TY - JOUR
T1 - Disparities in the Operative Experience Between Female and Male General Surgery Residents
T2 - A Multi-institutional Study From the US ROPE Consortium
AU - Winer, Leah K.
AU - Kader, Sarah
AU - Abelson, Jonathan S.
AU - Hammaker, Austin C.
AU - Eruchalu, Chukwuma N.
AU - Etheridge, James C.
AU - Cho, Nancy L.
AU - Foote, Darci C.
AU - Ivascu, Felicia A.
AU - Smith, Savannah
AU - Postlewait, Lauren M.
AU - Greenwell, Kathriena
AU - Meister, Katherine M.
AU - Montgomery, Kelsey B.
AU - Zmijewski, Polina
AU - Byrd, Samuel E.
AU - Kimbrough, Mary K.
AU - Stopenski, Stephen J.
AU - Nahmias, Jeffry T.
AU - Harvey, Jalen
AU - Farr, Deborah
AU - Callahan, Zachary M.
AU - Marks, Joshua A.
AU - Stahl, Christopher C.
AU - Al Yafi, Motaz
AU - Sutton, Jeffrey M.
AU - Elsaadi, Ali
AU - Campbell, Samuel J.
AU - Dodwad, Shah Jahan M.
AU - Adams, Sasha D.
AU - Woeste, Matthew R.
AU - Martin, Robert C.G.
AU - Patel, Purvi
AU - Anstadt, Michael J.
AU - Nasim, Bilal Waqar
AU - Willis, Ross E.
AU - Patel, Jitesh A.
AU - Newcomb, Melisa R.
AU - George, Brian C.
AU - Quillin, Ralph C.
AU - Cortez, Alexander R.
N1 - Publisher Copyright:
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/7
Y1 - 2023/7
N2 - Objective: To examine differences in resident operative experience between male and female general surgery residents. Background: Despite increasing female representation in surgery, sex and gender disparities in residency experience continue to exist. The operative volume of male and female general surgery residents has not been compared on a multi-institutional level. Methods: Demographic characteristics and case logs were obtained for categorical general surgery graduates between 2010 and 2020 from the US Resident OPerative Experience Consortium database. Univariable, multivariable, and linear regression analyses were performed to compare differences in operative experience between male and female residents. Results: There were 1343 graduates from 20 Accreditation Council for Graduate Medical Education-accredited programs, and 476 (35%) were females. There were no differences in age, race/ethnicity, or proportion pursuing fellowship between groups. Female graduates were less likely to be high-volume residents (27% vs 36%, P < 0.01). On univariable analysis, female graduates performed fewer total cases than male graduates (1140 vs 1177, P < 0.01), largely due to a diminished surgeon junior experience (829 vs 863, P < 0.01). On adjusted multivariable analysis, female sex was negatively associated with being a high-volume resident (OR = 0.74, 95% CI: 0.56 to 0.98, P = 0.03). Over the 11-year study period, the annual total number of cases increased significantly for both groups, but female graduates (+16 cases/year) outpaced male graduates (+13 cases/year, P = 0.02). Conclusions: Female general surgery graduates performed significantly fewer cases than male graduates. Reassuringly, this gap in operative experience may be narrowing. Further interventions are warranted to promote equitable training opportunities that support and engage female residents.
AB - Objective: To examine differences in resident operative experience between male and female general surgery residents. Background: Despite increasing female representation in surgery, sex and gender disparities in residency experience continue to exist. The operative volume of male and female general surgery residents has not been compared on a multi-institutional level. Methods: Demographic characteristics and case logs were obtained for categorical general surgery graduates between 2010 and 2020 from the US Resident OPerative Experience Consortium database. Univariable, multivariable, and linear regression analyses were performed to compare differences in operative experience between male and female residents. Results: There were 1343 graduates from 20 Accreditation Council for Graduate Medical Education-accredited programs, and 476 (35%) were females. There were no differences in age, race/ethnicity, or proportion pursuing fellowship between groups. Female graduates were less likely to be high-volume residents (27% vs 36%, P < 0.01). On univariable analysis, female graduates performed fewer total cases than male graduates (1140 vs 1177, P < 0.01), largely due to a diminished surgeon junior experience (829 vs 863, P < 0.01). On adjusted multivariable analysis, female sex was negatively associated with being a high-volume resident (OR = 0.74, 95% CI: 0.56 to 0.98, P = 0.03). Over the 11-year study period, the annual total number of cases increased significantly for both groups, but female graduates (+16 cases/year) outpaced male graduates (+13 cases/year, P = 0.02). Conclusions: Female general surgery graduates performed significantly fewer cases than male graduates. Reassuringly, this gap in operative experience may be narrowing. Further interventions are warranted to promote equitable training opportunities that support and engage female residents.
KW - case logs
KW - operative experience
KW - residency training
KW - sex disparities
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U2 - 10.1097/SLA.0000000000005847
DO - 10.1097/SLA.0000000000005847
M3 - Article
C2 - 36994704
AN - SCOPUS:85163164006
SN - 0003-4932
VL - 278
SP - 1
EP - 7
JO - Annals of surgery
JF - Annals of surgery
IS - 1
ER -