Division of Health Sciences, Warwick Medical School, Coventry, UK.
Imperial College School of Medicine, Imperial College London, London, UK.
Med Teach. 2022 Nov;44(11):1277-1282. doi: 10.1080/0142159X.2022.2093177. Epub 2022 Jul 12.
We have previously shown that clinical examiners' scoring is not negatively impacted when a candidate has a tattoo, unnatural hair colour, or a regional accent. We investigated whether these physical attributes in exam candidates impact patient scoring.
Simulated/real patients were randomly assigned to watch five videos of simulated candidate performances of a cranial nerve examination: clear fail, borderline, good, 'clear pass' without an attribute, and 'clear pass' with one of the attributes (tattoo, purple hair, accent). Participants scored domains of communication and professionalism. We compared scores for the clear pass candidates with and without attributes.
One hundred and eighty three patients participated. The total scores for the candidates with tattoos and purple hair were higher than the candidate with no physical attribute ( < 0.001). For the candidate with a Liverpool English accent no difference was identified ( = 0.120).
The presence of certain physical attributes (tattoos or purple hair) was associated with higher scores given by patients to candidates in a simulated physical examination station.
我们之前已经证明，当考生有纹身、不自然的头发颜色或地区口音时，临床考官的评分不会受到负面影响。我们研究了这些考生的身体特征是否会影响患者的评分。
模拟/真实患者被随机分配观看五个模拟考生进行颅神经检查的视频：明显失败、边缘、良好、无特征的“明显通过”和有一个特征的“明显通过”（纹身、紫色头发、口音）。参与者对沟通和专业精神进行了评分。我们比较了有和没有特征的“明显通过”考生的分数。
183 名患者参与了研究。有纹身和紫色头发的考生的总分数高于没有身体特征的考生（<0.001）。而对于有利物浦英语口音的考生，则没有发现差异（=0.120）。
某些身体特征（纹身或紫色头发）的存在与患者在模拟体检站给考生的评分较高有关。
