1. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents.
- Author
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Olson, Emily, Sanborn, David, Kelm, Diana, Murray, Sara, DesJardin, Jacqueline, Santhosh, Lekshmi, and Dyster, Timothy
- Subjects
critical care ,gender disparities ,graduate medical education ,procedure training ,residency - Abstract
BACKGROUND: Procedural training is a required competency in internal medicine (IM) residency, yet limited data exist on residents experience of procedural training. OBJECTIVES: We sought to understand how gender impacts access to procedural training among IM residents. METHODS: A mixed-methods, explanatory sequential study was performed. Procedure volume for IM residents between 2016 and 2020 was assessed at two large academic residencies (Program A and Program B: 399 residents and 4,020 procedures). Procedural rates and actual versus expected procedure volume by gender were compared, with separate analyses by clinical environment (intensive care unit [ICU] or structured procedural service). Semistructured gender-congruent focus groups were conducted. Topics included identity formation as a proceduralist and the resident procedural learning experience, including perceived gender bias in procedure allocation. RESULTS: Compared with men, women residents performed disproportionately fewer ICU procedures per month at Program A (1.4 vs. 2.7; P
- Published
- 2023