目的:手术培训机会的性别差异,按箱子体积测量,已在耳鼻喉科和眼科领域得到证实。我们假设神经外科居民中不存在这种性别差异。这项研究比较了美国神经外科居民按研究生年(PGY)水平分层的女性和男性病例中位数。
方法:这项回顾性分析包括来自两个南加州神经外科住院医师培训项目的病例日志数据,河滨大学卫生系统(RUHS)和沙漠地区医学中心(DRMC),从2015年到2021年。对于每个PGY级别,病例量的性别差异使用中位数进行总结,SD,和双侧t检验。
结果:在47名(19.1%为女性)神经外科住院医师中,所有PGY水平的病例数量均无显著性别差异.在PGY-1期间,女性居民的手术病例中位数较高(中位数(SD),女性107.0(13.1)对男性102.0(24.3);p=0.841)和PGY-7(女性282.5(17.7)对男性246(60.9);P=0.424),而男性居民的所有其他PGY水平的中位病例量较大。
结论:尽管先前的研究发现耳鼻喉科和眼科手术患者的病例量存在显著的性别差异,来自南加州两个神经外科住院医师项目的病例日志数据,RUHS和DRMC,在任何PGY级别都不反映这种性别差异。
OBJECTIVE: Gender differences in surgical training opportunities, measured by
case volume, have been demonstrated in the fields of otolaryngology and ophthalmology. We hypothesize that this gender disparity is not present among neurosurgery residents. This study compares median female and male
case volumes stratified by postgraduate year (PGY) level for U.S. neurosurgery residents.
METHODS: This retrospective analysis included case log data from two southern California neurosurgery residency training programs, Riverside University Health System (RUHS) and Desert Regional Medical Center (DRMC), from 2015 to 2021. For each PGY level, gender differences in
case volumes were summarized using median, SD, and two-sided t-tests.
RESULTS: Among 47 (19.1% female) neurosurgery residents, there were no significant gender differences in
case volumes across any PGY levels. Female residents had greater median surgical cases during PGY-1 (median (SD), female 107.0 (13.1) vs male 102.0 (24.3); p=0.841) and PGY-7 (female 282.5 (17.7) vs male 246 (60.9); P=0.424), while male residents had greater median
case volumes for all other PGY levels.
CONCLUSIONS: Although previous studies have found significant gender differences in case volumes among surgical residents in otolaryngology and ophthalmology, case log data from two neurosurgery residency programs in southern California, RUHS and DRMC, does not reflect this gender disparity at any PGY level.