平衡的性别分布。通过有效的干预措施，积极支持女性外科医生从事 SCC 研究员课程，并为她们的发展扫清障碍，可以打破女性 SCC 研究员、教师和课程主任比例持续偏低的局面。
