种族和性别偏见在职务人员评分中的偏见
Jacqueline L Gauer1, Taj Mustapha2, Claudio Violato3
1Office of Medical Education, University of Minnesota, Minneapolis, Minnesota, USA.
Teaching and learning in medicine
|June 19, 2023
概括
这项研究发现,医学院评分系统显示人口偏见,女性和白人学生获得更高的成绩. 研究人员建议放弃分层分级,以确保公平.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医学中的统计分析.
背景情况:
- 现有的文献和事证据表明,分层临床分级系统中可能存在人口偏见.
- 之前的研究存在局限性,例如依赖自我报告的成绩或缺乏纵向数据.
- 这项研究通过使用实际分配的等级,纵向数据和全面的统计设计来解决差距.
研究的目的:
- 在分层临床分级系统中调查潜在的人口偏见.
- 分析性别和种族对医学学生职务成绩的影响.
- 检查性别和种族对评分结果的相互作用影响.
主要方法:
- 分析了2014年至2021年间1,905名医学毕业生的纵向数据.
- 使用了一种双向多变量协变性分析 (MANCOVA).
- 在八个必要的职务中考核了成绩,并根据先前的学业成绩进行了调整.
主要成果:
- 确定了种族和性别对文员学历成绩的主要影响.
- 在所有八个职位上,女性的平均成绩都更高.
- 白人学生在八个职位中的四个获得了更高的平均成绩,即使在调整之前的表现后.
结论:
- 阶级分级系统可能会基于性别和种族表现出系统的人口偏见.
- 在考虑之前的学业成绩后,观察到的分级差异仍然存在.
- 远离分层分级系统可能是缓解这些偏见的潜在解决方案.
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