在医学测试中自我预测的表现中存在差异性性别偏见
Adrian Soto-Mota1,2, Andrés Castañeda Prado3, María Fernanda González Lara4
1Metabolic Diseases Research Unit, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico. adrian.sotom@incmnsz.mx.
BMC medical education
|July 2, 2025
概括
墨西哥的新规定允许医疗住院申请人在看到他们的成绩后选择课程,增加了女性在竞争领域的参与. 医学研究的男性高估了他们的表现,与女性不同,尽管实际得分相似.
科学领域:
- 医学教育 医学教育
- 住院招生 住院招生
- 医学中的性别研究.
背景情况:
- 在医疗住院项目代表性中存在性别差异.
- 更新了墨西哥关于居住计划国家标准化测试 (ENARM) 的规定,允许在得分后进行计划选择.
- 这一变化旨在减轻在计划选择中潜在的基于性别的风险回避.
研究的目的:
- 评估评分后计划选择对竞争性医疗住院计划中女性代表性的影响.
- 为了评估男性和女性医学学生之间的自我预测测试验绩效准确性的差异.
主要方法:
- 分析了452,079个医疗住院申请和ENARM绩效数据 (2010-2022年).
- 在各种生物医学学院的266名学生中评估自我预测的测试绩效准确性.
- 敏感性分析探讨了被认为的主题难度和职业相关性对预测和绩效的影响.
主要成果:
- 监管变化后,在竞争激烈的居住计划中,女性比例显著增加.
- 研究医学的男性表现出比女性更高的自我预测得分,尽管实际得分在统计学上相似.
- 与女性相比,男性在预测绩效和排名方面表现出更大的高估错误.
结论:
- 转向后分数程序选择的转变对在竞争性医疗住院计划中的女性代表性产生了积极的影响.
- 研究医学的男性始终高估了他们的测试成绩,无论他们认为主题难度或职业相关性如何.
- 与男性预测相反,实际测试成绩在男性和女性之间没有显著差异.
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