IMR Press / CEOG / Volume 26 / Issue 2 / pii/1999014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research

Does gender discrimination exist in a gynecology training program in a private hospital?

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1 Department of Obstetrics and Gynecology, St. Vincent Hospital and Health Services, Indianapolis (Indiana)
Clin. Exp. Obstet. Gynecol. 1999, 26(2), 53–55;
Published: 10 June 1999
Abstract

Purpose: Does gender discrimination by attending physicians exists in a residency in regard to residents’ opportunities to perform complete/operative management of hysterectomies versus just being surgical assistants? Materials and Methods: The program studied is a 4-year program in obstetrics and gynecology residency with 3 residents per year All cases involving a resident were recorded in a computer program designed by one of the authors (C.S.M.) to collect data for Residency Review Committee reports. Data were able to be sorted in a variety of methods including level of management, date of procedure, Physicians’ Current Procedural Terminology codes, and attending physician name or resident name. Only intrafascial and extrafascial hysterectomies for benign disease were included in the study. Data were collected from July 1, 1996 to March 31, 1997. Results: Five hundred and forty-nne hysterectomies with residents participating as primary surgeon (complete/operative mana­gement) or surgical assistant were performed during the study period. Complete/operative management was performed by the resident in 82.5% of cases while the resident was surgical assistant in 17.5%. Male residents were responsible for complete/operative management in 81.6% of cases and female residents in 83.2% of cases (P = 0.33). Male attending physicians were more likely to allow residents (male or female) to participate as the primary surgeon in abdominal hysterectomies (95.3%) and vaginal hysterec­tomies (68.5%) than female attending physicians (abdominal, 87.0% and vaginal, 57.3%) (P < 0.001 and P = 0.006, respectively). Conclusions: Although male attending physicians were more likely than female attending physicians to allow residents to perform complete/operative management, there was no discrimination as to whether the resident in question was male or female. Precis: When determining the level of management private gynecologists will allow residents to perform they do not practice gender discrimination.

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