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2000 年至 2018 年加拿大接受住院医师选拔奖的女性获得者比例:一项回顾性观察研究。

Proportion of female recipients of resident-selected awards across Canada from 2000 to 2018: a retrospective observational study.

机构信息

Department of Pediatrics (Silverberg), University of British Columbia, Vancouver, BC; Division of General Internal Medicine (Ruzycki) and Department of Community Health Sciences (Ruzycki), University of Calgary, Calgary, Alta.

出版信息

CMAJ Open. 2020 Apr 6;8(2):E242-E250. doi: 10.9778/cmajo.20190129. Print 2020 Apr-Jun.

Abstract

BACKGROUND

Female physicians have been shown to receive fewer awards from medical societies than their male colleagues. We examined the sex distribution of recipients of Canadian residency association awards.

METHODS

We conducted a retrospective observational study of the sex of staff and resident physician recipients of resident-selected awards from provincial and national residency associations using data from 2000-2018. We classified awards into professionalism, advocacy and wellness awards, and education and teaching awards based on award names and descriptions, and compared the proportion of male and female recipients in these categories.

RESULTS

We identified 314 recipients of staff physician awards and 129 recipients of resident physician awards. Male staff and resident physicians had higher odds of receiving awards than their female counterparts (odds ratio [OR] 1.45, 95% confidence interval [CI] 1.13-1.89 and OR 1.70, 95% CI 1.18-2.46, respectively). There was a reduction in the odds of male residents' receiving an award over the study period (OR 0.94, 95% CI 0.90-0.98). Male physicians had higher odds of receiving education and teaching awards than female physicians as staff but not as residents (OR 3.21, 95% CI 1.72-5.95 and OR 1.96, 95% CI 0.84-4.60, respectively).

INTERPRETATION

Male staff and resident physicians in Canada had higher odds of receiving awards from provincial and national residency associations between 2000 and 2018 than their female counterparts. Given this disparity, it would be prudent for organizations that distribute awards to physicians, residents and medical students to examine their nomination criteria and processes for potential bias.

摘要

背景

与男性同事相比,女性医生获得医学学会奖项的次数较少。我们研究了加拿大住院医师协会奖项获得者的性别分布。

方法

我们对 2000 年至 2018 年期间,从省级和国家级住院医师协会获得住院医师选择的工作人员和住院医师奖项的工作人员和住院医师获奖者的性别进行了回顾性观察研究。我们根据奖项名称和描述,将奖项分为专业精神、倡导和健康奖以及教育和教学奖,并比较了这些类别中男性和女性获奖者的比例。

结果

我们确定了 314 名工作人员医生奖项获得者和 129 名住院医师奖项获得者。男性工作人员和住院医师获得奖项的几率高于女性(比值比 [OR] 1.45,95%置信区间 [CI] 1.13-1.89 和 OR 1.70,95% CI 1.18-2.46)。在研究期间,男性住院医师获得奖项的几率降低(OR 0.94,95% CI 0.90-0.98)。男性医生获得工作人员教育和教学奖项的几率高于女性医生,但作为住院医师则不然(OR 3.21,95% CI 1.72-5.95 和 OR 1.96,95% CI 0.84-4.60)。

解释

2000 年至 2018 年期间,加拿大的男性工作人员和住院医师获得省级和国家级住院医师协会奖项的几率高于女性同事。鉴于这种差异,向医生、住院医师和医学生颁发奖项的组织应该仔细检查其提名标准和程序,以确定是否存在潜在偏见。

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