Multi-institutional study examining intraoperative entrustment and resident sex

Samantha Baker; Julie Evans; Niki Matusko; Brenessa Lindeman; Sarah Jung; Sebin Choi; Rebecca Minter; Mackenzie Cook; Karen Brasel; Gurjit Sandhu

doi:10.1016/j.amjsurg.2024.115925

Multi-institutional study examining intraoperative entrustment and resident sex

Am J Surg. 2024 Aug 22:115925. doi: 10.1016/j.amjsurg.2024.115925. Online ahead of print.

Authors

Samantha Baker¹, Julie Evans², Niki Matusko³, Brenessa Lindeman⁴, Sarah Jung⁵, Sebin Choi⁶, Rebecca Minter⁷, Mackenzie Cook⁸, Karen Brasel⁹, Gurjit Sandhu¹⁰

Affiliations

¹ University of Alabama at Birmingham, 1808 7th Ave S, #503U, Birmingham, AL, 35294, USA. Electronic address: [email protected].
² University of Michigan, Alfred Taubman Health Care Center, Rm 2101, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address: [email protected].
³ University of Michigan, Alfred Taubman Health Care Center, Rm 2101, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address: [email protected].
⁴ University of Alabama at Birmingham, 1808 7th Ave S, #503U, Birmingham, AL, 35294, USA. Electronic address: [email protected].
⁵ University of Wisconsin, University of Wisconsin Clinical Science Center, Dept of Surgery Admin MC, 7375, 600 Highland Avenue, Madison, WI, 53792, USA. Electronic address: [email protected].
⁶ University of Michigan, Alfred Taubman Health Care Center, Rm 2101, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address: [email protected].
⁷ University of Wisconsin, University of Wisconsin Clinical Science Center, Dept of Surgery Admin MC, 7375, 600 Highland Avenue, Madison, WI, 53792, USA. Electronic address: [email protected].
⁸ Oregon Health and Science University, 3181 S.W. Sam Jackson Park Rd, Mail Code: L223, Portland, OR, 97239, USA. Electronic address: [email protected].
⁹ Oregon Health and Science University, 3181 S.W. Sam Jackson Park Rd, Mail Code: L223, Portland, OR, 97239, USA.
¹⁰ University of Michigan, Alfred Taubman Health Care Center, Rm 2101, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address: [email protected].

PMID: 39242234
DOI: 10.1016/j.amjsurg.2024.115925

Abstract

Introduction: Single-site studies have found variable associations between gender and entrustment-based interactions during surgical residency. We sought to assess the relationship between resident sex and intraoperative entrustment at multiple institutions.

Methods: Surgical cases were observed at four university-based training programs. Faculty entrustment and resident entrustability were rated using OpTrust. OpTrust is a validated intraoperative entrustment measurement tool which enables trained third-party raters to objectively score resident and faculty behaviors in the operating room. Independent sample t-tests and regression analysis with cluster adjusted standard errors were used.

Results: 337 cases were observed which included 149 residents (54 % female) and 97 faculty members (30 % female). There was no difference in resident entrustability based on resident sex (p = 0.30). Female residents were more likely to be involved in cases rated as more difficult (p = 0.04). At a single site, male residents scored higher on resident entrustability (p = 0.007) and faculty entrustment (p = 0.022).

Conclusion: Entrustment did not differ based on resident sex on a multi-institutional scale; however, at a single site, there was a difference; suggesting there are multi-factorial issues contributing to differences in training.