• Am. J. Surg. · Mar 2021

    Is there a gender bias in milestones evaluations in general surgery residency training?

    • Lauren Kwasny, Saad Shebrain, Gitonga Munene, and Robert Sawyer.
    • Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Dr, Kalamazoo, MI, 49008, USA.
    • Am. J. Surg. 2021 Mar 1; 221 (3): 505-508.

    BackgroundStudies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC).Methods42 residents (25 male & 17 female) and faculty completed 300 Accreditation Council for Graduate Medical Education (ACGME) Milestone evaluations over a 4-year period. Two-way ANOVA, intraclass correlations coefficients, and general linear mixed models were used for analysis.ResultsCCC Milestone scores from 150 evaluations, 51 (34%) for female residents and 99 (66%) for male residents, were compared to corresponding SEM scores. There is a high interrater reliability (self vs. CCC). There was a significant increase in scores with advancing PGY levels (p < 0.001). No effect of gender on Milestones scores (p > 0.05) was noted.ConclusionsWe found no significant differences in Milestones scores between male and female residents as determined by the CCC. Both scores improved significantly as residents progressed in training.Copyright © 2020 Elsevier Inc. All rights reserved.

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