Self-assessment differences between genders in a low-stakes objective structured clinical examination (OSCE).
Self-assessment differences between genders in a low-stakes objective structured clinical examination (OSCE).
复制标题
DOI：
10.1186/s13104-018-3494-3
复制
发表时间：
2018-06-15
影响因子：
1.8
通讯作者：
Khamisa K
中科院分区：
文献类型：
--
作者：
Madrazo L;Lee CB;McConnell M;Khamisa K
医生和医学生通常是自我评估能力差的人。研究表明，这种自我评估的不准确性在医学生中因性别而异，与男性相比，女性低估了自己的表现。然而，在低风险情景中，自我评估中的这种性别差异是否可以观察到，仍不清楚。我们的研究的目的是确定是否自我评估不同的男性和女性医学生相比，同行评估在低风险的客观结构化的临床考试。三十三名（15名男性，18名女性）三年级学生参加了5站模拟客观结构化临床考试。经过培训的四年级学生考官对他们的表现进行了6分Likert型全球评级量表的评分。考生也用同样的量表给自己打分。为了检验医学生自我评估能力的性别差异，采用独立样本t检验将平均自我评估总体评分与同行评估总体评分进行比较。总体而言，女生的自我评估分数显著低于同伴评估（p < 0.001），而男生的自我评估分数和同伴评估分数之间没有显著差异（p = 0.228）。这项研究提供了进一步的证据，低估自我评估的女性之间是观察到的，即使在低风险的形成性客观结构化的临床考试，由同学医学生的便利。
Physicians and medical students are generally poor-self assessors. Research suggests that this inaccuracy in self-assessment differs by gender among medical students whereby females underestimate their performance compared to their male counterparts. However, whether this gender difference in self-assessment is observable in low-stakes scenarios remains unclear. Our study’s objective was to determine whether self-assessment differed between male and female medical students when compared to peer-assessment in a low-stakes objective structured clinical examination. Thirty-three (15 males, 18 females) third-year students participated in a 5-station mock objective structured clinical examination. Trained fourth-year student examiners scored their performance on a 6-point Likert-type global rating scale. Examinees also scored themselves using the same scale. To examine gender differences in medical students’ self-assessment abilities, mean self-assessment global rating scores were compared with peer-assessment global rating scores using an independent samples t test. Overall, female students’ self-assessment scores were significantly lower compared to peer-assessment (p < 0.001), whereas no significant difference was found between self- and peer-assessment scores for male examinees (p = 0.228). This study provides further evidence that underestimation in self-assessment among females is observable even in a low-stakes formative objective structured clinical examination facilitated by fellow medical students.