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外科教育:教育方面的差异可能会影响培训的质量和完成培训的可能性。

Surgical Education: Disparities in Education May Impact the Quality and Likelihood of Completion of Training.

作者信息

Ofshteyn Asya, Steinhagen Emily

机构信息

Division of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota.

Division of Colorectal, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

出版信息

Clin Colon Rectal Surg. 2023 Mar 8;36(5):315-320. doi: 10.1055/s-0043-1763519. eCollection 2023 Sep.

DOI:10.1055/s-0043-1763519
PMID:37564350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10411215/
Abstract

Female surgical trainees experience bias that begins at the preclinical stages of medical school, extending into their surgery clerkships, and then into their residency training. There are important implications in terms of training opportunities and career advancement, mentorship, sponsorship, and ultimately burnout. Childbearing and lactation also impact the experiences and perceptions of female trainees who have children. There are limited interventions that have improved the experience of women in surgical training. Mentorship appears to play an important role in ameliorating some of the negative consequences of the training environment and improving outcomes for women surgeons.

摘要

女性外科实习生在医学院校的临床前阶段就开始经历偏见,这种偏见一直延续到她们的外科实习阶段,然后进入住院医师培训阶段。在培训机会、职业发展、指导、赞助以及最终的职业倦怠方面,都存在着重要影响。生育和哺乳也会影响有孩子的女性实习生的经历和认知。改善女性外科培训经历的干预措施有限。指导似乎在减轻培训环境的一些负面后果以及改善女外科医生的职业成果方面发挥着重要作用。

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本文引用的文献

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Gender bias in reference letters for residency and academic medicine: a systematic review.论住院医师和学术医学推荐信中的性别偏见:系统综述。
Postgrad Med J. 2023 May 22;99(1170):272-278. doi: 10.1136/postgradmedj-2021-140045.
2
Assessment of Potential Gender Bias in General Surgery Resident Milestone Evaluations.普通外科住院医师里程碑评估中潜在性别偏见的评估
JAMA Surg. 2022 Dec 1;157(12):1164-1166. doi: 10.1001/jamasurg.2022.3929.
3
Female surgical trainee recruitment and attrition - A 10-year national retrospective review.女性外科实习医生的招募与流失——一项为期10年的全国性回顾性研究
Am J Surg. 2023 Feb;225(2):282-286. doi: 10.1016/j.amjsurg.2022.07.020. Epub 2022 Aug 10.
4
Suturing the gender gap through sponsorship: The role of sponsorship in female entry and advancement through their surgical careers.通过资助缩小性别差距:资助在女性通过外科职业生涯进入和晋升中的作用。
Am J Surg. 2022 Jul;224(1 Pt B):266-270. doi: 10.1016/j.amjsurg.2022.02.008. Epub 2022 Feb 9.
5
Autonomy in the Operating Room: A Multicenter Study of Gender Disparities During Surgical Training.手术室自主权:一项多中心研究,探讨手术培训期间的性别差异。
J Grad Med Educ. 2021 Oct;13(5):666-672. doi: 10.4300/JGME-D-21-00217.1. Epub 2021 Oct 15.
6
Gender disparities in gastrointestinal surgery fellowship programs.胃肠道外科学研究金项目中的性别差异。
Surg Endosc. 2022 Jun;36(6):3805-3810. doi: 10.1007/s00464-021-08697-3. Epub 2021 Aug 30.
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Experiences of Gender Discrimination and Sexual Harassment Among Residents in General Surgery Programs Across the US.美国普通外科住院医师项目中性别歧视和性骚扰的经历。
JAMA Surg. 2021 Oct 1;156(10):942-952. doi: 10.1001/jamasurg.2021.3195.
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Despite a Match Communication Code of Conduct, Applicants Continue to Be Asked Inappropriate Questions.尽管有《匹配沟通行为准则》,但申请人仍不断被问及不适当的问题。
Dis Colon Rectum. 2021 May;64(5):508-510. doi: 10.1097/DCR.0000000000001980.
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Predictive Factors of First Time Pass Rate on the American Board of Surgery Certification in General Surgery Exams: A Systematic Review.外科手术认证考试中首次通过美国外科委员会认证率的预测因素:系统评价。
J Surg Educ. 2021 Sep-Oct;78(5):1676-1691. doi: 10.1016/j.jsurg.2021.01.020. Epub 2021 Feb 12.
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PLoS One. 2021 Feb 2;16(2):e0246420. doi: 10.1371/journal.pone.0246420. eCollection 2021.