Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Author:

Hobday Sara B.12ORCID,Armache Maria3,Frost Ariel S.4,Lu Joseph5,De Ravin Emma12,Shanti Rabie M.6,Jazayeri Hossein E.7,Newman Jason G.89,Brody Robert M.12,Cannady Steven B.12,Wax Mark K.10,Mady Leila J.11ORCID

Affiliation:

1. Department of Otorhinolaryngology‐Head and Neck Surgery University of Pennsylvania Health System Philadelphia Pennsylvania USA

2. Perelman School of Medicine University of Pennsylvania Health System Philadelphia Pennsylvania USA

3. Department of Otolaryngology‐Head and Neck Surgery Thomas Jefferson University Philadelphia Pennsylvania USA

4. Head and Neck Institute, Cleveland Clinic Cleveland Ohio USA

5. Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA

6. Department of Oral and Maxillofacial Surgery Rutgers School of Dental Medicine Newark New Jersey USA

7. Section of Oral and Maxillofacial Surgery, Department of Surgery Michigan Medicine Ann Arbor Michigan USA

8. MUSC Hollings Cancer Center Charleston South Carolina USA

9. Department of Otolaryngology‐Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA

10. Department of Otolaryngology‐Head and Neck Surgery Oregon Health Sciences University Portland Oregon USA

11. Department of Otolaryngology, Head and Neck Surgery The Johns Hopkins University School of Medicine Baltimore Maryland USA

Abstract

AbstractObjectiveTo determine whether gender differences exist in the training history, practice patterns, and home lives of surgeons who perform microvascular reconstruction of the head and neck.Study DesignCross‐sectional survey.SettingMedical facilities that employ surgeons who practice head and neck microvascular reconstruction in the United States.MethodsA survey was created using the Research Electronic Data Capture Framework and was distributed via email to microvascular reconstructive surgeons. Descriptive statistics were performed using Stata software.ResultsNo significant differences were found in training or current practice patterns between microvascular surgeons who identify as men versus those who identify as women. Women had fewer children (p = .020) and were more likely to be childless (p = .002). Whereas men were more likely to report a spouse/partner as primary caretaker, women were more likely to hire a professional caretaker or cite themselves as a primary caretaker (p < .001). Women were more likely to have finished residency (p = .015) and fellowship (p = .014) more recently and to practice in the Southeast (p = .006). Of the microvascular surgeons who reported practice setting switches, men more commonly changed positions for career advancement, whereas women were more likely to switch due to burnout (p = .002).ConclusionThis study found no gender‐based differences in training or practice patterns. However, significant differences were identified in childbearing, family structure, geographic practice location, and motives for switching practice.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

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