Department of Surgery, PGY1 at the University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC, 27517, USA.
Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA.
Surg Endosc. 2023 Oct;37(10):7784-7789. doi: 10.1007/s00464-023-10304-6. Epub 2023 Aug 16.
Previous reports show that over 85% of general surgery residents choose to pursue fellowship training after completing residency. There continues to be an increase interest among general surgery residents in minimally invasive surgery (MIS) fellowship. Moreover, demographic disparities, particularly gender disparities continue to persist among surgical sub-specialties. In this study, we evaluated the gender disparities and practice patterns among graduating MIS fellows.
MIS fellows were surveyed, and 169 results were received from fellows who completed training in the years: 2010, 2015-2019. Surveys collected were used to create a descriptive analysis of the demographics, practice patterns and job finding measures. Loglinear regression model was performed to assess gender trend variation over training years.
Fellows self-reported gender showed 65% male, 30% female, and 5% prefer not to say. The cohort of participants was described as 45.3% white, 5.3% African American, and 6.5% Hispanic or Latino. Further, results showed 87.1% of fellows work in MIS surgery with 91.8% reporting their fellowship experience facilitated their ability to find a job. Most alumni pursue a comprehensive MIS practice. Moreover, the proportion of female fellows increased from 29 to 41%, but this increase over time was not significant using loglinear regressions [p-value = 0.0810, Relative risk = 1.1994 (95% CI 0.9778, 1.4711)].
Overall, there is good evidence to support that fellowship training facilitates future career advancements. Further, MIS fellows have differential practice patterns. Finally, females remain underrepresented among the MIS fellows which should call for leadership action to bridge these gaps.
之前的报告显示，超过 85%的普通外科住院医师在完成住院医师培训后选择接受奖学金培训。普通外科住院医师对微创外科 (MIS) 奖学金的兴趣持续增加。此外，手术亚专业之间仍然存在人口统计学差异，尤其是性别差异。在这项研究中，我们评估了毕业 MIS 研究员中的性别差异和实践模式。
对 MIS 研究员进行了调查，共有 169 名在 2010 年、2015-2019 年期间完成培训的研究员收到了调查结果。收集的调查结果用于对人口统计学、实践模式和工作发现措施进行描述性分析。对数线性回归模型用于评估培训年限的性别趋势变化。
研究员自我报告的性别显示，男性占 65%，女性占 30%，5%的人表示不愿意说。参与者队列被描述为 45.3%的白人、5.3%的非裔美国人，以及 6.5%的西班牙裔或拉丁裔。此外，结果显示，87.1%的研究员从事 MIS 手术，91.8%的人报告说他们的奖学金经历有助于他们找到工作。大多数校友从事综合性 MIS 实践。此外，女性研究员的比例从 29%增加到 41%，但使用对数线性回归，这种随着时间的推移而增加并不显著[P 值=0.0810，相对风险=1.1994（95%CI 0.9778，1.4711)]。
总体而言，有充分的证据支持奖学金培训有助于未来的职业发展。此外，MIS 研究员的实践模式存在差异。最后，女性在 MIS 研究员中仍然代表性不足，这应该呼吁领导层采取行动来弥合这些差距。
