The "Intern" Label: Introducing Unnecessary Confusion and Bias?

Area of Science:

• Medical Education
• Surgical Training
• Public Perception

Background:

• The term "intern" is commonly used for early-career medical trainees.
• This label may not accurately reflect the rigorous training and responsibilities of these physicians.
• Potential for confusion and bias exists regarding the public's understanding of medical trainees.

Purpose of the Study:

• To compare public perception of medical trainees labeled as "intern" versus "first-year resident."
• To assess comfort levels and knowledge about surgical trainees' roles and qualifications.
• To identify potential biases associated with the term "intern."

Main Methods:

• A 9-item survey was developed in two forms, using either "intern" or "first-year resident."
• Surveys assessed comfort with trainee participation in care and knowledge of medical education.
• 148 adults from the general population in San Antonio, TX, completed the surveys.

Main Results:

• Respondents showed less comfort with "interns" compared to "first-year residents" in various aspects of care.
• Only 36% of participants correctly identified which surgical team members hold a medical degree.
• Significantly fewer respondents believed "interns" (43%) have a medical degree compared to "first-year residents" (59%).
• More respondents perceived "first-year residents" (100%) as working full-time and being paid (97%) than "interns" (88% and 82%, respectively).

Conclusions:

• The label "intern" can lead to patient confusion regarding a trainee's experience and qualifications.
• Abolishing the term "intern" and adopting "first-year resident" or "resident" is recommended.
• This change could enhance clarity and mitigate implicit bias in patient-provider interactions.