Evaluating gender parity in operative experience for otolaryngology residencies in the United States
- 18 September 2019
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 130 (7), 1651-1656
- https://doi.org/10.1002/lary.28306
Abstract
Objectives Gender disparity exists in medicine, such as differences in pay and promotion opportunities. We hypothesize that there is also a gender difference in graduate medical education as manifested by operative case volume. This study compares surgical case volume by gender for graduating US otolaryngology residents. Study Design Cohort study. Methods With data use approval from the Accreditation Council for Graduate Medical Education, we evaluated the key indicator case log summaries of graduating otolaryngology residents from 2009–2017. Mean and standard deviation were used for all cases, and t‐tests were used to compare cases by resident gender. The Bonferroni method was used to adjust for multiple comparisons across years. Results Data from 1740 male and 804 female residents were evaluated. Across all years, the average number of key indicator cases reported was 778.8 and 813.6 by female and male residents, respectively, with an average difference of 34.8 cases per graduating year (95% confidence interval [CI] 19.4, 50.2; P < .001). When a resident self‐reported the role of resident surgeon/supervisor, the average number of key indicator cases reported was 602.6 and 643.9 by female and male residents, respectively, with an average difference of 41.3 cases per graduating year (95% CI, 28.0, 54.6; P < .001). Conclusion Gender‐based discrepancies in surgical case volume exist among graduating otolaryngology residents. This disparity is partially attributed to the self‐reported role in the surgery. This study has identified those discrepancies so that training programs can implement strategies to ensure improved gender parity. Level of Evidence 2b Laryngoscope, 2019Keywords
Funding Information
- American Academy of Otolaryngology-Head and Neck Surgery (Women in Otolaryngology)
- National Center for Advancing Translational Sciences
- National Institutes of Health (5UL1TR001067‐05)
This publication has 23 references indexed in Scilit:
- General Surgery Resident Case Logs: Do They Accurately Reflect Resident Experience?Journal of Surgical Education, 2015
- Perceptions of Gender Equality in Work–Life Balance, Salary, Promotion, and HarassmentJournal of Pediatric Gastroenterology and Nutrition, 2015
- Attrition rates in neurosurgery residency: analysis of 1361 consecutive residents matched from 1990 to 1999Journal of Neurosurgery, 2015
- Perceptions of gender-based discrimination during surgical training and practiceMedical Education Online, 2015
- The Effect of Duty Hour Regulation on Resident Surgical Case Volume in OtolaryngologyOtolaryngology -- Head and Neck Surgery, 2014
- Residents’ Perceptions of Sex Diversity in Orthopaedic SurgeryJournal of Bone and Joint Surgery, 2013
- Women otolaryngologist representation in specialty society membership and leadership positionsThe Laryngoscope, 2012
- Is There Still a Glass Ceiling for Women in Academic Surgery?Annals of Surgery, 2011
- Assessment of Technical Skills of Orthopaedic Surgery Residents Performing Open Carpal Tunnel Release SurgeryJournal of Bone and Joint Surgery, 2009
- The Gender Gap in a Surgical SubspecialtyJAMA Otolaryngology–Head & Neck Surgery, 2004