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在血管外科实习生全国队列中,自主性和绩效评估中的性别差异
M Libby Weaver1, Ting Sun2, Benjamin Shickel3
1Division of Vascular and Endovascular Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Journal of vascular surgery
|March 17, 2024
概括
教师的评估显示,在血管外科培训中没有性别偏见. 然而,女性实习生报告自认的表现和自主性低于男性,这表明需要有针对性的反干预.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 性别不平等的性别差异
背景情况:
- 在外科培训评估中的性别差异在一般外科手术中得到了记录.
- 在血管外科手术中,这种差异尚未被探索.
- 这项研究调查了血管外科手术中的手术评估中的基于性别的差异.
研究的目的:
- 调查血管外科综合住院生和研究员在手术表现和自主性评估中的性别差异.
- 分析教师和实习生性别之间的关联及其对应的评估.
主要方法:
- 利用了来自改善医学专业学习协会 (SIMPL) 应用数据库 (2018-2023) 的数据.
- 收集了来自血管外科实习生和教师的手术性能和自主性评分.
- 采用后勤通用线性混合模型,根据研究生年和案例复杂性进行调整,考虑聚类效应.
主要成果:
- 教师和实习生的性别没有显著影响教师对实习生的表现或自主性的评分.
- 与教师评估相比,所有实习生自我评估的表现和自主性都较低.
- 与男性实习生相比,女性实习生报告自主和绩效的自我评估明显较低.
结论:
- 在血管外科培训中的教师评估似乎不受性别的影响.
- 女性实习生表现出比男性实习生更低的能力和自主性的感知.
- 建议进一步研究实时反和有针对性的干预措施,以使自我认知与实际表现保持一致,并优化技能获取.
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