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Related Experiment Video

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Mitigating the gender gap: How "DOCTOR" badges affect physician identity.

Jenny Chang1, John Arbo1, Michael P Jones1

  • 1Department of Emergency Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South Bronx, NY 10461, United States of America.

The American Journal of Emergency Medicine
|May 1, 2021
PubMed
Summary

Female physicians in the Emergency Department (ED) are often misidentified. "DOCTOR" badges reduced this misidentification, improving physician well-being and patient care.

Keywords:
Gender biasPatient satisfactionPhysician identificationPhysician wellnessQuality improvementRacial bias

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Physician Well-being

Background:

  • Patients and families frequently misclassify female physicians in the Emergency Department (ED) as non-physicians.
  • This misidentification negatively impacts patient satisfaction and physician well-being.
  • Implementing clear identification, such as "DOCTOR" badges, may mitigate these issues.

Purpose of the Study:

  • To assess the efficacy of "DOCTOR" badges in reducing physician misidentification in the ED.
  • To evaluate the impact of "DOCTOR" badges on patient satisfaction and physician well-being.
  • To determine if "DOCTOR" badges can be a cost-effective solution to improve the care environment.

Main Methods:

  • A study was conducted in a large urban academic medical center.
  • "DOCTOR" badges were distributed to 83 Emergency Medicine (EM) residents and 28 EM Attendings.
  • Surveys were administered pre- and post-intervention (3 months) to assess badge efficacy, with descriptive, univariable, and multivariable analyses.

Main Results:

  • 91% of EM physicians reported misidentification; female physicians were disproportionately misidentified (97% vs. 43% for males).
  • Post-intervention, misidentification of female physicians decreased by 15.4% (p=0.03).
  • Female physicians reported feeling more valued (73.7% vs. 44.9%) and less frustrated (81.6% vs. 51%) compared to males.

Conclusions:

  • Female EM physicians face disproportionate misidentification and feel undervalued.
  • "DOCTOR" badges significantly decreased misidentification and improved physician-reported outcomes within 3 months.
  • "DOCTOR" badges represent a simple, effective strategy to enhance physician wellness and the ED care environment.