加强学术医学性别平等的干预措施:系统审查
Elaine Burke1, Catherine Darker2, Isabelle Molly Godson Treacy2,3
1Medical Education, Trinity College Dublin School of Medicine, Dublin, Ireland burkee11@tcd.ie.
BMJ open
|October 16, 2025
概括
大多数学术医学干预措施以改善性别平等的重点是女性,而不是系统性问题. 需要更多的研究来解决组织结构,而不仅仅是个别的女性,真正的公平.
科学领域:
- 医学教育 医学教育
- 性别研究是性别研究.
- 健康 公平 卫生 公平
背景情况:
- 在学术医学中,性别不平等仍然存在,影响招聘,留住和晋升.
- 现有的干预措施往往把负担放在女性身上,而不是解决系统性问题.
研究的目的:
- 审查目前关于加强学术医学中性别平等和公平的干预措施的证据.
- 描述干预措施,它们的交付,以及它们的重点 ("修复女性"与组织/系统层面).
主要方法:
- 在五个电子数据库 (Medline,Embase,CINAHL,Web of Science,Google Scholar) 进行系统搜索和手动搜索.
- 包括关于学术医学中性别平等干预措施的原始定性或定量研究.
- 应用干预描述和复制模板 (TIDieR) 和莫拉汉框架;使用QUADS工具评估研究质量.
主要成果:
- 27项研究符合纳入标准;常见的干预措施包括职业发展,领导力计划和指导.
- 大多数研究报告了积极的发现,但许多使用主观措施;强大的研究显示了混合的结果.
- 大多数干预措施旨在"修复女性",很少解决组织不平等问题.
结论:
- 很少有新的干预措施解决与流行病有关的影响,对妇女的研究生产力.
- 现有的干预措施可能会造成"机构清洁",并在危机期间可能会失败.
- 需要更高质量的研究,重点关注组织和系统结构,以实现性别平等.
相关概念视频
Socioemotional Experience and Gender Development
247
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
247
Disorders of the Female Reproductive System
3.8K
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
3.8K
Bias in Epidemiological Studies
1.2K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.2K
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
Hormonal Regulation of the Menstrual Cycle
1.4K
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
1.4K

