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049) were more likely to score male trainees higher than female trainees. The GRS demonstrated high inter-rater reliability across male and female trainees by years and scope of practice for the respondent (alpha 0.90 when compared to the Checklist assessment tool. Early career male surgeons may exhibit gender bias against women when evaluating trainee performance of coronary anastomoses. The GRS demonstrates higher inter-rater reliability and robustness against gender bias in the assessment of technical performance than the Checkl