From the Mayo Clinic, Rochester, Minnesota (SWD); University of Toronto, Toronto, Ontario, Canada (LRR); and American Board of Physical Medicine and Rehabilitation, Rochester, Minnesota (MMR, CLK).
Am J Phys Med Rehabil. 2019 Jun;98(6):512-515. doi: 10.1097/PHM.0000000000001126.
Unconscious bias may result in a prejudicial evaluation of another person and lead to unfair treatment. Potential gender bias risk exists in the scoring process on the American Board of Physical Medicine and Rehabilitation oral examination (Part II) because of the face-to-face interactions between candidates and examiners. This study was undertaken to determine whether performance on the American Board of Physical Medicine and Rehabilitation Part II examination differed based on candidate gender or configuration of examiner/candidate gender pairings. The impact of examiner unconscious bias training on candidate performance was also assessed.
This is a retrospective observational study of first-time Part II physical medicine and rehabilitation certification examination test takers between 2013 and 2018.
There were significant differences in pass rates (men 84%, women 89%) and mean scaled scores (men 6.56, women 6.81) between men and women (P < 0.001) with the biggest domain score differences in data acquisition and interpersonal and communication skills. Implementation of examiner unconscious bias training did not impact candidate performance.
Women candidates scored higher and had a higher pass rate than men candidates overall on the American Board of Physical Medicine and Rehabilitation Part II examination. This difference does not seem to be due to scoring gender bias by the Part II examiners or due to candidate aptitude as measured on the Part I examination.
无意识偏见可能导致对他人的偏见评估，并导致不公平待遇。由于考生和考官之间的面对面互动，美国物理医学与康复委员会口头考试（第二部分）的评分过程中存在潜在的性别偏见风险。本研究旨在确定美国物理医学与康复委员会第二部分考试的表现是否因考生性别或考官/考生性别配对的组合而有所不同。还评估了考官无意识偏见培训对考生表现的影响。
这是一项对 2013 年至 2018 年间首次参加物理医学与康复认证考试第二部分考试的考生进行的回顾性观察研究。
男性考生的通过率（84%）和平均标准化分数（6.56）与女性考生（89%和 6.81）之间存在显著差异（P<0.001），在数据获取以及人际和沟通技能方面的得分差异最大。考官无意识偏见培训的实施并未影响考生的表现。
总体而言，女性考生在物理医学与康复委员会第二部分考试中的得分和通过率均高于男性考生。这种差异似乎不是由于第二部分考官的评分性别偏见或第一部分考试中考生的能力差异所致。
