Indiana University School of Medicine, Indianapolis, Indiana.
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Int J Radiat Oncol Biol Phys. 2021 Jun 1;110(2):303-311. doi: 10.1016/j.ijrobp.2020.12.027. Epub 2020 Dec 26.
Introducing a physician without a professional title may reinforce bias in medicine by influencing perceived credibility. We evaluated differences in the use of professional titles in introductions of speakers at recent American Society for Radiation Oncology (ASTRO) Annual Meetings.
We reviewed recordings from the 2017 to 2019 ASTRO Annual Meetings and included complete introductions of speakers with a doctoral degree. Professional introduction was defined as "Doctor" or "Professor" followed by the speaker's full or last name. We collected use of professional introduction, introducer gender, speaker gender, and speaker professional and demographic variables. Identified speakers were sent surveys to collect self-reported demographic data. Analysis was performed using χ tests and multivariable logistic regression (MVA).
Of 3267 presentations reviewed, 1226 (38%) met the inclusion criteria. Overall, 805 (66%) speakers and 710 (58%) introducers were men. Professional introductions were used in 74% (2017), 71% (2018), and 69% (2019) of the presentations. There was no difference in the use of professional introductions for male and female speakers (71% vs 73%; P = .550). On MVA, male introducers were associated with decreased use of professional address (odds ratio [OR], 0.36; 95% confidence interval [CI], 0.26-0.49; P < .001). At the 2019 conference, professional introduction was less likely to be used (2019 vs 2017: OR, 0.68; 95% CI, 0.49-0.96; P = 0.026). Those who self-identified as Asian/Pacific Islander were twice as likely to receive a professional introduction compared with those who identified as white (OR, 1.95; 95% CI, 1.07-3.64; P = .033).
Male introducers were significantly less likely to introduce any speaker, regardless of gender, by their professional title, and overall use of professional introductions decreased from 2017 to 2019. Furthermore, no difference in professional introduction use by speaker gender was identified at the recent ASTRO meetings. Implementing speaker guidelines could increase the use of professional introductions and raise awareness of unconscious bias at future ASTRO meetings.
在介绍医生时不使用专业头衔可能会通过影响可信度来强化医学领域的偏见。我们评估了最近美国放射肿瘤学会（ASTRO）年会上演讲者介绍中使用专业头衔的差异。
我们回顾了 2017 年至 2019 年 ASTRO 年会的录音，并纳入了具有博士学位的演讲者的完整介绍。专业介绍被定义为“博士”或“教授”，后面是演讲者的全名或姓氏。我们收集了专业介绍的使用情况、介绍者的性别、演讲者的性别，以及演讲者的专业和人口统计学变量。确定的演讲者被发送调查以收集自我报告的人口统计数据。使用卡方检验和多变量逻辑回归（MVA）进行分析。
在审查的 3267 个演示中，有 1226 个（38%）符合纳入标准。总体而言，805 名（66%）演讲者和 710 名（58%）介绍者为男性。2017 年、2018 年和 2019 年分别有 74%（2017 年）、71%（2018 年）和 69%（2019 年）的演讲者使用了专业介绍。男性和女性演讲者使用专业介绍的情况没有差异（71%与 73%；P=0.550）。在 MVA 中，男性介绍者与较少使用专业称呼相关（优势比[OR]，0.36；95%置信区间[CI]，0.26-0.49；P<0.001）。在 2019 年会议上，专业介绍的使用频率较低（2019 年与 2017 年相比：OR，0.68；95%CI，0.49-0.96；P=0.026）。与自认为是白人的演讲者相比，自认为是亚洲/太平洋岛民的演讲者接受专业介绍的可能性是其两倍（OR，1.95；95%CI，1.07-3.64；P=0.033）。
男性介绍者明显不太可能按照其专业头衔介绍任何演讲者，无论其性别如何，而且从 2017 年到 2019 年，专业介绍的总体使用频率下降。此外，在最近的 ASTRO 会议上，演讲者性别对专业介绍的使用没有差异。实施演讲者指南可以增加专业介绍的使用，并提高在未来 ASTRO 会议上对无意识偏见的认识。
