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Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis
Journal of Graduate Medical Education
|October 28, 2017
Summary
Gender bias in emergency medicine residency evaluations persists. Male residents receive consistent feedback, while female residents face discordant comments, particularly on autonomy and assertiveness.
Area of Science:
- Medical Education
- Graduate Medical Education
- Emergency Medicine
Background:
- Existing research indicates a gender disparity in emergency medicine (EM) resident competency evaluations.
- The practical impact of this gender gap on resident feedback remains unclear.
Purpose of the Study:
- To investigate qualitative variations in feedback provided to male and female EM residents.
- To understand the nuances of the gender gap in milestone evaluations.
Main Methods:
- Longitudinal qualitative content analysis of narrative comments from direct observation evaluations.
- Data collected over two years from one Accreditation Council for Graduate Medical Education (ACGME)-accredited EM training program.
Main Results:
- Analysis of 1317 evaluations revealed that ideal EM resident traits align with masculine stereotypes.
- Male residents received consistent feedback on areas needing improvement when they struggled.
- Female residents received discordant feedback, especially concerning autonomy and assertiveness.
Conclusions:
- Qualitative differences exist in feedback given to male and female EM residents.
- Attending physicians should provide consistent feedback to all residents.
- Mitigating gender bias in resident performance perception is crucial.
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