THE IMPACT OF GENDER DYADS ON SELF-REPORTED OPERATIVE ROLE IN GENERAL SURGERY singlete@umich.edu

PW07-18

THE IMPACT OF GENDER DYADS ON SELF-REPORTED OPERATIVE ROLE IN GENERAL SURGERY

5

United States

Oral or Poster

Gender-based differences persist in the number of cases logged by senior female residents and their self-identified operative role within those cases. We sought to evaluate the impact of the gender of the trainee and the faculty surgeon on the learner’s self-identified operative role.

We analyzed the ACGME case logs of categorical residents from July 2016 to June 2023 using six university-based general surgery residency programs. Data were analyzed using a generalized linear mixed effects model with first assist cases coded as 1 and non-first assist cases coded as 0 for the dependent variable. Fixed effects included main effects for resident and attending gender as well as clinical year of training.

358,572 ACGME case logs for 415 residents (203 male, 212 female) involving 373 attending surgeons (250 male, 123 female) were analyzed. Cases involving female faculty were less likely to be assessed as “first assistant”. The likelihood of “first assistant” designation was lower when chief female residents operated with female faculty. There were no significant differences in the “first assistant” designation by male residents operating with female versus male attendings.

Cases logged by all residents were less likely to be categorized as “first assistant” when the gender of the attending surgeon was female. As expected, “first assistant” cases were more commonly logged by female residents into their chief year. However, cases logged by chief female residents while operating with a female attending were less likely to be categorized as “first assistant”.