Gender Differences in Perception of Neurosurgery as a Career Choice in Pakistan: A Nationwide Cross-Sectional Survey.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-25 DOI:10.1016/j.wneu.2024.09.141
Aiman Idrees, Aqeeb Ur Rehman, Muhammad Hammad Khan, Noor Atiq, Ali Tanvir, Syeda Fatima Abid, Syed Muhammad Bin Atif, Zunaira Amjad, Ali Mohsin, Bhavya Pahwa, Usama Ejaz, Brandon Lucke-Wold
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Abstract

Background: A low neurosurgeon-to-patient ratio persists to be a problem in many developing nations including Pakistan. Concurrent gender disparities further exacerbate the challenges posed by the already limited workforce. An understanding of the perceptions of neurosurgery among female early career doctors is crucial in the evolution of the field in terms of both, workforce strength and inclusivity.

Methods: A cross-sectional study was conducted across public and private medical schools of Pakistan. A close-ended self-administered questionnaire was employed to assess subject-reported challenges and perceptions regarding neurosurgery. Statistical analysis was performed using SPSS, version 28, and P < 0.05 was considered significant. The influence of these perceptions on the choice of neurosurgery as a career was determined by binary logistic regression analysis.

Results: Of the 387 responses received from over 45 institutions across the country, 55.6% were females and 44.4% were male respondents. Compared to men, women were more likely to opt out of neurosurgery due to fear of problems with parenting (P < 0.001), absence of daycare facilities (P < 0.001), lack of female role models (P = 0.001), fear of gender discrimination (P < 0.001), and the mental (P = 0.04) and physical distress (P = 0.008) associated with neurosurgery. Binary logistic regression revealed that these concerns were responsible for an increased likelihood of opting out of neurosurgery among female medical students and intern doctors.

Conclusions: Significant differences exist in how male and female medical students perceive neurosurgery as a career choice. Interventions including availability of daycare facilities for children, creation of inclusive workplace environment, and promotion of mentorship programs catering to women can help bridge this gap and contribute to evolution of the field of neurosurgery in the developing world.

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巴基斯坦将神经外科作为职业选择的性别差异:全国横断面调查。
背景:在包括巴基斯坦在内的许多发展中国家,神经外科医生与患者的比例过低一直是个问题。同时存在的性别差异进一步加剧了本已有限的劳动力所带来的挑战。了解职业生涯初期的女医生对神经外科的看法,对于该领域在人才力量和包容性方面的发展至关重要:方法:在巴基斯坦的公立和私立医学院开展了一项横断面研究。方法:在巴基斯坦的公立和私立医学院校开展了一项横断面研究,采用封闭式自填问卷调查法评估受试者报告的有关神经外科的挑战和看法。使用 SPSS 28 版进行了统计分析,P< 0.05 为差异显著。通过二元逻辑回归分析确定了这些认知对选择神经外科作为职业的影响:在来自全国超过 45 所院校的 387 份答卷中,女性占 55.6%,男性占 44.4%。与男性相比,女性更有可能因为担心育儿问题而选择放弃神经外科(p结论:男女医科学生对神经外科作为职业选择的看法存在显著差异。干预措施包括提供儿童日托设施、创造包容性的工作环境以及推广适合女性的导师计划,这些措施有助于缩小这一差距,并促进发展中国家神经外科领域的发展。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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