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Gender Differences in Operative Autonomy Using the Surgical Autonomy Program: A Multicenter Study.


ABSTRACT: Background The proportion of women surgeons is increasing, but studies show that women in surgical residency are granted less autonomy than men. Objective We utilized the Surgical Autonomy Program (SAP), an educational framework, to evaluate gender differences in self-reported autonomy, attending-reported autonomy, and operative feedback among US neurosurgical residents. Methods The SAP tracks resident progression and guides teaching in neurosurgery. Surgeries are divided into zones of proximal development (opening, exposure, critical portion, and closure). Postoperatively, resident autonomy is rated on a 4-point scale by the resident and the attending for each part of the case, or zone. We utilized data from July 2017 to February 2024 from 8 institutions. Ordinal regr

SUBMITTER: Kirsch EP 

PROVIDER: S-EPMC11475442 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature