Disparities in cataract surgical training at the University of Toronto based on sex and medical school graduate type.

IF 3.3 4区 医学 Q1 OPHTHALMOLOGY
Sumana C Naidu, Yvonne M Buys, David B Yan, Tanya Trinh, Radha P Kohly
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引用次数: 0

Abstract

Objective: To compare sex and medical school graduate type differences in cataract surgical training volumes at Canada's largest residency program, the University of Toronto (UoT).

Design: Retrospective cohort study PARTICIPANTS: Ophthalmology residents completing cataract surgical training from 2015 to 2020.

Methods: Data collected from surgical logbooks at the main cataract surgical teaching site at UoT were analyzed from July 1, 2015, to June 30, 2020. Data collected included stage of resident training and degree of participation for each case. The main outcome measure was mean number of complete cataract cases as a function of resident sex, medical school graduate type, and level of training.

Results: Thirty-five (19, 54.3% female) residents completed cataract surgical training during the study period. There were 24 (68.6%) Canadian medical graduates (CMGs) and 11 (31.4%) international medical graduates (IMGs). Female residents performed a lower mean number of complete cataract cases compared to males (464.2 versus 504.8, respectively). IMGs completed on average 110.0 (22.8%) fewer cataract cases compared to CMGs. Compared to all residents, female IMGs had the lowest number of complete cataract cases (mean of 380.8 versus 465.7, respectively). The greatest difference occurred between male CMGs and female IMGs, with male CMGs performing 153.8 (40.4%) more complete cases (534.6 vs 380.8, respectively).

Conclusion: The greatest difference in surgical volumes occurred between CMGs and IMGs. Female IMGs had the lowest complete cataract case volumes compared to all residents. Our study highlights novel medical school graduate type disparities in cataract surgical training warranting further exploration.

多伦多大学白内障手术培训中基于性别和医学院毕业生类型的差异。
目的比较加拿大最大的住院医师培训项目--多伦多大学(UoT)白内障手术培训量的性别和医学院毕业生类型差异:设计:回顾性队列研究 参与者:方法:从多伦多大学的手术日志中收集数据:方法:分析从 2015 年 7 月 1 日至 2020 年 6 月 30 日期间 UoT 主要白内障手术教学点的手术日志中收集的数据。收集的数据包括住院医师培训阶段和每个病例的参与程度。主要结果指标是完整白内障病例的平均数量与住院医师性别、医学院毕业类型和培训水平的函数关系:研究期间,35 名住院医师(19 名,54.3% 为女性)完成了白内障手术培训。其中加拿大医学毕业生 24 人(68.6%),国际医学毕业生 11 人(31.4%)。与男性相比,女性住院医师完成的完整白内障病例的平均数量较少(分别为 464.2 例和 504.8 例)。与 CMG 相比,IMG 完成的白内障病例平均少 110.0 例(22.8%)。与所有住院医师相比,女性 IMG 完成的白内障病例数最少(平均分别为 380.8 例和 465.7 例)。男性白内障专科医生和女性白内障专科医生之间的差异最大,男性白内障专科医生的完整病例数比女性多 153.8 例(40.4%)(分别为 534.6 例和 380.8 例):结论:CMG 和 IMG 的手术量差异最大。结论:CMG 和 IMG 之间的手术量差异最大,与所有住院医师相比,女性 IMG 的白内障完整病例量最少。我们的研究凸显了白内障手术培训中新的医学院毕业生类型差异,值得进一步探讨。
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
CiteScore
3.20
自引率
4.80%
发文量
223
审稿时长
38 days
期刊介绍: Official journal of the Canadian Ophthalmological Society. The Canadian Journal of Ophthalmology (CJO) is the official journal of the Canadian Ophthalmological Society and is committed to timely publication of original, peer-reviewed ophthalmology and vision science articles.
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