Northeastern University, Department of Psychology, Boston, MA, USA.
Patient Educ Couns. 2009 Sep;76(3):300-6. doi: 10.1016/j.pec.2009.06.002. Epub 2009 Jul 14.
To examine the consequences of expressions of uncertainty (EOUs) in medical student interactions, with a particular focus on the gender of the expressor.
EOUs were identified in 147 videotaped interactions between third-year medical students and standardized patients enacting four medical scenarios. The encounters were also analyzed using the Roter Interaction Analysis System (RIAS). A subset of these interactions was shown to 244 analogue patients who rated satisfaction, liking, and perceived competence and confidence.
Female medical students used more EOUs but not when adjusted for total number of statements. The EOU rate varied across scenarios. A higher EOU rate was perceived as more affectively negative by both RIAS trained coders and analogue patients. EOU rate was inversely related to analogue patient satisfaction and liking and this relationship was stronger for males than females. Female student use of EOUs was more strongly associated with ratings of anxiety than was male EOU use.
There was an overall negative perception of medical students who expressed uncertainty; however, the strength of the associations varied due to medical student gender.
The implications for medical education are discussed.
探讨医学生互动中表达不确定性（EOU）的后果，特别关注表达者的性别。
在 147 段由三年级医学生与标准患者表演的四个医疗场景的录像互动中，确定了 EOU。这些互动还使用 Roter 互动分析系统（RIAS）进行了分析。这些互动的一部分展示给了 244 名模拟患者，他们对满意度、喜欢程度以及感知能力和信心进行了评分。
女性医学生使用的 EOU 更多，但在调整总陈述数后则不然。EOU 率因场景而异。RIAS 训练的编码员和模拟患者都认为，更高的 EOU 率会产生更负面的情感影响。EOU 率与模拟患者的满意度和喜欢程度呈负相关，而这种关系对男性比女性更强。女性学生使用 EOU 与焦虑评分的相关性比男性 EOU 使用更强。
对表达不确定性的医学生的总体看法是负面的；然而，由于医学生的性别，关联的强度有所不同。
讨论了对医学教育的影响。
