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Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents.

Publication ,  Journal Article
Padilla, EP; Stahl, CC; Jung, SA; Rosser, AA; Schwartz, PB; Aiken, T; Acher, AW; Abbott, DE; Greenberg, JA; Minter, RM
Published in: Ann Surg
February 1, 2022

OBJECTIVE: To determine differences in entrustable professional activity (EPA) assessments between male and female general surgery residents. SUMMARY BACKGROUND DATA: Evaluations play a critical role in career advancement for physicians. However, female physicians in training receive lower evaluations and underrate their own performance. Competency-based assessment frameworks, such as EPAs, may help address gender bias in surgery by linking evaluations to specific, observable behaviors. METHODS: In this cohort study, EPA assessments were collected from July 2018 to May 2020. The effect of resident sex on EPA entrustment levels was analyzed using multiple linear and ordered logistic regressions. Narrative comments were analyzed using latent dirichlet allocation to identify topics correlated with resident sex. RESULTS: Of the 2480 EPAs, 1230 EPAs were submitted by faculty and 1250 were submitted by residents. After controlling for confounding factors, faculty evaluations of residents were not impacted by resident sex (estimate = 0.09, P = 0.08). However, female residents rated themselves lower by 0.29 (on a 0-4 scale) compared to their male counterparts (P < 0.001). Within narrative assessments, topics associated with resident sex demonstrated that female residents focus on the "guidance" and "supervision" they received while performing an EPA, while male residents were more likely to report "independent" action. CONCLUSIONS: Faculty assessments showed no difference in EPA levels between male and female residents. Female residents rate themselves lower by nearly an entire post graduate year (PGY) level compared to male residents. Latent dirichlet allocation -identified topics suggest this difference in self-assessment is related to differences in perception of autonomy.

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Published In

Ann Surg

DOI

EISSN

1528-1140

Publication Date

February 1, 2022

Volume

275

Issue

2

Start / End Page

222 / 229

Location

United States

Related Subject Headings

  • Surgery
  • Sexism
  • Sex Distribution
  • Physicians, Women
  • Male
  • Internship and Residency
  • Humans
  • General Surgery
  • Female
  • Cohort Studies
 

Citation

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Padilla, E. P., Stahl, C. C., Jung, S. A., Rosser, A. A., Schwartz, P. B., Aiken, T., … Minter, R. M. (2022). Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents. Ann Surg, 275(2), 222–229. https://doi.org/10.1097/SLA.0000000000004905
Padilla, Elena P., Christopher C. Stahl, Sarah A. Jung, Alexandra A. Rosser, Patrick B. Schwartz, Taylor Aiken, Alexandra W. Acher, Daniel E. Abbott, Jacob A. Greenberg, and Rebecca M. Minter. “Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents.Ann Surg 275, no. 2 (February 1, 2022): 222–29. https://doi.org/10.1097/SLA.0000000000004905.
Padilla EP, Stahl CC, Jung SA, Rosser AA, Schwartz PB, Aiken T, et al. Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents. Ann Surg. 2022 Feb 1;275(2):222–9.
Padilla, Elena P., et al. “Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents.Ann Surg, vol. 275, no. 2, Feb. 2022, pp. 222–29. Pubmed, doi:10.1097/SLA.0000000000004905.
Padilla EP, Stahl CC, Jung SA, Rosser AA, Schwartz PB, Aiken T, Acher AW, Abbott DE, Greenberg JA, Minter RM. Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents. Ann Surg. 2022 Feb 1;275(2):222–229.

Published In

Ann Surg

DOI

EISSN

1528-1140

Publication Date

February 1, 2022

Volume

275

Issue

2

Start / End Page

222 / 229

Location

United States

Related Subject Headings

  • Surgery
  • Sexism
  • Sex Distribution
  • Physicians, Women
  • Male
  • Internship and Residency
  • Humans
  • General Surgery
  • Female
  • Cohort Studies