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Background: Although the number of women medical trainees has increased in recent years, they remain a minority of the academic workforce. Gender-based implicit biases may lead to deleterious effects on surgical workforce retention and productivity.
Methods: All 440 attending surgeons and anesthesiologists employed at our institution were invited to complete a survey regarding perceptions of the perioperative work environment and resources. Odds ratios for dichotomous variables were calculated using logistic regressions, and for trichotomous variables, polytomous regressions.
Results: 243 participants (55.2%) provided complete survey responses. Relative to men, women faculty reported a greater need to prove themselves to staff; less respect and fewer resources and opportunities; more frequent assumptions about their capabilities; and a greater need to adjust their demeanor to connect with their team (p < 0.05).
Conclusion: Perceived gender bias remains present in the perioperative environment. We need greater efforts to address barriers and create an equitable work environment.
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http://dx.doi.org/10.1016/j.amjsurg.2023.09.033 | DOI Listing |
Herz
September 2025
Department of Cardiology, Heart Center Leipzig, University of Leipzig, Strümpellstraße 39, 04289, Leipzig, Deutschland.
Since the earliest studies on transcatheter aortic valve implantation (TAVI), the heart team concept has been an integral component of treatment planning for patients with aortic valve stenosis (AS). The primary objective is to ensure patient-specific, guideline-based treatment through the structured involvement of all relevant medical disciplines. The TAVI heart team is strongly recommended with a class I indication in both European and US clinical guidelines.
View Article and Find Full Text PDFPurpose: Robotic-assisted total knee arthroplasty (RA-TKA), which is increasingly used to improve surgical precision, can face adoption difficulties due to a learning curve marked by longer operating times. The aim of this study was to evaluate the learning curve associated with the VELYS™ robot in five surgeons from the same centre with different annual arthroplasty volumes using navigated assistance with personalised alignment. The primary aim was to assess the learning curve for each surgeon.
View Article and Find Full Text PDFJ Arthroplasty
September 2025
Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address:
Introduction: Length of stay (LOS) is a substantial driver of costs following primary total knee arthroplasty (TKA), leading to increased efforts targeting same-day discharge. However, patient selection for same-day discharge TKA remains a challenge, with 7 to 49% of patients failing to achieve planned same-day discharge with current stratification tools. This study aimed to develop and assess multiclass machine learning models for patient selection for same-day discharge TKA as well as risk for prolonged LOS using a large national patient cohort.
View Article and Find Full Text PDFZhonghua Yi Xue Za Zhi
September 2025
Department of Anesthesiology, Sir Run Run Hospital Affiliated to Nanjing Medical University, Nanjing 221000, China.
To analyze the application effect of dural puncture epidural anesthesia (DPE) in elderly patients undergoing hip fracture surgery. Elderly patients scheduled for elective unilateral hip fracture surgery at the Sir Run Run Hospital Affiliated to Nanjing Medical University from May to December 2024 were prospectively enrolled. They were randomly divided into the DPE group and the epidural anesthesia (EA) group (61 cases each) using a random number table.
View Article and Find Full Text PDFStomatologiia (Mosk)
September 2025
St. Petersburg State University, St. Petersburg, Russia.
Objective: To analyze the results of specialized medical care (SMC) to the injured in the maxillofacial region using the principles of multi-stage surgical treatment.
Material And Methods: To achieve the purpose of the study, the results of surgical treatment of the wounded with combat wounds of the maxillofacial region in military medical hospitals and medical institutions performing qualified and specialized care were analyzed. Clinical examination, observation and treatment were carried out using a comprehensive multidisciplinary approach (examination by an anesthesiologist, intensive care specialist, neurosurgeon, maxillofacial surgeon, traumatologist, surgeon, ophthalmologist and otolaryngologist).