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Record W4409258167 · doi:10.1016/j.amjsurg.2025.116343

Women in surgery: The social construction of gender in surgical practice

2025· article· en· W4409258167 on OpenAlexaffabout
Jillian Schneidman, Kathleen Rice, Neil Armstrong

Bibliographic record

VenueThe American Journal of Surgery · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsMcGill UniversityMcGill University Health Centre
Fundersnot available
KeywordsMedicineSociologyGeneral surgery

Abstract

fetched live from OpenAlex

INTRODUCTION: Despite comprising over half of Canadian medical graduates, women remain underrepresented within surgery. Strategies to address this gap have largely focused on increasing numbers or targeting individual women, overlooking subtle, systemic gender inequities that may deter women from the field. METHODS: 67 ​h of participant observation with six surgeons and semi-structured interviews with six women surgeons were conducted at a Canadian academic hospital to explore how gendered processes shape surgical life. Data was analyzed iteratively and thematically. RESULTS: Gender influenced women surgeons' lives across three levels: organizationally, their surgical status was questioned and undermined; individually, they navigated a double bind of being both a woman and a surgeon; and environmentally, their bodies conflicted with cultural and physical norms of surgical spaces. CONCLUSION: This study suggests that gender inequities are deeply ingrained in surgical structures and practices, highlighting the need for systemic transformations to ensure women are fully included and valued within surgery.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.975
Threshold uncertainty score0.624

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0030.002
Science and technology studies0.0250.047
Scholarly communication0.0100.003
Open science0.0010.007
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0050.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.050
GPT teacher head0.334
Teacher spread0.284 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2025
Admission routes2
Has abstractyes

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