Effect of evaluator and resident gender on the American Board of Internal Medicine Evaluation Scores
Effect of evaluator and resident gender on the American Board of Internal Medicine Evaluation Scores
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DOI：
10.1046/j.1525-1497.1998.00202.x
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发表时间：
1998-10-01
影响因子：
5.7
通讯作者：
Avins, AL
中科院分区：
文献类型：
--
作者：
Rand, VE;Hudes, ES;Avins, AL
目的：研究住院医师和主治医师性别对住院医师在内科培训项目中的评价的影响。设计：横断面研究。地点：大型城市学术内科住院医师项目。参与者：在最初的两年培训中，132名住院医生（85名男性，47名女性）共接受了255名主治医师的974项评价（203名男子，52名妇女）。主要测量是美国内科医学委员会评估表的数字部分。对9个评价维度（按1 - 9级评分）中的每一个进行单独分析。主要结果是在平均得分的差异，每个居民从男性与女性主治医师。结果：与女性受训者相比，男性居民从男性主治医师比从女性主治医师在9个维度：临床判断，历史，程序，关系，医疗保健，和整体的6个得分显着较高。在其他三个类别中观察到类似的趋势，没有达到传统的统计学显著性水平：医学知识，体检和态度。这些差异范围从0.24到0.60点，主要是由于男性主治医师比女性主治医师的男性居民更高的评分。结论：在一个学术培训计划中，我们发现了一个显着的相互作用，在分级过程中的内科住院医师的性别和他们的主治医师的性别之间的评价。这项研究提出了性别偏见的微妙方面可能存在于医疗培训计划的可能性。
OBJECTIVE: To examine the effects of resident and attending physician gender on the evaluation of residents in an internal medicine training program.DESIGN: Cross-sectional study.SETTING: Large urban academic internal medicine residency program.PARTICIPANTS: During their first 2 years of training, 132 residents (85 men, 47 women) received a total of 974 evaluations from 255 attending physicians (203 men, 52 women) from 1989 to 1995.MEASUREMENTS: The primary measurements were the numerical portions of the American Board of Internal Medicine evaluation form. Separate analyses were performed for each of the nine evaluation dimensions graded on a scale of 1 to 9. The primary outcome was the difference in the average scores received by each resident from male versus female attending physicians.RESULTS: Compared with female trainees, male residents received significantly higher scores from male attending physicians than from female attending physicians in six of the nine dimensions: clinical judgment, history, procedures, relationships, medical care, and overall. Similar trends, not reaching conventional levels of statistical significance, were observed in the other three categories: medical knowledge, physical exam, and attitude. These differences ranged from 0.24 to 0.60 points, and were primarily due to higher grading of male residents by male attending physicians than by female attending physicians.CONCLUSIONS: In one academic training program, we found a significant interaction in the grading process between the gender of internal medicine residents and the gender of their attending evaluators. This study raises the possibility that subtle aspects of gender bias may exist in medical training programs.