Surgical Fellowships Demonstrate Variable Improvement in Gender Representation Despite Greater Female Enrollment in General Surgery Residencies.

Autor: Woodyard KC; Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio; Division of Craniofacial and Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Lee E; Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio., Ferguson R; Department of Surgery, Section of General Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio., Dembinski D; Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio., Effendi M; Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio., Janowak CF; Department of Surgery, Section of General Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio., Gobble RM; Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio. Electronic address: gobblern@ucmail.uc.edu.
Jazyk: angličtina
Zdroj: Journal of surgical education [J Surg Educ] 2023 Aug; Vol. 80 (8), pp. 1104-1112. Date of Electronic Publication: 2023 Jun 17.
DOI: 10.1016/j.jsurg.2023.05.004
Abstrakt: Objective: Despite increasing female representation in General Surgery (GS) residency training programs, proportional improvement of female enrollment in surgical fellowships has yet to be quantified. We aimed to assess if female enrollment in surgical fellowships has improved at an equivalent rate in 7 different surgical fellowship options after GS.
Design and Setting: Data were collected from Accreditation Council for Graduate Medical Education (ACGME) resources which disclosed active resident and fellow characteristics. Gender identification was self-reported by residents to ACGME. Gender data collected for GS programs and surgical fellowships including Surgical Critical Care, Colon, and Rectal Surgery, Pediatric Surgery, Plastic Surgery, Surgical Oncology, Thoracic Surgery, and Vascular Surgery from annual reports. Pearson Chi-squared analysis was conducted between GS residencies and fellowship programs in their corresponding years using Stata15 software.
Results: In all years examined, fellowships in Vascular, Thoracic, and Plastic Surgery had significantly lower female enrollment in proportion to the number of female GS residents (p = <0.02). In all years examined, Surgical Oncology, Pediatric, Colon and Rectal, and Surgical Critical Care had female enrollment that was, at minimum, proportional to female enrollment in GS residency, indicating equitable gender representation. Surgical Oncology (2016), Pediatric (2020) and Surgical Critical Care (2016) fellowships each had 1 year where female enrollment was significantly higher than General Surgery.
Conclusions: The enrollment of female surgeons in Plastic, Vascular, and Thoracic Surgery fellowships has not improved proportionally despite an increase in female GS residents. These results suggest the possibility of persistent factors that deter female enrollment in Vascular, Thoracic and Plastic Surgery fellowships that are not present to the same degree in fields with equitable fellowship female enrollment. Female representation in surgical fellowships is vital to improving gender diversity in all disciplines of surgery, particularly academic surgery.
Competing Interests: CONFLICT OF INTEREST None of the authors have any conflict of interest with the content of this article to declare, financial or otherwise.
(Copyright © 2023 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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