The Effect of Gender on Case Log Volumes for Urology Residents: An 11 Year National Study

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-05-02 DOI:10.1016/j.jsurg.2025.103515

Jenna Bates Maffei MD , Angeline Johny MD , Yoon Soo Park PhD , Eric Holmboe MD , Sean O. Hogan PhD , Gina M. Badalato MD , Kate H. Kraft MD, MHPE , Wesley A. Mayer MD

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引用次数: 0

Abstract

Objective

This study is the first examination of the relationship between gender and urology residency case log distribution on a national scale. We hypothesized that female urology residents log fewer overall cases and discrepancies exist within index case categories across genders.

Design

`This study involved a retrospective review of a novel database integrating resident characteristics from multiple national data systems provided by the Accreditation Council for Graduate Medical Education (ACGME).

Setting

This study included all graduating trainees from ACGME-accredited urology residencies over an 11-year period.

Participants

We analyzed 3,335 graduating residents from 145 urology programs over 11 years, between 2013 and 2023.

Results

The percentage of female urology residents ranged from 21% to 28%, with no significant increase over time (p = 0.575). Total cases per resident increased from an average of 1259 (SD = 288) in 2013 to 1624 (SD = 378) in 2023 (p < 0.001). Female residents logged significantly fewer cases overall: 1,374 (SD = 330) vs. 1423 (SD = 365) for male residents (p < 0.001). Female residents logged significantly fewer cases in 4 of the 11 years, 3 of which were in the past 5 years. Males logged significantly more general urology, endoscopy, and oncology cases than females (p < 0.001 for all). Only pediatrics and reconstruction cases were logged more by females in any year.

Conclusions

The number of female urology graduates was statistically unchanged over 11 years. Although meeting required case minimums, females logged significantly fewer cases than males overall and in three of the last 5 years. Addressing this apparent gender gap is essential given the correlation between surgeons’ case volumes and patient outcomes.

查看原文本刊更多论文

性别对泌尿外科住院医师病例记录量的影响：一项为期11年的全国研究

目的本研究首次在全国范围内探讨性别与泌尿外科住院医师病历分布的关系。我们假设女性泌尿科住院医师记录的总体病例较少，并且在不同性别的索引病例类别中存在差异。设计：本研究对由研究生医学教育认证委员会（ACGME）提供的一个新型数据库进行回顾性分析，该数据库整合了来自多个国家数据系统的居民特征。本研究包括所有从acgme认可的泌尿外科住院医师毕业的11年的实习生。参与者：我们分析了2013年至2023年11年间来自145个泌尿科项目的3335名毕业住院医师。结果女性泌尿外科住院医师比例在21% ~ 28%之间，随时间的推移无显著增加（p = 0.575）。人均病例数从2013年的平均1259例（SD = 288）增加到2023年的1624例（SD = 378）（p <； 0.001）。女性居民记录的总体病例明显较少：男性居民为1,374例（SD = 330），而男性居民为1423例（SD = 365）（p <； 0.001）。在这11年中，有4年女性居民的病例显著减少，其中3年发生在过去5年。男性记录的一般泌尿科、内窥镜检查和肿瘤科病例明显多于女性（p <； 0.001）。在任何一年中，只有儿科和重建病例的女性记录更多。结论泌尿外科女性毕业生的数量在11年内没有统计学上的变化。虽然达到了最低病例数的要求，但在过去5年中有3年，女性记录的病例总数明显少于男性。考虑到外科医生的病例数量和患者预后之间的相关性，解决这一明显的性别差距至关重要。

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.