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Doctors and patients: gender interaction in the consultation
George Zaharias1, Leon Piterman, Merilyn Liddell
1Department of General Practice, Faculty of Medicine, Nursing and Health Sciences and head, School of Primary Health Care, Monash University, Victoria, Australia. zaharias@optushome.com .au
Summary
Medical students showed gender bias, preferring patients of their own gender. This interaction between doctor and patient gender impacts medical consultations and requires further study.
Area of Science:
- Medical Education
- Gender Studies in Medicine
- Patient-Doctor Relationship
Background:
- Previous research on gender differences in medicine primarily focused on female physicians' communication styles.
- Limited research explored the interplay between physician gender and patient gender dynamics.
- This study investigated medical students' perceptions and comfort levels concerning patient gender.
Purpose of the Study:
- To examine how medical students' gender influences their perceptions and comfort levels during patient consultations.
- To assess the impact of patient gender on medical students' patient-centeredness and values.
- To evaluate comfort levels with intimate physical examinations based on patient gender.
Main Methods:
- A cross-sectional survey of final-year medical students was conducted.
- Questionnaires assessed patient-centeredness, patient-care values, and comfort with intimate examinations.
- Data were analyzed to identify gender-based differences in student-patient interactions.
Main Results:
- Female students exhibited higher patient-centeredness than male students.
- Both male and female students showed greater attunement to patients of their own gender.
- Students were more comfortable with personal issues than sexual issues and less comfortable with intimate examinations of the opposite gender.
- The female student-female patient dyad demonstrated significantly higher patient-care values than the male student-male patient dyad.
Conclusions:
- Medical student consultations are not gender-neutral, with significant gender interactions observed.
- The findings highlight a powerful interplay between student and patient gender.
- Further research in clinical settings is crucial due to the implications for consultation outcomes.