Chatterjee Paula, Warner Lindsay N, Basil Maria C, Christopher Michelle, Manning Katharine, Fisher Herrick N, Rexrode Kathryn M, Solomon Sonja R, Kakoza Rose M, Yialamas Maria A
Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Department of Medicine, Virginia Mason Medical Center, Seattle, WA, USA.
Adv Med Educ Pract. 2021 Jan 12;12:49-52. doi: 10.2147/AMEP.S292166. eCollection 2021.
Gender bias in clinical training has been well established; however, little is known about how perceptions differ between men and women. Furthermore, few curricular options have been developed to discuss gender bias.
To measure the prevalence of gender bias, examine qualitative differences between men and women, and create a gender bias curriculum for internal medicine residents.
We surveyed 114 residents (response rate of 53.5%) to identify the prevalence and types of gender bias experienced in training. We compared estimates between genders and organized qualitative results into shared themes. We then developed a curriculum to promote and normalize discussions of gender bias.
Among surveyed residents, 61% reported personal experiences of gender bias during training, with 98% of women and 19% of men reporting experiences when stratified by gender. We identified two domains in which gender bias manifested: role misidentification and a difficult working environment. Residents identified action items that led to the development of a gender bias curriculum. The curriculum includes didactic conferences and training sessions, a microaggression response toolkit, dinners for men and women residents, participation in a WhatsApp support group, and participation in academic projects related to gender bias in training.
We confirmed a wide prevalence of gender bias and developed a scalable curriculum for gender bias training. Future work should explore the long-term impacts of these interventions.
临床培训中的性别偏见已得到充分证实；然而，对于男性和女性的认知差异知之甚少。此外，很少有课程选项来讨论性别偏见。
测量性别偏见的发生率，研究男性和女性之间的质性差异，并为内科住院医师创建一个性别偏见课程。
我们对114名住院医师进行了调查（回复率为53.5%），以确定培训中经历的性别偏见的发生率和类型。我们比较了不同性别的估计结果，并将质性结果归纳为共同主题。然后，我们开发了一门课程，以促进和规范关于性别偏见的讨论。
在接受调查的住院医师中，61%报告在培训期间有过性别偏见的个人经历，按性别分层时，98%的女性和19%的男性报告有过此类经历。我们确定了性别偏见表现的两个领域：角色误认和恶劣的工作环境。住院医师确定了一些行动项目，这些项目促成了性别偏见课程的开发。该课程包括教学会议和培训课程、一个针对微侵犯的应对工具包、男女住院医师晚宴、参与一个WhatsApp支持小组以及参与与培训中的性别偏见相关的学术项目。
我们证实了性别偏见的广泛存在，并开发了一个可扩展的性别偏见培训课程。未来的工作应探索这些干预措施的长期影响。
