Surgical Experience Disparity Between Male and Female Surgeons in Japan

Key Points Question Does gender disparity exist in the number of surgical experiences among male and female surgeons in Japan? Findings In this cross-sectional study covering 1 147 068 total operations in 6 surgical fields performed between 2013 and 2017, surgical experience was classified by surgeons’ gender and years of experience. The number of operations per surgeon was lower for female compared with male surgeons, except in the first 2 years after medical registration; this gender gap widened as the difficulty level of surgery increased. Meaning The findings indicate a marked disparity in the surgical experience of female and male surgeons in Japan.

[1]  D. Smink,et al.  Gender Disparity in Awards in General Surgery Residency Programs. , 2020, JAMA surgery.

[2]  B. Loveday,et al.  Assessment of Autonomy in Operative Procedures Among Female and Male New Zealand General Surgery Trainees. , 2020, JAMA surgery.

[3]  J. Windsor,et al.  Sex Inequity in Surgical Training. , 2020, JAMA surgery.

[4]  Kazuhiro Yoshida,et al.  Development of gastroenterological surgery over the last decade in Japan: analysis of the National Clinical Database , 2020, Surgery Today.

[5]  Mark K. Soliman,et al.  Colon and Rectal Surgery Robotic Training Programs: An Evaluation of Gender Disparities , 2020, Diseases of the colon and rectum.

[6]  Brian C. George,et al.  The effect of gender on operative autonomy in general surgery residents. , 2019, Surgery.

[7]  H. Skinner,et al.  Gender representation in leadership roles in UK surgical societies. , 2019, International journal of surgery.

[8]  T. Dornan,et al.  Why do women leave surgical training? A qualitative and feminist study , 2019, The Lancet.

[9]  J. Eloy,et al.  Sex Differences in Faculty Rank Among Academic Surgeons in the United States in 2014 , 2018, Annals of surgery.

[10]  D. Stefanidis,et al.  General surgery education across three continents. , 2017, American journal of surgery.

[11]  A. Tricco,et al.  Prevalence and Causes of Attrition Among Surgical Residents: A Systematic Review and Meta-analysis , 2016, JAMA surgery.

[12]  Y. Tomizawa,et al.  Analysis of gender-based differences among surgeons in Japan: results of a survey conducted by the Japan Surgical Society. Part. 2: personal life , 2017, Surgery Today.

[13]  A. Paul,et al.  Career intentions of female surgeons in German liver transplant centers considering family and lifestyle priorities , 2017, Langenbeck's Archives of Surgery.

[14]  M. Abe,et al.  Gender difference in preference of specialty as a career choice among Japanese medical students , 2016, BMC medical education.

[15]  C. Moulton,et al.  Women in academic surgery: why is the playing field still not level? , 2016, American journal of surgery.

[16]  D. Watters,et al.  Prevalence of bullying, discrimination and sexual harassment in surgery in Australasia , 2015, ANZ journal of surgery.

[17]  D. Watters Apology for discrimination, bullying and sexual harassment by the President of the Royal Australasian College of Surgeons , 2015, ANZ journal of surgery.

[18]  N. Tomita,et al.  Risk Model for Distal Gastrectomy When Treating Gastric Cancer on the Basis of Data From 33,917 Japanese Patients Collected Using a Nationwide Web-based Data Entry System. , 2015, Annals of surgery.

[19]  H. Hashimoto,et al.  National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency , 2015, Surgery Today.

[20]  Y. Tomizawa Gender gap in medicine: only one woman councilor in the Japan Surgical Society. , 2015, The Tohoku journal of experimental medicine.

[21]  Y. Tomizawa,et al.  Gender inequality in career advancement for females in Japanese academic surgery. , 2014, The Tohoku journal of experimental medicine.

[22]  Joseph M. Galante,et al.  Pregnancy-related attrition in general surgery. , 2014, JAMA surgery.

[23]  N. Matsubara,et al.  Mortality After Common Rectal Surgery in Japan: A Study on Low Anterior Resection From a Newly Established Nationwide Large-Scale Clinical Database , 2014, Diseases of the colon and rectum.

[24]  N. Tomita,et al.  A Pancreaticoduodenectomy Risk Model Derived From 8575 Cases From a National Single-Race Population (Japanese) Using a Web-Based Data Entry System: The 30-Day and In-hospital Mortality Rates for Pancreaticoduodenectomy , 2014, Annals of surgery.

[25]  N. Tomita,et al.  Risk model for right hemicolectomy based on 19,070 Japanese patients in the National Clinical Database , 2013, Journal of Gastroenterology.

[26]  K. Lumpkins,et al.  Pregnancy among women surgeons: trends over time. , 2012, Archives of surgery.

[27]  Ying Zhuge,et al.  Is There Still a Glass Ceiling for Women in Academic Surgery? , 2011, Annals of surgery.

[28]  Y. Fukuda,et al.  Gender differences in specialty preference and mismatch with real needs in Japanese medical students , 2010, BMC medical education.

[29]  R. Bell,et al.  Attitudes, training experiences, and professional expectations of US general surgery residents: a national survey. , 2009, JAMA.

[30]  Yasuo Ito Surgical Education and Postgraduate Training in Japan , 2008, World Journal of Surgery.

[31]  A. Teo The current state of medical education in Japan: a system under reform , 2007, Medical education.

[32]  A. Webb,et al.  Why do residents leave general surgery? The hidden problem in today's programs. , 2005, Current surgery.

[33]  J. Otaki Considering primary care in Japan , 1998, Academic medicine : journal of the Association of American Medical Colleges.