Michelle N Odonkor,Bhavya Pahwa,Jordina Rincon-Torroella,Nancy Abu-Bonsrah,Gayane Yenokyan,Olaoluwa Ezekiel Dada,C Rory Goodwin,Judy Huang,Mari L Groves
{"title":"性别和培训国家对获得神经外科研究机会和性别一致导师的影响。","authors":"Michelle N Odonkor,Bhavya Pahwa,Jordina Rincon-Torroella,Nancy Abu-Bonsrah,Gayane Yenokyan,Olaoluwa Ezekiel Dada,C Rory Goodwin,Judy Huang,Mari L Groves","doi":"10.1016/j.wneu.2024.09.016","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nThe current neurosurgical workforce is not large enough to address the significant burden of neurosurgical disease worldwide, and women are under-represented in this surgical specialty. However, trainee opportunities are particularly scarce in lower- and -middle income countries, where the burden of neurosurgical disease is high. Thus, the primary aim of this study was to assess the effects of gender and country on perceived access to neurosurgical research and mentorship opportunities.\r\n\r\nMETHODS\r\nA cross-sectional survey evaluating perceived access to neurosurgical research and mentorship opportunities was distributed electronically to medical students and unspecialized residents in 10 countries (Colombia, India, Ghana, Nigeria, Saudi Arabia, Spain, Uganda, United Kingdom, United States, Venezuela).\r\n\r\nRESULTS\r\n34.0% of men versus 24.9% of women reported interest in neurosurgery (p<0.001). Only 16.1% of trainees reported adequate access to neurosurgical research opportunities, which did not vary by gender overall (p=0.070). However, more women reported inadequate access in the United States (p=0.038), and more men reported inadequate access in Colombia (p=0.043). In Colombia (p<0.001), Nigeria (p=0.003), Saudi Arabia (p=0.038), the United States (p=0.004), and Venezuela (p<0.001), a lower proportion of women than men reported ever having a neurosurgery mentor of their same gender. 59.0% of female respondents noted that having access to female neurosurgeon mentors would increase their interest in neurosurgery, compared to 28.5% of male respondents (p<0.001).\r\n\r\nCONCLUSIONS\r\nMore male than female medical trainees in the surveyed countries reported interest in neurosurgery. However, access to adequate neurosurgical research opportunities, though relatively low overall, did not vary by gender in most countries. Access to gender-concordant mentorship was less common for women than men, but women expressed that enhanced access to female neurosurgeon mentors would increase their interest in the field. These findings suggest potential avenues for intervention to augment and diversify the global neurosurgical workforce.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Gender and Country of Training on Perceived Access to Opportunities for Neurosurgical Research and Gender-Concordant Mentorship.\",\"authors\":\"Michelle N Odonkor,Bhavya Pahwa,Jordina Rincon-Torroella,Nancy Abu-Bonsrah,Gayane Yenokyan,Olaoluwa Ezekiel Dada,C Rory Goodwin,Judy Huang,Mari L Groves\",\"doi\":\"10.1016/j.wneu.2024.09.016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\r\\nThe current neurosurgical workforce is not large enough to address the significant burden of neurosurgical disease worldwide, and women are under-represented in this surgical specialty. However, trainee opportunities are particularly scarce in lower- and -middle income countries, where the burden of neurosurgical disease is high. Thus, the primary aim of this study was to assess the effects of gender and country on perceived access to neurosurgical research and mentorship opportunities.\\r\\n\\r\\nMETHODS\\r\\nA cross-sectional survey evaluating perceived access to neurosurgical research and mentorship opportunities was distributed electronically to medical students and unspecialized residents in 10 countries (Colombia, India, Ghana, Nigeria, Saudi Arabia, Spain, Uganda, United Kingdom, United States, Venezuela).\\r\\n\\r\\nRESULTS\\r\\n34.0% of men versus 24.9% of women reported interest in neurosurgery (p<0.001). Only 16.1% of trainees reported adequate access to neurosurgical research opportunities, which did not vary by gender overall (p=0.070). However, more women reported inadequate access in the United States (p=0.038), and more men reported inadequate access in Colombia (p=0.043). In Colombia (p<0.001), Nigeria (p=0.003), Saudi Arabia (p=0.038), the United States (p=0.004), and Venezuela (p<0.001), a lower proportion of women than men reported ever having a neurosurgery mentor of their same gender. 59.0% of female respondents noted that having access to female neurosurgeon mentors would increase their interest in neurosurgery, compared to 28.5% of male respondents (p<0.001).\\r\\n\\r\\nCONCLUSIONS\\r\\nMore male than female medical trainees in the surveyed countries reported interest in neurosurgery. However, access to adequate neurosurgical research opportunities, though relatively low overall, did not vary by gender in most countries. Access to gender-concordant mentorship was less common for women than men, but women expressed that enhanced access to female neurosurgeon mentors would increase their interest in the field. These findings suggest potential avenues for intervention to augment and diversify the global neurosurgical workforce.\",\"PeriodicalId\":23906,\"journal\":{\"name\":\"World neurosurgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World neurosurgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.wneu.2024.09.016\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.09.016","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Effects of Gender and Country of Training on Perceived Access to Opportunities for Neurosurgical Research and Gender-Concordant Mentorship.
BACKGROUND
The current neurosurgical workforce is not large enough to address the significant burden of neurosurgical disease worldwide, and women are under-represented in this surgical specialty. However, trainee opportunities are particularly scarce in lower- and -middle income countries, where the burden of neurosurgical disease is high. Thus, the primary aim of this study was to assess the effects of gender and country on perceived access to neurosurgical research and mentorship opportunities.
METHODS
A cross-sectional survey evaluating perceived access to neurosurgical research and mentorship opportunities was distributed electronically to medical students and unspecialized residents in 10 countries (Colombia, India, Ghana, Nigeria, Saudi Arabia, Spain, Uganda, United Kingdom, United States, Venezuela).
RESULTS
34.0% of men versus 24.9% of women reported interest in neurosurgery (p<0.001). Only 16.1% of trainees reported adequate access to neurosurgical research opportunities, which did not vary by gender overall (p=0.070). However, more women reported inadequate access in the United States (p=0.038), and more men reported inadequate access in Colombia (p=0.043). In Colombia (p<0.001), Nigeria (p=0.003), Saudi Arabia (p=0.038), the United States (p=0.004), and Venezuela (p<0.001), a lower proportion of women than men reported ever having a neurosurgery mentor of their same gender. 59.0% of female respondents noted that having access to female neurosurgeon mentors would increase their interest in neurosurgery, compared to 28.5% of male respondents (p<0.001).
CONCLUSIONS
More male than female medical trainees in the surveyed countries reported interest in neurosurgery. However, access to adequate neurosurgical research opportunities, though relatively low overall, did not vary by gender in most countries. Access to gender-concordant mentorship was less common for women than men, but women expressed that enhanced access to female neurosurgeon mentors would increase their interest in the field. These findings suggest potential avenues for intervention to augment and diversify the global neurosurgical workforce.
期刊介绍:
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS