性别和不一致的评估:对紧急医疗居民的反进行混合方法分析
Alexandra Brewer1, Laura Nelson2, Anna S Mueller3
1University of Southern California: Los Angeles, Department of Sociology, Los Angeles, California.
The western journal of emergency medicine
|October 3, 2023
概括
紧急医疗住院评估中的性别差异仍然存在,女性收到的反比男性更不一致. 护理人员应接受培训,以确保对所有居民进行公正和明确的评估.
科学领域:
- 医学教育 医学教育
- 医学中的性别研究.
- 紧急医疗培训培训 紧急医疗培训
背景情况:
- 之前的研究表明,男性和女性紧急医疗 (EM) 住院人员的初步评估类似.
- 到最后一年,性别差距显著出现,女性获得的分数低于男性.
- 了解评估差距背后的原因对于解决医学培训中的性别不平等至关重要.
研究的目的:
- 调查EM居民评价中数字分数和文字评论的情绪之间的差异.
- 分析基于性别的差异,以期评估反的一致性.
- 为了确定在评估EM居民的性别偏见的潜在来源.
主要方法:
- 一项多中心,纵向,回顾性队列研究分析了来自美国四个学术EM培训计划 (2013-2015) 的11,845项评估.
- 使用定量和定性方法评估了202名居民 (135名男性,67名女性),由151名主治医生进行评估.
- 一个实时的,基于移动的,直接观察工具捕获了数值得分和文字评论.
主要成果:
- 数字分数与男性 (r=0.38) 的积极评论情绪的相关性比女性 (r=-0.26) 更强.
- 妇女有11%的可能性会收到较低分数的积极评论和较高分数的负面/混合评论.
- 随着时间的推移,男性的评估有所改善 (PGY-1到PGY-3),而女性的评估不那么一致.
结论:
- 与男性相比,女性EM居民经历的评估不一致,无论是在得分-评论对齐和职业发展反方面.
- 研究结果表明,在临床医生如何评估居民方面,性别不平等存在.
- 建议对护理人员进行培训,以向所有居民提供明确,一致和公平的反,而不论性别.
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