Smith C J, Rodenhauser P, Markert R J
Department of Medicine, Wright State University School of Medicine WSUSM, Dayton, OH 45401-0927.
Acad Med. 1991 Aug;66(8):479-81. doi: 10.1097/00001888-199108000-00014.
Sexism has been documented at every level of medical training as well as in the community of practicing physicians. Although there is speculation in the literature about sexist attitudes and perceived sexual discrimination influencing a medical student's choice of specialty, there are few data on gender bias in the evaluation of residency candidates applying in different specialties. In 1989, the authors created six personal statements of interest in a residency, each from a different type of fictitious residency candidate (three men, three women, at three levels of medical school achievement) and mailed one or another of the statements, chosen at random, to the 2,478 board-certified Ohio physicians practicing in six specialties in which U.S. women in residencies were underrepresented (less than 12%) compared with the percentage of women in medical schools, and to the 3,586 board-certified Ohio physicians in another six specialties in which women in residencies were overrepresented (more than 38%). The physicians consistently rated the women candidates more favorably than they did the men candidates.
性别歧视在医学培训的各个层面以及执业医师群体中都有记载。尽管文献中有关于性别歧视态度以及所察觉到的性别歧视影响医学生专业选择的推测,但关于在评估申请不同专业住院医师培训的候选人时存在的性别偏见的数据却很少。1989年,作者撰写了六份对住院医师培训感兴趣的个人陈述,每份陈述都来自不同类型的虚构住院医师候选人(三名男性、三名女性,处于医学院学业成就的三个水平),并随机选择其中一份陈述,将其寄给2478名在六个专业领域执业的俄亥俄州获得委员会认证的医生,在这些专业领域中,住院医师中的女性比例低于医学院女性比例(不到12%),同时也寄给3586名在另外六个专业领域执业的俄亥俄州获得委员会认证的医生,在这些专业领域中,住院医师中的女性比例高于医学院女性比例(超过38%)。结果发现,这些医生对女性候选人的评价始终比对男性候选人更为有利。