能力胜过信心:在中央静脉导管训练期间发现女性住院医生的自我效率较低
Haroula Tzamaras1, Elizabeth Sinz2, Michael Yang3
1Penn State, Department of Industrial Engineering, State College, 307 Engineering Design and Innovation Building, University Park, PA, 16801, USA.
BMC medical education
|August 26, 2024
概括
妇女在中央静脉导管 (CVC) 模拟培训 (SBT) 中表现较低的自我效能,尽管表现相等. 这项研究强调了持续的性别信心差距和医疗技能评估中的潜在宁-克鲁格效应.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 模拟技术的模拟技术
背景情况:
- 尽管在医学院有平等的代表,但医疗技能自我有效性方面的性别差异仍然存在.
- 低自我效率会对学习,成就和表现产生负面影响,造成性别信心差距.
- 宁-克鲁格效应在基于模拟的训练 (SBT) 中复杂化了自我评估的准确性.
研究的目的:
- 调查中央静脉导管 (CVC) 仿真培训 (SBT) 中性别信心差距的存在.
- 确定Dunning-Kruger效应是否存在于CVC SBT期间的自我有效性评估中.
- 为了比较男性和女性外科住院医生之间的自我效能和绩效指标.
主要方法:
- 173名外科住院医生 (61名女性,112名男性) 接受了CVC动态触觉机器人训练器 (DHRT) 的培训.
- 在训练前和训练后进行中央线自我效率 (CLSE) 调查.
- 性能指标,包括插入尝试和成功率,在DHRT培训期间收集.
主要成果:
- 在14个CLSE项目中,妇女在9个项目中报告了明显较低的自我有效性 (p < .0035).
- 在DHRT的成功静脉穿刺中,没有观察到性别之间的显著性能差异.
- 回归分析显示,在两种性别中,表现和自我效能之间没有相关性.
结论:
- 性别信心差距在中央静脉导管 (CVC) 仿真培训 (SBT) 中显而易见,即使培训和表现相同.
- 研究结果表明,宁-克鲁格效应也可能在这种情况下影响自我评估.
- 解决性别信心差距对于公平的医学教育和培训至关重要.
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