Morgan Helen K, Purkiss Joel A, Porter Annie C, Lypson Monica L, Santen Sally A, Christner Jennifer G, Grum Cyril M, Hammoud Maya M
1 Department of Obstetrics and Gynecology, University of Michigan Medical School , Ann Arbor, Michigan.
2 Department of Learning Health Sciences, University of Michigan Medical School , Ann Arbor, Michigan.
J Womens Health (Larchmt). 2016 May;25(5):453-6. doi: 10.1089/jwh.2015.5475. Epub 2016 Mar 14.
To investigate whether there is a difference in medical student teaching evaluations for male and female clinical physician faculty.
The authors examined all teaching evaluations completed by clinical students at one North American medical school in the surgery, obstetrics and gynecology, pediatrics, and internal medicine clinical rotations from 2008 to 2012. The authors focused on how students rated physician faculty on their "overall quality of teaching" using a 5-point response scale (1 = Poor to 5 = Excellent). Linear mixed-effects models provided estimated mean differences in evaluation outcomes by faculty gender.
There were 14,107 teaching evaluations of 965 physician faculty. Of these evaluations, 7688 (54%) were for male physician faculty and 6419 (46%) were for female physician faculty. Female physicians received significantly lower mean evaluation scores in all four rotations. The discrepancy was largest in the surgery rotation (males = 4.23, females = 4.01, p = 0.003). Pediatrics showed the next greatest difference (males = 4.44, females = 4.29, p = 0.009), followed by obstetrics and gynecology (males = 4.38, females = 4.26, p = 0.026), and internal medicine (males = 4.35, females = 4.27, p = 0.043).
Female physicians received lower teaching evaluations in all four core clinical rotations. This comprehensive examination adds to the medical literature by illuminating subtle differences in evaluations based on physician gender, and provides further evidence of disparities for women in academic medicine.
调查医学生对男性和女性临床医师教员的教学评价是否存在差异。
作者检查了北美一所医学院的临床学生在2008年至2012年外科、妇产科、儿科和内科临床轮转期间完成的所有教学评价。作者重点关注学生如何使用5分制反应量表(1=差至5=优秀)对医师教员的“总体教学质量”进行评分。线性混合效应模型提供了按教员性别划分的评价结果的估计平均差异。
对965名医师教员进行了14107次教学评价。在这些评价中,7688次(54%)是针对男性医师教员,6419次(46%)是针对女性医师教员。在所有四个轮转中,女性医师获得的平均评价分数显著较低。差异在外科轮转中最大(男性=4.23,女性=4.01,p=0.003)。儿科的差异次之(男性=4.44,女性=4.29,p=0.009),其次是妇产科(男性=4.38,女性=4.26,p=0.026)和内科(男性=4.35,女性=4.27,p=0.04,3)。
在所有四个核心临床轮转中,女性医师获得的教学评价较低。这项全面的研究通过揭示基于医师性别的评价中的细微差异,为医学文献增添了内容,并为女性在学术医学领域的差距提供了进一步的证据。