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Comment & Response
July 29, 2020

Training of Male and Female Surgical Residents

Author Affiliations
  • 1Department of Surgery, Wexham Park Hospital, Slough, England
JAMA Surg. 2020;155(10):998-999. doi:10.1001/jamasurg.2020.2433

To the Editor I read with great interest the article entitled “Should We Train Female and Male Residents Slightly Differently?” in JAMA Surgery.1 This is not a new argument, but it is one that, unfortunately, perpetuates stereotypes and fails to consider the wider picture of representation in resident training and surgery more generally.

It is true that on many measures female milestone attainment is lower than that of men2 and the factors that the authors consider contribute to this. However, making an argument on the basis of only 1 factor, gender, inadvertently ignores the effect of myriad other pertinent factors, including ethnicity, socioeconomic status and upbringing, and religious and cultural beliefs. It also ignores a problem that arises even before training begins, a lack of diversity among physicians.

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