{"title":"对术中委托和住院医生性别进行的多机构研究。","authors":"Samantha Baker, Julie Evans, Niki Matusko, Brenessa Lindeman, Sarah Jung, Sebin Choi, Rebecca Minter, Mackenzie Cook, Karen Brasel, Gurjit Sandhu","doi":"10.1016/j.amjsurg.2024.115925","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Single-site studies have found variable associations between gender and entrustment-based interactions during surgical residency. We sought to assess the relationship between resident sex and intraoperative entrustment at multiple institutions.</p><p><strong>Methods: </strong>Surgical cases were observed at four university-based training programs. Faculty entrustment and resident entrustability were rated using OpTrust. OpTrust is a validated intraoperative entrustment measurement tool which enables trained third-party raters to objectively score resident and faculty behaviors in the operating room. Independent sample t-tests and regression analysis with cluster adjusted standard errors were used.</p><p><strong>Results: </strong>337 cases were observed which included 149 residents (54 % female) and 97 faculty members (30 % female). There was no difference in resident entrustability based on resident sex (p = 0.30). Female residents were more likely to be involved in cases rated as more difficult (p = 0.04). At a single site, male residents scored higher on resident entrustability (p = 0.007) and faculty entrustment (p = 0.022).</p><p><strong>Conclusion: </strong>Entrustment did not differ based on resident sex on a multi-institutional scale; however, at a single site, there was a difference; suggesting there are multi-factorial issues contributing to differences in training.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Multi-institutional study examining intraoperative entrustment and resident sex.\",\"authors\":\"Samantha Baker, Julie Evans, Niki Matusko, Brenessa Lindeman, Sarah Jung, Sebin Choi, Rebecca Minter, Mackenzie Cook, Karen Brasel, Gurjit Sandhu\",\"doi\":\"10.1016/j.amjsurg.2024.115925\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Single-site studies have found variable associations between gender and entrustment-based interactions during surgical residency. We sought to assess the relationship between resident sex and intraoperative entrustment at multiple institutions.</p><p><strong>Methods: </strong>Surgical cases were observed at four university-based training programs. Faculty entrustment and resident entrustability were rated using OpTrust. OpTrust is a validated intraoperative entrustment measurement tool which enables trained third-party raters to objectively score resident and faculty behaviors in the operating room. Independent sample t-tests and regression analysis with cluster adjusted standard errors were used.</p><p><strong>Results: </strong>337 cases were observed which included 149 residents (54 % female) and 97 faculty members (30 % female). There was no difference in resident entrustability based on resident sex (p = 0.30). Female residents were more likely to be involved in cases rated as more difficult (p = 0.04). At a single site, male residents scored higher on resident entrustability (p = 0.007) and faculty entrustment (p = 0.022).</p><p><strong>Conclusion: </strong>Entrustment did not differ based on resident sex on a multi-institutional scale; however, at a single site, there was a difference; suggesting there are multi-factorial issues contributing to differences in training.</p>\",\"PeriodicalId\":7771,\"journal\":{\"name\":\"American journal of surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-08-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.amjsurg.2024.115925\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amjsurg.2024.115925","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Multi-institutional study examining intraoperative entrustment and resident sex.
Introduction: Single-site studies have found variable associations between gender and entrustment-based interactions during surgical residency. We sought to assess the relationship between resident sex and intraoperative entrustment at multiple institutions.
Methods: Surgical cases were observed at four university-based training programs. Faculty entrustment and resident entrustability were rated using OpTrust. OpTrust is a validated intraoperative entrustment measurement tool which enables trained third-party raters to objectively score resident and faculty behaviors in the operating room. Independent sample t-tests and regression analysis with cluster adjusted standard errors were used.
Results: 337 cases were observed which included 149 residents (54 % female) and 97 faculty members (30 % female). There was no difference in resident entrustability based on resident sex (p = 0.30). Female residents were more likely to be involved in cases rated as more difficult (p = 0.04). At a single site, male residents scored higher on resident entrustability (p = 0.007) and faculty entrustment (p = 0.022).
Conclusion: Entrustment did not differ based on resident sex on a multi-institutional scale; however, at a single site, there was a difference; suggesting there are multi-factorial issues contributing to differences in training.
期刊介绍:
The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.