Influence of gender on the evaluation of internal medicine residents
Influence of gender on the evaluation of internal medicine residents
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DOI：
10.1089/154099904322836483
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发表时间：
2004-01-01
影响因子：
3.5
通讯作者：
Holmboe, ES
中科院分区：
文献类型：
--
作者：
Brienza, RS;Huot, S;Holmboe, ES
目的：确定住院医师或教员的性别是否会影响住院医师在普通内科病房轮转的绩效评分。方法：对两个内科住院医师项目中住院医师评估的重点教育干预的随机对照试验的住院医师和教师进行观察性队列研究的二次分析。该研究包括耶鲁大学医学系的88名教师和160名住院医生（研究生1-3年），他们在1997-1998学年期间在四家不同的医院进行住院普通病房的轮转。方法采用层次线性模型（HIM），以男教师-男住院医师二元组为参照比较，探讨性别对四个能力领域数字评分的影响。结果：70名男教师和18名女教师在研究期间提供了262次常驻评估。因子分析确定了四个不同的能力领域（人际交往能力、教学能力、临床表现、整体表现）。在对潜在混杂因素进行调整后，在任何领域的评估中都没有发现显著的性别影响，并且在观察到的趋势中，性别对评估的影响没有一致的模式。结论：我们的研究结果没有发现任何性别影响对普通病房轮转住院医师的评价。如果在评估过程中存在性别影响，鉴定可能需要更复杂的方法来梳理。结合直接观察和定性方法的未来研究可能有助于描述性别对绩效评估的潜在影响。
Objective: To determine if gender of resident or faculty influences performance ratings of residents on general medicine ward rotations.Methods: Secondary analysis from an observational cohort study of residents and faculty who participated in a randomized, controlled trial of a focused educational intervention on resident evaluations in two internal medicine residency programs. The study included 88 faculty and 160 residents (postgraduate years [PGY] 1-3) of the Yale University department of medicine assigned to inpatient general ward rotations in four different hospitals during academic year 1997-1998. The methods included a hierarchical linear model (HIM) with the male faculty-male resident dyad as reference comparison to investigate the influence of gender on numeric ratings in four domains of competence.Results: Seventy male and 18 female faculty provided 262 resident evaluations during the study. Factor analysis identified four distinct domains of competence (interpersonal skills, teaching, clinical performance, overall performance). After adjustment for potential confounders, no significant gender influences in evaluation were found in any domain, and there was no consistent pattern of a gender effect on evaluation for the observed trends.Conclusions: Our results did not identify any gender effects influencing evaluation of residents rotating on a general medicine ward service. If gender influences are present within the evaluation process, identification will likely require more sophisticated methodology to tease apart. Future research incorporating direct observation and qualitative methods may be helpful in delineating potential gender influences on performance evaluation.