医学学生对临床表现的自我评价中的基于性别的差异
Ila Sethi1, Cecilia Mastrogiacomo1, Perrilynn Baldelli2
1Department of Surgery, Stony Brook University Hospital, Stony Brook, New York.
The Journal of surgical research
|August 8, 2024
概括
女医学生表现优于男学生,但评价自己类似,表明潜在的低估. 自我评估中的这些性别差异始于医学院,可能会影响未来的培训.
科学领域:
- 医疗教育 医学教育
- 医学中的性别研究.
- 进行外科手术培训.
背景情况:
- 现有研究强调了外科住院医生的自我评估中性别差异.
- 有限的数据探索了这些基于性别的差异在医学生层面的自我感知.
- 这项研究调查了医学学生在职务年期间临床表现自我评价的基于性别的差异.
研究的目的:
- 为了确定男性和女性医学学生之间的临床表现的自我评价是否不同.
- 将自我评估的准确性与不同性别客观绩效得分进行比较.
- 识别潜在的基于性别的自我认知模式,可能影响未来的医学培训.
主要方法:
- 来自机构临床性能检查的数据的回顾性分析.
- 使用标准化病例对病史,体检和临床推理技能的评估.
- 将学生客观得分的表现与他们自我估计的百分点评分进行比较,分析自我评分和真实分数之间的差异 (Δ).
主要成果:
- 与男性学生相比,女学生在统计学上取得了较高的整体成绩 (79.65%对比78.23%),历史 (76.90%对比75.19%) 和沟通技巧 (94.05%对比92.58%).
- 在自我评价百分点得分中没有观察到显著的性别差异.
- 与女学生相比,男学生更倾向于高估自己的表现,比他们的真实成绩更高,特别是在历史 (Δ=12.26对-1.24) 和沟通技巧 (Δ=14.12对6.05) 中.
结论:
- 女医学生表现优越,但与男性学生相比,自我评价相似,这表明低估的模式.
- 自我评估中的基于性别的差异在医学培训的早期很明显,影响学生对自己的能力的看法.
- 教师应该承认这些基于性别的自我评估差异,以支持公平的实习生发展,并解决反和指导的潜在偏见.
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