普通外科学住院医师培训中里程碑评估是否存在性别偏见？
Is there a gender bias in milestones evaluations in general surgery residency training?
机构信息
Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Dr, Kalamazoo, MI, 49008, USA.
Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Dr, Kalamazoo, MI, 49008, USA.
出版信息
Am J Surg. 2021 Mar;221(3):505-508. doi: 10.1016/j.amjsurg.2020.12.020. Epub 2020 Dec 13.
BACKGROUND
Studies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC).
METHODS
42 residents (25 male & 17 female) and faculty completed 300 Accreditation Council for Graduate Medical Education (ACGME) Milestone evaluations over a 4-year period. Two-way ANOVA, intraclass correlations coefficients, and general linear mixed models were used for analysis.
RESULTS
CCC Milestone scores from 150 evaluations, 51 (34%) for female residents and 99 (66%) for male residents, were compared to corresponding SEM scores. There is a high interrater reliability (self vs. CCC). There was a significant increase in scores with advancing PGY levels (p < 0.001). No effect of gender on Milestones scores (p > 0.05) was noted.
CONCLUSIONS
We found no significant differences in Milestones scores between male and female residents as determined by the CCC. Both scores improved significantly as residents progressed in training.
背景
关于外科培训中性别差异的研究结果相互矛盾。我们假设，性别对住院医师自我评估里程碑（SEM）评分和临床能力委员会（CCC）分配的评分没有影响。
方法
在 4 年的时间里，42 名住院医师（25 名男性和 17 名女性）和教师完成了 300 项美国毕业后医学教育认证委员会（ACGME）里程碑评估。使用双因素方差分析、组内相关系数和广义线性混合模型进行分析。
结果
将 150 项评估中的 CCC 里程碑评分（51 项女性居民评分和 99 项男性居民评分）与相应的 SEM 评分进行比较。评分者之间具有高度的可靠性（自我评估与 CCC 评估）。PGY 水平的提高与评分的显著增加相关（p<0.001）。未发现性别对里程碑评分有影响（p>0.05）。
结论
我们发现 CCC 确定的男性和女性住院医师在里程碑评分方面没有显著差异。随着住院医师培训的进展，两项评分均显著提高。
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