Survey shows gender differences are factor when surgeons in training choose a subspecialty

“The field of surgery and the majority of surgical residencies have been implementing changes to improve the "lifestyles" of surgeons. That's why it is important for surgeons, both male and female, to model a balanced lifestyle to medical students and promote it in surgical residents if we are to continue to recruit high caliber women, as well as men, into surgery, and especially subspecialty fields," McCord added.

The University of Wisconsin general surgery residency program developed and distributed via email a 32-item Web based survey to 99 graduates (74 respondents) between the years 1985 and 2006. The survey contained matrix questions, contingency questions, scaled responses and open questions designed to evaluate the factors that most influenced a resident’s decision to pursue fellowship or subspecialty training. Of the 74 respondents, 58 were men and 16 were women. The mean age of the respondents was 40 years (range 31 to 52 years), and 95 percent were married or partnered, with an average of 1.9 children.

There was a significant difference between genders in those practicing general surgery versus subspecialties, with 69 percent of women and 36 percent of men responding that general surgery was their current field (p=0.02) and the rest currently practicing in a specialized area of surgery.

More than 70 percent of respondents indicated that the following factors were either important or very important when choosing future subspecialty training: interest in the field, intellectual appeal of field, an influential mentor, and clinical opportunities in that field. Among all possible factors queried, only lifestyle was significantly more important to women versus men graduates when choosing their future career (69 percent [11 of 16] versus 43 percent [25 of 58], respectively; p=0.03).

Other results for women and men respondents focused on research exposure during residency (basic science, 38 percent versus 40 percent; clinical, 56 percent versus 61 percent, respectively; p>0.05); fellowship training (38 percent versus 69 percent, respectively; p=0.04); and academic practice setting (27 percent versus 46 percent, respectively; p=0.2).

For the majority of factors there was no significant difference in the response rates for men and women.

About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 72,000 members and is the largest organization of surgeons in the world. For more information, visit www.facs.org.