探索医学实习生中性别偏见的影响
Danielle L Terry1, Christopher P Terry2, Allison Trabold3
1Guthrie Robert Packer Hospital, Sayre, PA.
PRiMER (Leawood, Kan.)
|February 26, 2024
概括
男性和女性医疗学员在低物理性考试中对提供者能力的看法相似. 然而,男性低估了临床错误对女性患者的影响,突出了医学培训中潜在的性别偏见.
科学领域:
- 医学教育 医学教育
- 性别研究是性别研究.
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 医疗保健提供者可以对同事和患者表现出隐含和明确的性别偏见.
- 有限的研究探讨了医疗学员的性别偏见及其对患者护理的影响.
- 这项研究调查了性别期望,感知提供者能力和患者倡导.
研究的目的:
- 为了检查医疗学员的性别偏见.
- 评估体检类型和实习生地位对被认为的提供者能力的影响.
- 评估对临床错误和患者倡导的性别认知.
主要方法:
- 采用了一个2x2x2x2混合设计.
- 包括来自医学教学医院和文科学院的342名参与者.
- 参与者对描绘标准化临床场景,不同参与者性别,考试体质,实习生身份和片医生的性别的小幅画做出了回应.
主要成果:
- 在考试实体性和参与者性别之间发现了关于感知能力的显著相互作用.
- 男性和女性在低物理性考试 (例如肘部考试) 中对能力进行了类似的评分.
结论:
- 男人没有认识到临床错误可能如何影响假设的女性患者,与女性不同.
- 未来的研究应该探索干预措施,以提高医疗学员对性别偏见的认识.
- 干预措施可以改善患者的护理和错误后对能力的认知.
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