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医学教育中的女性:沙特阿拉伯王国的观点与经历

Women in medical education: views and experiences from the Kingdom of Saudi Arabia.

作者信息

Alwazzan Lulu, Rees Charlotte E

机构信息

Department of Medical Education, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.

HealthPEER (Health Professions Education and Education Research), Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.

出版信息

Med Educ. 2016 Aug;50(8):852-65. doi: 10.1111/medu.12988.

Abstract

CONTEXT

Although research from Western contexts suggests that considerable inequalities for female medical educators exist in the workplace, we do not yet know the views and experiences of women within non-Western contexts. By examining the influence of context, intersecting identities and language use, this study explores female medical educators' views and experiences of gender, career progression and leadership in academic medicine in the Kingdom of Saudi Arabia (KSA).

METHODS

We conducted individual interviews employing narrative interviewing techniques with 25 female medical educators from five schools in the KSA (June to December 2014). Data were analysed using framework analysis and drew on intersectionality theory.

RESULTS

Participants expressed their views and experiences of career progression, leadership and gendered workplace cultures. Women's experiences of career progression and leadership in the KSA were influenced by their gender and varied according to their career stage, work environment and specialty. Participants discussed the gendered organisational cultures of academic medicine in the KSA in terms of gender inequalities (e.g. females being overlooked for leadership positions), gender stereotypes (e.g. women perceived as more likely to take part in shared leadership) and gendered specialties (e.g. surgery being male dominated). We revealed women's more tacit understandings about gender, career progression and leadership by examining how they talk (e.g. metaphoric, pronominal and emotional talk). Finally, participants constructed multiple intersecting personal (e.g. female, mother and young) and professional identities (e.g. doctor, teacher and leader) for themselves through their narratives.

CONCLUSION

This study provides important new insights into female medical educators' experiences of career progression and leadership in a non-Western context. Investment in the future of women's careers in the KSA through faculty development initiatives and equality and diversity policies is now essential to help close the gender gap.

摘要

背景

尽管西方背景下的研究表明,女性医学教育工作者在工作场所存在相当大的不平等现象,但我们尚不清楚非西方背景下女性的观点和经历。通过考察背景、交叉身份和语言使用的影响,本研究探讨了沙特阿拉伯王国(KSA)女性医学教育工作者对学术医学中性别、职业发展和领导力的观点和经历。

方法

我们采用叙事访谈技巧,对沙特阿拉伯五所学校的25名女性医学教育工作者进行了个人访谈(2014年6月至12月)。使用框架分析法对数据进行分析,并借鉴了交叉性理论。

结果

参与者表达了她们对职业发展、领导力和性别化工作场所文化的观点和经历。沙特阿拉伯女性在职业发展和领导力方面的经历受到其性别的影响,并根据她们的职业阶段、工作环境和专业而有所不同。参与者从性别不平等(例如女性在领导职位上被忽视)、性别刻板印象(例如认为女性更有可能参与共享领导)和性别化专业(例如外科手术以男性为主)等方面讨论了沙特阿拉伯学术医学中的性别化组织文化。通过考察她们的谈话方式(例如隐喻、代词和情感谈话),我们揭示了女性对性别、职业发展和领导力更隐性的理解。最后,参与者通过她们的叙述为自己构建了多个相互交叉的个人身份(例如女性、母亲和年轻人)和职业身份(例如医生、教师和领导者)。

结论

本研究为非西方背景下女性医学教育工作者的职业发展和领导力经历提供了重要的新见解。通过教师发展举措以及平等和多样性政策对沙特阿拉伯女性职业未来进行投资,对于缩小性别差距至关重要。

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