Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, Arizona.
Mayo Clinic Alix School of Medicine, Mayo Clinic, Jacksonville, Florida.
J Surg Res. 2024 Nov;303:281-286. doi: 10.1016/j.jss.2024.09.021. Epub 2024 Oct 10.
Improving representation of women in medicine and surgery has been tempered by higher rates of attrition from residencies and from academic medicine among women compared to men. The attrition of women from the practicing vascular surgery workforce has not been studied.
We utilized the Center for Medicare and Medicaid Services' Doctors and Clinicians database to study vascular surgery employment patterns from 2015 to 2022. We examined gender balance within the workforce and attrition rates among male and female vascular surgeons. We utilized a logistic regression to calculate the odds of attrition by gender.
The percentage of female vascular surgeons grew from 11% to 16% between 2015 and 2022, with each graduating class since 2005 having between 20% and 38% women. Yet, female surgeons were 2.05 (95% confidence interval: 1.36-3.08) times more likely to leave practice than their male counterparts when controlling for graduation year and practice in academic medicine.
The proportion of women in vascular surgery is increasing as more women graduate into the specialty. Despite increasing representation, women are more likely than men to leave the workforce.
与男性相比，女性在住院医师培训和学术医学领域的流失率更高，这使得医学和外科领域的女性代表人数增加受到了影响。女性从执业血管外科劳动力中流失的情况尚未得到研究。
我们利用医疗保险和医疗补助服务中心的医生和临床医生数据库，研究了 2015 年至 2022 年期间血管外科的就业模式。我们研究了劳动力中的性别平衡以及男女血管外科医生的离职率。我们利用逻辑回归计算了按性别计算的离职概率。
2015 年至 2022 年间，女性血管外科医生的比例从 11%增长到 16%，自 2005 年以来的每届毕业生中都有 20%至 38%的女性。然而，在控制毕业年份和学术医学实践的情况下，女性外科医生离职的可能性是男性的 2.05 倍（95%置信区间：1.36-3.08）。
随着越来越多的女性进入该专业，血管外科中女性的比例正在增加。尽管代表性越来越高，但女性离开劳动力的可能性仍高于男性。
