is Vice Chair of Research, Ultrasound Division Director, and Associate Professor, Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois, USA.
is Assistant Residency Program Director and Assistant Professor, Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA.
J Grad Med Educ. 2024 Feb;16(1):70-74. doi: 10.4300/JGME-D-23-00238.1. Epub 2024 Feb 17.
Studies across specialties have demonstrated gender disparities in feedback, learner assessments, and operative cases. However, data are limited on differences in numbers of procedures among residents. To quantify the association between gender and the number of procedures reported among emergency medicine (EM) residents. We conducted a retrospective review of procedural differences by self-identified gender among graduating EM residents at 8 separate programs over a 10-year period (2013 to 2022). Sites were selected to ensure diversity of program length, program type, and geography. Residents from combined training programs, those who did not complete their full training at that institution, and those who did not have data available were excluded. We calculated the mean, SD, median, and IQR for each procedure by gender. We compared reported procedures by gender using linear regression, controlling for institution, and performed a sensitivity analysis excluding outlier residents with procedure totals >3 SD from the mean. We collected data from 914 residents, with 880 (96.3%) meeting inclusion criteria. There were 358 (40.7%) women and 522 (59.3%) men. The most common procedures were point-of-care ultrasound, adult medical resuscitation, adult trauma resuscitation, and intubations. After adjusting for institutions, the number of dislocation reductions, chest tube insertions, and sedations were higher for men. The sensitivity analysis findings were stable except for central lines, which were also more common in men. In a national sample of EM programs, there were increased numbers of dislocation reductions, chest tube insertions, and sedations reported by men compared with women.
跨专业的研究表明，在反馈、学习者评估和手术病例方面存在性别差异。然而，关于住院医师手术数量差异的数据有限。为了量化性别与急诊医学（EM）住院医师报告手术数量之间的关联。我们对 8 个独立项目在 10 年期间（2013 年至 2022 年）毕业的 EM 住院医师按自我认同的性别进行了回顾性程序差异分析。选择这些地点是为了确保项目长度、项目类型和地理位置的多样性。排除了联合培训项目的居民、未在该机构完成全部培训的居民以及没有数据的居民。我们按性别计算了每个程序的平均值、标准差、中位数和 IQR。我们使用线性回归比较了按性别报告的程序，控制了机构，并进行了敏感性分析，排除了程序总数超过平均值 3 个标准差的异常值居民。我们从 914 名居民那里收集了数据，其中 880 名（96.3%）符合纳入标准。有 358 名（40.7%）女性和 522 名（59.3%）男性。最常见的程序是床边超声、成人医疗复苏、成人创伤复苏和插管。在调整了机构因素后，男性进行的脱位复位、胸腔管插入和镇静的数量更高。敏感性分析结果稳定，除了中心静脉置管，男性也更常见。在全国范围内的 EM 项目样本中，与女性相比，男性报告的脱位复位、胸腔管插入和镇静数量增加。
