Resident autonomy in the operating room: Does gender matter?

Heather Hoops, Aaron Heston, Elizabeth Dewey, Donn Spight, Karen Brasel, Laszlo Kiraly

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Previous data examining the effect of gender on surgical trainee autonomy is lacking. We hypothesized that female general surgery residents have less autonomy than males during laparoscopic cases. Methods: We retrospectively reviewed factors associated with level of guidance needed during laparoscopic procedures as reported on intraoperative procedure feedback forms and on FLS tasks from one institution from 2013 to 2016. Data collected included resident and attending gender, level of guidance needed, PGY level, case characteristics, resident intraoperative performance, and skills lab FLS performance. Univariate and multivariate analyses were performed using a mixed-effects regression model. Results: We analyzed data from 106 PGY1-PGY5 residents (51% Female) and 104 attendings (26% Female). Female resident gender was associated with more intraoperative guidance in univariate (p = 0.019) and multivariate analysis (p = 0.034). Technical performance between genders was similar. Conclusions: This study demonstrated gender-based inequality in intraoperative autonomy even after controlling for technical performance, PGY level, and case factors.

Original languageEnglish (US)
Pages (from-to)301-305
Number of pages5
JournalAmerican Journal of Surgery
Volume217
Issue number2
DOIs
StatePublished - Feb 1 2019

Fingerprint

Operating Rooms
Multivariate Analysis

Keywords

  • Autonomy
  • Bias
  • Gender
  • General surgery
  • Laparoscopy
  • Residency

ASJC Scopus subject areas

  • Surgery

Cite this

Resident autonomy in the operating room : Does gender matter? / Hoops, Heather; Heston, Aaron; Dewey, Elizabeth; Spight, Donn; Brasel, Karen; Kiraly, Laszlo.

In: American Journal of Surgery, Vol. 217, No. 2, 01.02.2019, p. 301-305.

Research output: Contribution to journalArticle

Hoops, Heather ; Heston, Aaron ; Dewey, Elizabeth ; Spight, Donn ; Brasel, Karen ; Kiraly, Laszlo. / Resident autonomy in the operating room : Does gender matter?. In: American Journal of Surgery. 2019 ; Vol. 217, No. 2. pp. 301-305.
@article{070345a0887249ae8cbca39f1cd18d2e,
title = "Resident autonomy in the operating room: Does gender matter?",
abstract = "Introduction: Previous data examining the effect of gender on surgical trainee autonomy is lacking. We hypothesized that female general surgery residents have less autonomy than males during laparoscopic cases. Methods: We retrospectively reviewed factors associated with level of guidance needed during laparoscopic procedures as reported on intraoperative procedure feedback forms and on FLS tasks from one institution from 2013 to 2016. Data collected included resident and attending gender, level of guidance needed, PGY level, case characteristics, resident intraoperative performance, and skills lab FLS performance. Univariate and multivariate analyses were performed using a mixed-effects regression model. Results: We analyzed data from 106 PGY1-PGY5 residents (51{\%} Female) and 104 attendings (26{\%} Female). Female resident gender was associated with more intraoperative guidance in univariate (p = 0.019) and multivariate analysis (p = 0.034). Technical performance between genders was similar. Conclusions: This study demonstrated gender-based inequality in intraoperative autonomy even after controlling for technical performance, PGY level, and case factors.",
keywords = "Autonomy, Bias, Gender, General surgery, Laparoscopy, Residency",
author = "Heather Hoops and Aaron Heston and Elizabeth Dewey and Donn Spight and Karen Brasel and Laszlo Kiraly",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.amjsurg.2018.12.023",
language = "English (US)",
volume = "217",
pages = "301--305",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Resident autonomy in the operating room

T2 - Does gender matter?

AU - Hoops, Heather

AU - Heston, Aaron

AU - Dewey, Elizabeth

AU - Spight, Donn

AU - Brasel, Karen

AU - Kiraly, Laszlo

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Introduction: Previous data examining the effect of gender on surgical trainee autonomy is lacking. We hypothesized that female general surgery residents have less autonomy than males during laparoscopic cases. Methods: We retrospectively reviewed factors associated with level of guidance needed during laparoscopic procedures as reported on intraoperative procedure feedback forms and on FLS tasks from one institution from 2013 to 2016. Data collected included resident and attending gender, level of guidance needed, PGY level, case characteristics, resident intraoperative performance, and skills lab FLS performance. Univariate and multivariate analyses were performed using a mixed-effects regression model. Results: We analyzed data from 106 PGY1-PGY5 residents (51% Female) and 104 attendings (26% Female). Female resident gender was associated with more intraoperative guidance in univariate (p = 0.019) and multivariate analysis (p = 0.034). Technical performance between genders was similar. Conclusions: This study demonstrated gender-based inequality in intraoperative autonomy even after controlling for technical performance, PGY level, and case factors.

AB - Introduction: Previous data examining the effect of gender on surgical trainee autonomy is lacking. We hypothesized that female general surgery residents have less autonomy than males during laparoscopic cases. Methods: We retrospectively reviewed factors associated with level of guidance needed during laparoscopic procedures as reported on intraoperative procedure feedback forms and on FLS tasks from one institution from 2013 to 2016. Data collected included resident and attending gender, level of guidance needed, PGY level, case characteristics, resident intraoperative performance, and skills lab FLS performance. Univariate and multivariate analyses were performed using a mixed-effects regression model. Results: We analyzed data from 106 PGY1-PGY5 residents (51% Female) and 104 attendings (26% Female). Female resident gender was associated with more intraoperative guidance in univariate (p = 0.019) and multivariate analysis (p = 0.034). Technical performance between genders was similar. Conclusions: This study demonstrated gender-based inequality in intraoperative autonomy even after controlling for technical performance, PGY level, and case factors.

KW - Autonomy

KW - Bias

KW - Gender

KW - General surgery

KW - Laparoscopy

KW - Residency

UR - http://www.scopus.com/inward/record.url?scp=85058624938&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058624938&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2018.12.023

DO - 10.1016/j.amjsurg.2018.12.023

M3 - Article

C2 - 30580935

AN - SCOPUS:85058624938

VL - 217

SP - 301

EP - 305

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 2

ER -