Is there a gender bias in milestones evaluations in general surgery residency training?
ACGME core Competency
Evaluation
Gender disparity
General surgery education
Milestones
Self-assessment
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
16
07
2020
revised:
07
12
2020
accepted:
07
12
2020
pubmed:
29
12
2020
medline:
7
4
2021
entrez:
28
12
2020
Statut:
ppublish
Résumé
Studies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC). 42 residents (25 male & 17 female) and faculty completed 300 Accreditation Council for Graduate Medical Education (ACGME) Milestone evaluations over a 4-year period. Two-way ANOVA, intraclass correlations coefficients, and general linear mixed models were used for analysis. CCC Milestone scores from 150 evaluations, 51 (34%) for female residents and 99 (66%) for male residents, were compared to corresponding SEM scores. There is a high interrater reliability (self vs. CCC). There was a significant increase in scores with advancing PGY levels (p < 0.001). No effect of gender on Milestones scores (p > 0.05) was noted. We found no significant differences in Milestones scores between male and female residents as determined by the CCC. Both scores improved significantly as residents progressed in training.
Sections du résumé
BACKGROUND
Studies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC).
METHODS
42 residents (25 male & 17 female) and faculty completed 300 Accreditation Council for Graduate Medical Education (ACGME) Milestone evaluations over a 4-year period. Two-way ANOVA, intraclass correlations coefficients, and general linear mixed models were used for analysis.
RESULTS
CCC Milestone scores from 150 evaluations, 51 (34%) for female residents and 99 (66%) for male residents, were compared to corresponding SEM scores. There is a high interrater reliability (self vs. CCC). There was a significant increase in scores with advancing PGY levels (p < 0.001). No effect of gender on Milestones scores (p > 0.05) was noted.
CONCLUSIONS
We found no significant differences in Milestones scores between male and female residents as determined by the CCC. Both scores improved significantly as residents progressed in training.
Identifiants
pubmed: 33358140
pii: S0002-9610(20)30798-4
doi: 10.1016/j.amjsurg.2020.12.020
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
505-508Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.