Gender Differences in Case Volume Among Ophthalmology Residents
Gender Differences in Case Volume Among Ophthalmology Residents
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DOI：
10.1001/jamaophthalmol.2019.2427
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发表时间：
2019-09-01
影响因子：
8.1
通讯作者：
Al-Aswad, Lama A.
中科院分区：
文献类型：
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作者：
Gong, Dan;Winn, Bryan J.;Al-Aswad, Lama A.
重要性 尽管进入眼科住院医师计划的男女医学生人数几乎相同，但他们在培训期间是否有相似的手术经验尚不清楚。目的 确定眼科住院医师期间男女住院医师白内障手术和总手术量的差异。设计、设置、参与者 这项对 2005 年 7 月至 2017 年 6 月期间 24 个美国眼科住院医师计划的住院医师病例日志进行回顾性纵向分析。共有 1271 名住院医师接受了培训。包括在内。数据分析时间为 2017 年 8 月 12 日至 2018 年 4 月 4 日。主要结果和测量变量分析包括白内障手术和总手术量的平均数量、住院医师性别以及产假或陪产假状况。结果 在分析中纳入的 1271 名住院医师（815 名男性 [64.1%]）中，女性与执行较少的白内障手术和总手术次数相关。男性住院医师平均 (SD) 进行了 176.7 (66.2) 例白内障手术，女性住院医师平均 (SD) 进行了 161.7 (56.2) 例白内障手术（平均差，-15.0 [95% CI，-22.2 至 -7.8]；P
Importance Although almost equal numbers of male and female medical students enter into ophthalmology residency programs, whether they have similar surgical experiences during training is unclear.Objective To determine differences for cataract surgery and total procedural volume between male and female residents during ophthalmology residency.Design, Setting, Participants This retrospective, longitudinal analysis of resident case logs from 24 US ophthalmology residency programs spanned July 2005 to June 2017. A total of 1271 residents were included. Data were analyzed from August 12, 2017, through April 4, 2018.Main Outcomes and Measures Variables analyzed included mean volumes of cataract surgery and total procedures, resident gender, and maternity or paternity leave status.Results Among the 1271 residents included in the analysis (815 men [64.1%]), being female was associated with performing fewer cataract operations and total procedures. Male residents performed a mean (SD) of 176.7 (66.2) cataract operations, and female residents performed a mean (SD) of 161.7 (56.2) (mean difference, -15.0 [95% CI, -22.2 to -7.8]; P