000			03907nam a22004097a 4500
008			220926s20222022 xxu||||| |||| 00| 0 eng d
022			_a1058-2746
024			_a10.1016/j.jse.2022.05.024 [doi]
024			_aS1058-2746(22)00548-1 [pii]
040			_aOvid MEDLINE(R)
099			_a35788056
245			_aAn Investigation into Gender Bias in the Evaluation of Orthopaedic Trainee Arthroscopic Skills.
251			_aJournal of Shoulder & Elbow Surgery. 2022 Jul 01
252			_aJ Shoulder Elbow Surg. 2022 Jul 01
253			_aJournal of shoulder and elbow surgery
260			_c2022
260			_fFY2023
260			_p2022 Jul 01
265			_saheadofprint
266			_d2022-09-26
501			_aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library:2004 - 2007
520			_aBACKGROUND: Women surgeons receive lower compensation, hold fewer academic positions, and hold fewer leadership positions than men, particularly in orthopedic surgery. Gender bias at the trainee level has been demonstrated in various surgical subspecialties, but there is a lack of information on gender bias within the orthopedic training environment. This study investigated whether implicit gender bias is present in the subjective evaluation of orthopedic trainee arthroscopic skills.
520			_aDISCUSSION: Trainee gender did not influence the ratings and comments participants gave for trainee arthroscopic skills, suggesting that gender bias may not play a major role in the evaluation of arthroscopic skill during orthopedic training. Copyright © 2022. Published by Elsevier Inc.
520			_aMETHODS: After institutional review board (IRB) approval, a web-based survey was sent to American Shoulder and Elbow Surgeons (ASES) members via the society's email listserv. Study participants were informed that the study was being done to develop a systematic evaluation method for trainees. The survey randomized participants to view and evaluate a pre-fellowship and a post-fellowship video of "Rachel" (she/her) or "Charles" (he/him) performing a 15-point diagnostic shoulder arthroscopy. The videos for Rachel and Charles were identical except for the pronouns used in the video. Participants evaluated the trainee's skill level using questions from the Arthroscopic Surgical Skill Evaluation Tool (ASSET). Blinded and de-identified additional comments regarding the trainee's skill were classified as positive, negative, or neutral. Statistical analyses were used to compare scores and comments between Rachel and Charles.
520			_aRESULTS: Of 1115 active ASES members, 181 ASES members started the survey and 106 watched both videos and were included in the analysis. Of the 106 participants completing the survey, 96 (91%) were men and 10 (9%) were women with median [IQR] age of 44 [38-51]. A teaching role was reported by 84 of 106 participants (79%). There was no significant difference between pre-fellowship scores (p = 0.87) or between post-fellowship scores (p = 0.84) for the woman and man fellow. The numbers of comments classified as positive, negative, or neutral were not significantly different between the man and woman fellow (p = 0.19). Participants in teaching roles gave significantly lower scores to both fellows at both timepoints (p=0.04), and participants who had fellow trainees were more likely to give negative comments to both fellows (p = 0.02).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Union Memorial Hospital
656			_aOrthopedics
657			_aJournal Article
700			_aHawken, Jessica B
700			_aMurthi, Anand M
700			_aWright, Melissa A
790			_aGeng X, Hawken JB, Leape CP, Murthi AM, Wright MA
856			_uhttps://dx.doi.org/10.1016/j.jse.2022.05.024 _zhttps://dx.doi.org/10.1016/j.jse.2022.05.024
942			_cART _dArticle
999			_c406 _d406