Sociodemographic factors affecting paediatric surgical training in Malaysia: Gender matters

Nah, Shireen Anne and Sanmugam, Anand and Singaravel, Srihari and Zahari, Zakaria and Aziz, Dayang Anita (2023) Sociodemographic factors affecting paediatric surgical training in Malaysia: Gender matters. Journal of Pediatric Surgery, 58 (2). pp. 299-304. ISSN 0022-3468, DOI

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Background: A shortage of specialist paediatric surgeons in Malaysia led to establishment of a national postgraduate training programme in 2004. We aimed to identify sociodemographic factors impacting training experience, and to define pressure points during training to inform targeted trainee support strategies. Methods: We conducted an anonymized online survey in June 2021 on all programme graduates. Par-ticipants were asked for sociodemographic data, both current and during training. Likert scale responses were required for questions regarding adequacy of support received for family, health and personal issues during training. A free text response question soliciting suggestions for programme improvement was in-cluded. Data are reported as median (range). Chi-square/Fisher's exact tests for categorical variables and Mann-Whitney U tests for continuous variables were used, with p < 0.05 significance. Results: Of 53 eligible participants, 52 (98%) responded, 24 (46%) were female. Marital status was similar between genders at entry, but female trainees were more likely to be unmarried on exit (p = 0.001), and less likely to have children while training (p = 0.017). Of the 6 female and 18 male trainees who had children while training, women were more likely to take parental leave (p = 0.01). The majority felt advice given regarding parental leave and managing training while having children were poor. In thematic analysis of free text answers, lack of hands-on experience was the most common concern. Conclusion: Factors related to marriage and parenthood significantly associate with gender amongst trainees in Malaysia despite both genders being well represented. Concerns regarding adequacy of hands-on training highlight the need for educational innovations such as simulation models. Level of study: Level III. (c) 2022 Elsevier Inc. All rights reserved.

Item Type: Article
Funders: None
Uncontrolled Keywords: Gender disparity; Surgical residency; Surgical training; Global surgery
Subjects: R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine > Paediatrics Department
Faculty of Medicine > Surgery Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 28 Nov 2023 07:50
Last Modified: 03 Dec 2023 01:44

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