在直接观察后,基于工作的评估得分和叙述性评论中的性别差异
Janae K Heath1, Jennifer R Kogan2, Eric S Holmboe3
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Janae.heath@pennmedicine.upenn.edu.
Journal of general internal medicine
|January 30, 2024
概括
这项研究发现基于工作的评估 (WBA) 评级和叙事评论中存在性别差异,即使在控制居民绩效时也是如此. 与男性相比,女性居民在反中获得了较低的信任评分和更多的女性编码语言.
科学领域:
- 医学教育 医学教育
- 医疗保健中的评估
背景情况:
- 之前的基于工作的评估 (WBA) 研究没有一致地显示数字评级中的性别差异.
- 以前的研究还没有充分控制居民的表现,也没有按性别分析叙事反.
研究的目的:
- 调查基于工作的评估 (WBA) 信任评级中的基于性别的差异.
- 探索叙事反中的性别差异,考虑居民已知的脚本表演.
主要方法:
- 从一个随机对照试验的1527个评级者评估表格 (RAF) 的二次分析.
- 用多变量回归来评估信任评级中的性别差异,调整成绩和人口统计数据.
- 自然语言处理分析了对性别语言 (男性,女性,代理,社区) 的叙事评论.
主要成果:
- 在模拟的WBA中,女性居民的信任度 (2.29) 比男性 (2.54) 低得多,即使调整了技能水平 (p < 0.001).
- 在描述女性居民表现不佳的地区的叙事评论中,女性术语比男性更为普遍 (β 0.45,p=0.01).
- 这些语言差异甚至在考虑教师信任评级后仍然存在.
结论:
- 这项研究在模拟基于工作的评估 (WBA) 的委托评级中发现了显著的性别差异,这与之前的一些研究相反.
- 语言分析揭示了叙事反中的性别模式,女性术语更频繁地与女性居民的表现评论有关.
- 调查结果突出了WBA和反中的潜在偏见,需要进一步调查公平评估实践.
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