Impact of a resident's sex on intraoperative entrustment of surgery trainees

Thompson-Burdine, Julie; Sutzko, Danielle C.; Nikolian, Vahagn C.; Boniakowski, Anna; Georgoff, Patrick E.; Prabhu, Kaustubh; Matusko, Niki; Minter, Rebecca M.; Sandhu, Gurjit

doi:10.1016/j.surg.2018.05.014

Cited by 22 publications

(34 citation statements)

References 27 publications

(36 reference statements)

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“…In 2018, Thompson-Burdine et al analyzed third-party assessments of residents from 4 specialties (plastic, thoracic, vascular, and general surgery) performing a laparoscopic procedure. 9 This study, including 56 faculty and 73 residents performing 223 cases, demonstrated no differences in provision of OR autonomy by attendings to male and female residents. Importantly, this study required that a knowledgeable third-party observer take notes in the OR on both resident and faculty surgeon entrustment as each case was performed.…”

Section: Level 5 Consultatory Guidancementioning

confidence: 62%

“…4,5 Additionally, previous studies in surgical and non-surgical specialties have shown that men and women trainees are assessed differently, with men assessors providing higher ratings and more operating room (OR) autonomy to men trainees. [6][7][8][9] One specialty that is approaching gender parity is plastic and reconstructive surgery. Recent data indicated that the women-to-men ratio of its boardcertified workforce was 1:5.3 and its integrated plastic surgery resident workforce was 1:1.4.…”

Section: Introductionmentioning

confidence: 99%

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An Analysis of Gender Bias in Plastic Surgery Resident Assessment

Cooney

Aravind

Hultman

et al. 2021

Journal of Graduate Medical Education

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Background Previous studies have shown men and women attending physicians rate or provide operating room (OR) autonomy differently to men and women residents, with men attendings providing higher ratings and more OR autonomy to men residents. Particularly with the advent of competency-based training in plastic surgery, differential advancement of trainees influenced by gender bias could have detrimental effects on resident advancement and time to graduation. Objective We determined if plastic surgery residents are assessed differently according to gender. Methods Three institutions' Operative Entrustability Assessment (OEA) data were abstracted from inception through November 2018 from MileMarker, a web-based program that stores trainee operative skill assessments of CPT-coded procedures. Ratings are based on a 5-point scale. Linear regression with postgraduate year adjustment was applied to all completed OEAs to compare men and women attendings' assessments of men and women residents. Results We included 8377 OEAs completed on 64 unique residents (25% women) by 51 unique attendings (29% women): men attendings completed 83% (n = 6972; 5859 assessments of men residents; 1113 of women residents) and women attendings completed 17% (n = 1405; 1025 assessments of men residents; 380 of women residents). Adjusted analysis showed men attendings rated women residents lower than men residents (P < .001); scores by women attendings demonstrated no significant difference (P = .067). Conclusions Our dataset including 4.5 years of data from 3 training programs showed men attendings scored women plastic surgery residents lower than their men counterparts.

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Section: Level 5 Consultatory Guidancementioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

An Analysis of Gender Bias in Plastic Surgery Resident Assessment

Cooney

Aravind

Hultman

et al. 2021

Journal of Graduate Medical Education

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“…Previous studies suggested, for example, that resident sex may affect intraoperative autonomy, 23,27 while another suggested that no such disparity exists. 28…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies suggested, for example, that resident sex may affect intraoperative autonomy, 23,27 while another suggested that no such disparity exists. 28 The widespread adaptation of novel technologies such as SIMPL may be limited by the financial cost of the system, which may prove prohibitive for programs with limited resources. We chose to use SIMPL for the many aforementioned benefits of this application (see Methods), including ease of use and monthly reports for users, but programs could consider designing less expensive options with open source or free software such as RedCap.…”

Section: Limitationsmentioning

confidence: 99%

Assessments of Otolaryngology Resident Operative Experiences Using Mobile Technology: A Pilot Study

Chen

Kozin

Bohnen

et al. 2019

Otolaryngol.--head neck surg.

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Objectives Surgical education has shifted from the Halstedian model of “see one, do one, teach one” to a competency-based model of training. Otolaryngology residency programs can benefit from a fast and simple system to assess residents’ surgical skills. In this quality initiative, we hypothesize that a novel smartphone application called System for Improving and Measuring Procedural Learning (SIMPL) could be applied in an otolaryngology residency to facilitate the assessment of resident operative experiences. Methods The Plan Do Study Act method of quality improvement was used. After researching tools of surgical assessment and trialing SIMPL in a resident-attending pair, we piloted SIMPL across an otolaryngology residency program. Faculty and residents were trained to use SIMPL to rate resident operative performance and autonomy with a previously validated Zwisch Scale. Results Residents (n = 23) and faculty (n = 17) were trained to use SIMPL using a standardized curriculum. A total of 833 assessments were completed from December 1, 2017, to June 30, 2018. Attendings completed a median 20 assessments, and residents completed a median 14 self-assessments. All evaluations were resident initiated, and attendings had a 78% median response rate. Evaluations took residents a median 22 seconds to complete; 126 unique procedures were logged, representing all 14 key indicator cases for otolaryngology. Discussion This is the first residency-wide application of a mobile platform to track the operative experiences of otolaryngology residents. Implications for Practice We adapted and implemented a novel assessment tool in a large otolaryngology program. Future multicenter studies will benchmark resident operative experiences nationwide.

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“…At Hewlett-Packard, women were noted to apply for promotions only if they believed they met 100 percent of job criteria, but men applied if they thought they met 60 percent. 5 Interestingly, self-criticism is an important leadership quality to identify and improve gaps. Providing women with strong, positive mentorship and sponsorship will hopefully close the confidence gap and enhance female leadership emergence.…”

mentioning

confidence: 99%