Truong Justina, Santarelli Anthony, Dawson Adam, Ashurst John
Emergency Medicine, Kingman Regional Medical Center, Kingman, USA.
Cureus. 2021 Jul 25;13(7):e16622. doi: 10.7759/cureus.16622. eCollection 2021 Jul.
Background The standardized letter of evaluation (SLOE) is used by emergency medicine (EM) faculty during the interview and match process. Data has shown that female allopathic applicants score higher in communal characteristics and have a greater number of ability words in the narrative portion of the SLOE as compared to their male counterparts. Objective To determine if there is a difference in the language used to describe male and female osteopathic applicants within the SLOE. Methods All applicants to a three-year EM residency within a single application cycle were eligible for inclusion. Exclusion criteria included allopathic applicants, applicants without a SLOE, or applicants with a SLOE only from the interviewing program. Data collected included applicant demographics and SLOE narratives. The previously validated Linguistic Inquiry and Word Count (LIWC; Pennebaker Conglomerates, Inc., Austin, TX) product was used to analyze word counts from the narrative portion of each SLOE. Descriptive statistics and t-tests for continuous data were used. Results Of the 577 applicants to the residency program, 318 met inclusion criteria and 33% were female. Females had a higher COMLEX-2 (590 vs 559; p=0.05) as compared to males but no difference was found for the remainder of the baseline demographics. No difference was found for the number of words in the narrative portion of the SLOE between males and females (males = 122 words; females = 127 words; p=0.53). Words within the social (p=0.006), achievement (p=0.007), and standout (p<0.001) categories were more frequent in osteopathic female applicants as compared to males. No statistical differences were detected for the other 13 categories analyzed. Conclusion In this sample of osteopathic applicants, little linguistic difference was noted for the narrative portion of the SLOE. SLOE authors did, however, use more social, achievement, and standout words to describe females as compared to male applicants.
背景
标准化评估信（SLOE）被急诊医学（EM）教员用于面试和匹配过程。数据显示，与男性同类申请者相比，女性全科医学申请者在社交特质方面得分更高，且在SLOE的叙述部分有更多的能力相关词汇。
目的
确定在SLOE中描述男性和女性整骨疗法申请者所使用的语言是否存在差异。
方法
在单个申请周期内申请为期三年的EM住院医师项目的所有申请者均符合纳入标准。排除标准包括全科医学申请者、没有SLOE的申请者或仅来自面试项目的有SLOE的申请者。收集的数据包括申请者人口统计学信息和SLOE叙述内容。使用先前验证过的语言查询与字数统计工具（LIWC；Pennebaker Conglomerates, Inc., 奥斯汀，德克萨斯州）分析每个SLOE叙述部分的字数。对连续数据使用描述性统计和t检验。
结果
在577名申请住院医师项目的申请者中，318名符合纳入标准，其中33%为女性。与男性相比，女性的综合骨科医学考试第二级（COMLEX - 2）成绩更高（590对559；p = 0.05），但在其余基线人口统计学特征方面未发现差异。男性和女性在SLOE叙述部分的字数没有差异（男性 = 122个单词；女性 = 127个单词；p = 0.53）。与男性相比，整骨疗法女性申请者在社交（p = 0.006）、成就（p = 0.007）和突出（p < 0.001）类别中的词汇出现频率更高。在分析的其他13个类别中未检测到统计学差异。
结论
在这个整骨疗法申请者样本中，SLOE叙述部分的语言差异不大。然而，与男性申请者相比，SLOE作者在描述女性时使用了更多的社交、成就和突出相关词汇。
