Purpose: To investigate the impact of race/ethnicity and gender on procedural experience in Obstetrics & Gynecology (Ob/Gyn) residency training.
Background: Nearly 60% of medical trainees experience discrimination. A rising number of studies explore the impact of race/ethnicity and gender on medical student experience. Recent studies also cite a correlation between underrepresented in medicine (URM) and female general surgery trainees and lower operative volumes. There is limited data on the impact of race/ethnicity and gender on Ob/Gyn residency training.
Methods: We conducted a retrospective analysis of graduated Ob/Gyn resident case logs from 2009-2019 at a single institution. Self-reported race/ethnicity and gender data were collected. Trainees were categorized into URM (Black, Hispanic, Native American) and non-URM (White, Asian), and gender categorized as female or male. Association between URM/non-URM and gender were analyzed using t-tests.
Results: The cohort consisted of 84 residents: 58 White (69%) and 74 female (88.1%). Compared with non-URM, URM performed fewer total procedures (1562 vs. 1469, P = 0.0403) and abortions (76 vs 53, P = 0.018). There was no significant difference in total gynecologic cases logged (P = 0.3104). Compared to females, males performed fewer vaginal deliveries (271 vs. 250, P = 0.0331). There were no additional significant associations between case logs and procedures by gender.
Discussions: Our single institution study highlights potential disparities in trainee experience according to race/ethnicity. Larger national studies are warranted to further explore these disparities to identify bias and discrimination, and to ensure equitable experience for all trainees.
Topics: CREOG & APGO Annual Meeting, 2023, Resident, Faculty, Osteopathic Faculty, Residency Director, Residency Coordinator, Patient Care, Systems-Based Practice & Improvement, GME, Quality & Safety,
Patricia GiglioAyers, MD; Brown University; Christine Foley, MD; Beth Cronin, MD; Dayna Burrell, MD;
