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Please use this identifier to cite or link to this item: http://hdl.handle.net/11055/923
Title: Gender effects in anaesthesia training in Australia and New Zealand
Authors: Pearce, Greta
Sidhu, Navdeep
Cavadino, Alana
Shrivathsa, Archana
Seglenieks, Richard
ANZCA/FPM Author: Seglenieks, R
Sidhu, NS
Pearce, Greta
Shrivathsa, Archana
Keywords: confidence gap
gender bias
medical education
teaching
unconscious bias
Issue Date: Mar-2020
Citation: 124(3):e70-e76.
Abstract: BACKGROUND: Women face gender-based challenges in their medical education and career. Inequitable access to procedural training, a confidence gap, and professional identity deficit have been shown. We made a gender comparison of procedural case volume, confidence for independent practice, perceived gender and ethnic bias, and professional identity in Australasian anaesthesia trainees. METHODS: An online, voluntary, anonymous survey using SurveyMonkey® was delivered to Australasian anaesthesia trainees. Information collected included demographics, experience and confidence in 12 anaesthetic procedures, assessments relating to confidence and professional identity, and perceived gender and ethnic bias. Gender differences were evaluated. RESULTS: Three hundred and fifty-six trainees (22.2%) of the Australian and New Zealand College of Anaesthetists (ANZCA) responded. Male trainees reported a higher number (standard deviation) of procedures performed greater than 10 times (men 4.45 [2.55], women 3.78 [1.95]; P<0.001 adjusted for training level). Men were more likely to rate themselves at a training competency above their actual training level (men 18.6%, women 7.8%; P=0.004) and exaggerate procedural experience to supervisors (men 30.8%, women 11.8%; P<0.001). Final-year male trainees felt significantly more prepared for independent practice (P=0.021, trend across ordered responses). Women reported significantly higher levels of gender bias exhibited by patients (men 1.1%, women 84.5%; P<0.001) and in training overall (men 10.3%, women 55.3%; P<0.001), which was compounded in women with an ethnic minority background. CONCLUSIONS: A discrepancy exists between the number of procedures performed by male and female anaesthesia trainees in Australia and New Zealand. Relative male overconfidence may be a major contributing factor to the gender confidence gap.
URI: http://hdl.handle.net/11055/923
DOI: 10.1016/j.bja.2019.12.020
ORCID: 0000-0003-3470-2273
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/31982114
ISSN: 0007-0912
Journal Title: British Journal of Anaesthesia
Type: Journal Article
Affiliates: Department of Anaesthesia and Perioperative Medicine, North Shore Hospital, Auckland, New Zealand
Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
Department of Anaesthesia and Pain Medicine, Fiona Stanley and Fremantle Hospitals Group, Perth, Australia
Department of Anaesthesia and Acute Pain Medicine, St. Vincent’s Hospital, Melbourne, Australia
Study/Trial: Survey
Appears in Collections:Scholarly and Clinical

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