Exploring Gender Diversity in Canadian Surgical Residency Leadership

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-04 DOI:10.1016/j.jsurg.2024.09.001

Kaitlyn G. Harding MD , A.J. Lowik PhD , Caroline A. Guinard MD , Sam M. Wiseman MD, FRCSC

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Abstract

OBJECTIVE

Studies in the United States demonstrate a low proportion of cisgender women in medical leadership. No research exists about the prevalence of transgender people in medical leadership. The objective of this study was to evaluate gender representation within Canadian surgical training leadership.

DESIGN

This study represents a survey based exploratory analysis and literature review. Associations between gender and leadership position, surgical subspecialty, years in practice and leadership role, province of work, and age were calculated using Chi squared goodness of fit and independence tests.

SETTING

The study was based out of the University of British Columbia in Vancouver and included all Canadian surgical training programs.

PARTICIPANTS

Participants were identified using the Canadian Resident Matching Service and program websites. All prospective respondents (359) were emailed an encrypted survey link.

RESULTS

The survey response rate was 65/359 responses (18%). The overall gender distribution was cis men (n = 36, 56.5%), cis women (n = 26, 40%), nonbinary (n = 1, 1.5%), agender (n = 1, 1.5%) and nonresponse (n = 1, 1.5%). Sixty-three percent of program directors were cis men, 33% were cis women and 4% were agender. Sixty-seven percent of associate program directors were cis women and 33% were cis men. Sixty-five percent of division leads were cis men, 29% were cis women, and 6% were nonbinary. There were more cis women in general surgery leadership than expected (df = 1, N = 20, x² = 11.05, p ≤ 0.001). No statistically significant associations between gender identity/modality, leadership role, province, or age were found using chi squared tests.

CONCLUSIONS

Cis men continue to outnumber all others in surgical training leadership. More cis women than expected work in general surgery training leadership. However, these findings must be interpreted with caution considering the low survey response rate and the greater proportion of cis women respondents compared to cis women surgeons. There is a marked absence of binary-identified trans people in surgical training leadership in Canada, however a small number of nonbinary and agender people are present.

查看原文本刊更多论文

探索加拿大外科住院医生领导层中的性别多样性。

目的：美国的研究表明，在医学领导层中，顺性别女性所占比例较低。目前还没有关于变性人在医学领导层中的比例的研究。本研究旨在评估加拿大外科培训领导层中的性别比例：本研究是一项基于调查的探索性分析和文献综述。使用卡方拟合度和独立性检验计算了性别与领导职位、外科亚专科、从业年限和领导角色、工作省份和年龄之间的关联：研究以位于温哥华的不列颠哥伦比亚大学为基地，包括所有加拿大外科培训项目：通过加拿大住院医师配对服务和项目网站确定参与者。通过电子邮件向所有潜在受访者（359 人）发送了加密调查链接：调查回复率为 65/359（18%）。总体性别分布为男性（36 人，占 56.5%）、女性（26 人，占 40%）、非二元（1 人，占 1.5%）、性别（1 人，占 1.5%）和未回复（1 人，占 1.5%）。63%的项目主任为男性，33%为女性，4%为跨性别者。67%的项目副主任为直系女性，33%为直系男性。65%的部门领导为顺式男性，29%为顺式女性，6%为非二元性别者。普外科领导层中顺式女性的比例高于预期（df = 1, N = 20, x2 = 11.05, p ≤ 0.001）。通过卡方检验，没有发现性别认同/方式、领导角色、省份或年龄之间有统计学意义的关联：结论：在外科培训领导层中，顺式男性的人数仍然多于所有其他男性。从事普外科培训领导工作的顺式女性人数多于预期。然而，考虑到调查回复率较低，而且与顺式女外科医生相比，顺式女受访者的比例更高，因此在解释这些结果时必须谨慎。在加拿大，外科培训领导层中明显缺乏二元身份识别的变性人，但也有少数非二元和变性人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.