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Gender Gap Narrows Among US Surgeons Print E-mail
SciMed - Healthcare
TS-Si News Service   
Tuesday, 05 April 2011 09:00
Chicago, IL, USA. The gender gap among United States Medical Graduates (USMG) is shrinking in the traditionally male-dominated surgical specialties, according to a study in the Journal of the American College of Surgeons.

During a six-year study period, the percentage of women who entered training increased in general surgery, obstetrics and gynecology, ophthalmology, orthopedic, otolaryngology, urology, and plastic surgery.


At the end of the study period, obstetrics and gynecology (82%) had the highest percentage, followed by general surgery training (40%). These findings align with the overall trend of increasingly equal gender enrollment of medical students. However, general surgery admissions are of particular interest because the field so often can be a transition toward advanced training in other surgical specialties.

"The make-up of residents entering general surgery each year consists of medical graduates from the U.S. and abroad. By examining these populations separately, we were able to provide a more definitive analysis of those applying to, and entering, general surgery training," said Elisabeth C. Davis, MA, Education Research Associate, Division of Education, American College of Surgeons, and the study's lead author.
  • The study found a 22 percent relative increase in the percentage of women among USMG applicants to general surgery programs between application years 2000 (n = 506; 27%) and 2005 (n = 754; 33%).

  • Additionally, there was a 25 percent relative increase in the percentage of women among USMG who began general surgery training between academic years 2000-2001 (n = 282; 32%) and 2005-2006 (n = 384; 40%).

The study authors analyzed three related populations:
  1. all USMG from academic years 1999-2000 through 2004-2005;

  2. USMG applicants to positions at Accreditation Council for Graduate Medical Education (ACGME)-accredited general surgery residency programs for applicant years 2000 through 2005; and

  3. USMG entering positions at ACGME-accredited general surgery training programs between academic years 2000-2001 to 2005-2006.

"Further research should examine residency programs on a national scale with respect to factors suggested in previous studies that may be associated with women's decisions to enter surgery. These factors include the percentage of women on the surgical faculty, the presence of on-site childcare and policies regarding gender-based discrimination and maternity leave."

CitationWomen in Surgery Residency Programs: Evolving Trends from a National Perspective. Elisabeth C. Davis, Donald A. Risucci, Patrice G. Blair, Ajit K. Sachdeva. Journal of the American College of Surgeons 2011; 212(3): 320-326.

Abstract

Background. Similar numbers of men and women are currently graduating from United States (US) medical schools; therefore, surgery residency programs need to attract graduates of both genders. This study compared gender distributions of allopathic US medical graduates (USMG) from academic years 1999-2000 through 2004-2005. In addition, the gender distributions of USMG and international medical graduates (IMG; analyzed separately) entering accredited general surgery (GS) programs and USMG entering other surgical specialty programs were compared across academic years 2000-2001 through 2005-2006.

Study Design. Data were extracted from the American College of Surgeons Resident Master File and the Association of American Medical Colleges FACTS Website and Data Warehouse. Chi-square statistics compared gender distributions across years for all USMG graduating and applying to GS programs each year between 1999-2000 and 2004-2005 and for USMG and IMG entering training between 2000-2001 and 2005-2006.

Results. During the study period, the proportion of women increased significantly (p < 0.001) among USMG (43% to 47%), USMG applying to GS programs (27% to 33%), and USMG entering GS residencies (32% to 40%); the percentages of women among IMG entering GS residencies ranged from 11% to 18%, with no apparent linear increase. Proportions of women among USMG entering training increased in most surgical specialties examined.

Conclusions. The gender gap among USMG entering GS training appears to be closing, concurrent with that of USMG overall during the study period. Surgery programs must continue to recruit and retain women to attract the best and brightest trainees.

Abbreviations and Acronyms: aamc, association of american medical colleges, acgme, accreditation council for graduate medical education, acs, american college of surgeons, eras, electronic residency application service, gs, general surgery, img, international medical graduate, usmg, united states medical graduate.

TS-Si News ServiceThe TS-Si News Service is a collaborative effort by TS-Si.org editors, contributors, and corresponding institutions. The sources can include the cited individuals and organizations, as well as TS-Si.org staff contributions. Articles and news reports do not necessarily convey official positions of TS-Si, its partners, or affiliates.

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TS-Si is dedicated to the acceptance, medical treatment, and legal protection of individuals correcting the misalignment of their brains and their anatomical sex, while supporting their transition into society as hormonally reconstituted and surgically corrected citizens.

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Last Updated on Tuesday, 05 April 2011 07:53
 
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