From the Penn State College of Medicine.
Division of Plastic and Reconstructive Surgery, Department of Surgery, The Pennsylvania State University, Hershey PA.
Ann Plast Surg. 2022 Oct 1;89(4):344-349. doi: 10.1097/SAP.0000000000003239. Epub 2022 Jun 7.
The role sex plays in surgical leadership positions is heavily discussed in the literature; however, there is an absence of research looking at plastic surgery program director (PD) demographics and the differences between male and female PDs.
A cross sectional study of publicly available online resources of all integrated plastic surgery residency programs was performed. Demographic and academic data of integrated plastic surgery PDs was analyzed focusing on the differences in PDs based on sex.
Eighty-two integrated plastic surgery residencies were analyzed. Fifteen PDs (18.3%) were female. Fifty-six (68%) PDs completed general surgery residencies, whereas 24 (29%) completed an integrated plastics residency. All female PDs were fellowship trained, whereas only 46 (68%) male PDs pursued additional training after residency ( P = 0.02). Research output among male PDs was greater with 49.9 publications and a higher average H-index, at 13.3, compared with women with an average of 27.5 publications ( P = 0.008) and an H-index of 8.7 ( P = 0.02). When comparing male to female PDs, there was no difference between age at PD appointment ( P = 0.15), or in the amount of time between completion of plastic surgery training to PD appointment ( P = 0.29). Male PDs were older (52.2) compared with female PDs (46.5) ( P = 0.02). Male PDs served longer terms (4.98 years) than female PDs (2.87 years) ( P = 0.003).
The majority of integrated plastic surgery PDs are men with a Doctor of Medicine degree who completed a general surgery residency and a plastic surgery fellowship. Most PDs also completed fellowship in a plastic subspecialty. Male PDs had higher research output, which may be attributed to their older age on average. Although women make up only 18.3% of plastic surgery PDs, this percentage is similar to the 17.2% of active female plastic surgeons in the United States. As more women train in plastic surgery, it is possible that the percentage of women serving academic leadership roles will increase. By gaining a better understanding of the demographics and diversity in plastic surgery residency program leadership, efforts can be made to increase the representation of minority groups in academic leadership roles.
文献中大量讨论了性在外科领导职位中的作用；然而，目前还没有研究关注整形外科学主任（PD）的人口统计学特征以及男女 PD 之间的差异。
对所有综合整形住院医师培训计划的公开在线资源进行了横断面研究。分析了综合整形 PD 的人口统计学和学术数据，重点关注基于性别的 PD 差异。
分析了 82 个综合整形住院医师培训计划。15 名 PD（18.3%）为女性。56 名（68%）PD 完成普通外科住院医师培训，而 24 名（29%）完成综合整形住院医师培训。所有女性 PD 均接受过专业培训，而只有 46 名（68%）男性 PD 在住院医师培训后接受了额外培训（P=0.02）。男性 PD 的研究成果更多，有 49.9 篇论文和 13.3 的平均 H 指数，而女性的平均论文数为 27.5 篇（P=0.008），H 指数为 8.7（P=0.02）。比较男性和女性 PD，PD 任命时的年龄（P=0.15）或完成整形外科学培训到 PD 任命的时间（P=0.29）之间没有差异。男性 PD 年龄较大（52.2 岁），而女性 PD 年龄较小（46.5 岁）（P=0.02）。男性 PD 的任期较长（4.98 年），而女性 PD 的任期较短（2.87 年）（P=0.003）。
大多数综合整形住院医师培训计划的 PD 是男性，拥有医学博士学位，完成了普通外科住院医师培训和整形外科学会。大多数 PD 还完成了整形外科学的专业培训。男性 PD 的研究成果更高，这可能归因于他们的平均年龄较大。尽管女性仅占整形外科学 PD 的 18.3%，但这一比例与美国活跃的女性整形医师的 17.2%相似。随着越来越多的女性接受整形外科学培训，担任学术领导角色的女性比例可能会增加。通过更好地了解整形住院医师培训计划领导的人口统计学和多样性，可以努力增加少数民族群体在学术领导角色中的代表性。
