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New research · Ophthalmology
JAMA ophthalmology · 5d
ObservationalJAMA ophthalmology · 2025

Gender Differences in Case Volume Among Ophthalmology Resident Graduates, 2014-2023.

Susan M Culican, Misha F Syed, Yoon Soo Park, Sean O Hogan
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OphthalmologyObservational

Female ophthalmology residents reported fewer cataract surgeries than male residents.

Gender Differences in Case Volume Among Ophthalmology Resident Graduates, 2014-2023.

Susan M Culican … Sean O Hogan
JAMA ophthalmology · 2025
Background

IMPORTANCE: A previous multisite study found gender differences in cataract and total surgical volume among US residency programs.

Purpose

To determine whether reported surgical volume among US ophthalmology resident graduates varied by self-reported gender or by underrepresented in medicine (underrepresented in medicine) status.

Methods

DESIGN, SETTING, AND PARTICIPANTS: Retrospective observational longitudinal cohort study of deidentified Accreditation Council for Graduate Medical Education (Accreditation Council for Graduate Medical Education) surgical log data for all graduates of US ophthalmology residency programs from the years 2014-2023 compared by self-reported gender or underrepresented in medicine status.

n = 4811 resident graduates
Results

female residents logged fewer cataract surgeries than male residents

MD -4.40 (95% CI -6.40 to -2.40)
null = 0-6.40-2.40
CI excludes the null - significant
More results

Of 4811 resident graduates, 41.6% (1999) were female and 58.4% were male (2812); 7.1% (343) self-identified as underrepresented in medicine.

More results

Underrepresented in medicine status over the same time period was not associated with a difference in cataract surgeries but was associated with a mean difference of -5.3% (-31.5 of 587.3) (95% CI, -9.8% to -0.9%; P = .02) fewer total procedures.

“
Conclusion · 1 of 2

In this study, female residents reported fewer cataract procedures than male residents from 2014-2023.

Conclusion · 2 of 2

Female and underrepresented in medicine residents reported fewer total procedures than their nonfemale or non-underrepresented in medicine colleagues. Future studies to assess the causes of these disparities are warranted.

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