Background

Women face gender-based challenges in their medical education and career. Inequitable access to procedural training, a confidence gap, and professional identity deficit have been shown. We made a gender comparison of procedural case volume, confidence for independent practice, perceived gender and ethnic bias, and professional identity in Australasian anaesthesia trainees.

Methods

An online, voluntary, anonymous survey using SurveyMonkey® was delivered to Australasian anaesthesia trainees. Information collected included demographics, experience and confidence in 12 anaesthetic procedures, assessments relating to confidence and professional identity, and perceived gender and ethnic bias. Gender differences were evaluated.

Results

Three hundred and fifty-six trainees (22.2%) of the Australian and New Zealand College of Anaesthetists (ANZCA) responded. Male trainees reported a higher number (standard deviation) of procedures performed greater than 10 times (men 4.45 [2.55], women 3.78 [1.95]; P<0.001 adjusted for training level). Men were more likely to rate themselves at a training competency above their actual training level (men 18.6%, women 7.8%; P=0.004) and exaggerate procedural experience to supervisors (men 30.8%, women 11.8%; P<0.001). Final-year male trainees felt significantly more prepared for independent practice (P=0.021, trend across ordered responses). Women reported significantly higher levels of gender bias exhibited by patients (men 1.1%, women 84.5%; P<0.001) and in training overall (men 10.3%, women 55.3%; P<0.001), which was compounded in women with an ethnic minority background.

Conclusions

A discrepancy exists between the number of procedures performed by male and female anaesthesia trainees in Australia and New Zealand. Relative male overconfidence may be a major contributing factor to the gender confidence gap.

中文翻译：

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澳大利亚和新西兰麻醉培训中的性别影响

背景

妇女在医学教育和职业中面临基于性别的挑战。已经显示出无法平等地获得程序培训，置信差距和职业认同缺失。我们对手术病例数量，对独立执业的信心，感知到的性别和种族偏见以及在澳大利亚麻醉学员中的职业身份进行了性别比较。

方法

使用SurveyMonkey®进行的在线自愿自愿匿名调查已交付给澳大利亚麻醉学员。收集的信息包括人口统计资料，对12种麻醉程序的经验和信心，与信心和职业身份有关的评估以及所感知的性别和种族偏见。评估性别差异。

结果

澳大利亚和新西兰麻醉师学院（ANZCA）的356名受训者（22.2％）做出了回应。男学员报告的手术次数（标准差）大于10倍（男4.45 [2.55]，女3.78 [1.95]；P <0.001根据培训水平调整）。男性更有可能对自己的培训能力进行评估，使其高于实际培训水平（男性18.6％，女性7.8％；P = 0.004），并向主管夸大了程序经验（男性30.8％，女性11.8％；P <0.001）。四年级的男学员觉得自己为独立练习做好了更多的准备（P= 0.021，有序响应的趋势）。妇女报告说，患者表现出更高的性别偏见水平（男性为1.1％，女性为84.5％；P <0.001）和总体培训中（男性为10.3％，女性为55.3％；P <0.001），在种族妇女中更为严重少数民族背景。

结论

在澳大利亚和新西兰，由男性和女性麻醉学员执行的程序数量之间存在差异。男性相对过度自信可能是导致性别自信差距的主要因素。