Performance in the MRCGP CSA by candidates' gender: differences according to curriculum area

Differences in performance between male and female candidates in the CSA exam have been reported. This study aimed to consider this in more detail, looking at gender performance overall, and to check if there are particular task domains or curriculum topic areas where male and female doctors score differently.

Routinely collected data were analysed, enabling detailed comparison of gender performance across 92 989 consecutive encounters, which were examined for any overall impact of candidate gender, and sub-analysed by assessment domain, and by curriculum area. Significance of differences was calculated by analysis of variance.

Female GP trainees outperform their male peers in the CSA overall, in each assessment domain and in every curriculum area. The difference in performance is most marked in the areas of women's health and sexual health and least marked in cardiovascular problems and rheumatology and musculoskeletal.

These findings have implications for GP trainees and trainers when planning educational activities and opportunities. As well as prioritising the development of consultation skills, consideration needs to be given to the case mix presented to trainees, especially in light of the changing role of the doctor within practices and the composition of training programmes.