Surgical gender gap: a curriculum concordance and career vector perspective.

Abstract:

INTRODUCTION:Women's participation in medicine has increased dramatically during the last 50 years, yet Office for National Statistics data (2016) regarding annual pay continue to show an unequivocal 34% deficit in female doctors' remuneration compared with their male counterparts. This study aimed to identify whether there are measurable differences in the training, career vectors and profiles of higher general surgical trainees (HSTs), related to gender. METHOD:The Deanery roster supplemented with Intercollegiate Surgical Curriculum Programme and Scopus data was used to identify the profiles of 101 consecutive HSTs (38 women, 63 men, single UK deanery). Primary outcome measures were training programme attrition rate, time to completion of training and achievement of third level 4 competence (3L4C) in indicative operations. Secondary outcomes were publication number, citations and Hirsch Indices (HIs). RESULTS:Attrition rates were similar irrespective of gender (female n=3 (7.9%) vs male n=6 (9.5%), p=0.871). Training duration was on average 16 months longer in women (94 (72-134) months) than men (78 (72-112), p=0.002). Operative learning curve trajectories were similar; median operations required to achieve 3L4C was 380 (f) versus 410 (m, p=1.00). Academic profiles of men were stronger than women, specifically higher degrees; men (n=31, 83.8%), women (n=6, 16.2%, p=0.001); median (range) publication number 8 (0-57) versus 3 (0-38, p=0.003), citations 43 (0-1600) versus 9 (0-774, p=0.001), and HI 3 (0-26) versus 2 (0-12, p=0.002). CONCLUSION:A complex variable gender gap was apparent related to time in training and academic profile, but not training attrition or operative learning curve trajectory.

journal_name

Postgrad Med J

authors

Brown C,Harries RL,Abdelrahman T,Thomas C,Pollitt MJ,Lewis WG

doi

10.1136/postgradmedj-2017-135437

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

483-488

issue

1115

eissn

0032-5473

issn

1469-0756

pii

postgradmedj-2017-135437

journal_volume

94

pub_type

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