Sheppard Michael, Johnson Stephanie, Quiroz Victor, Ward John
J Chiropr Educ. 2023 Oct 1;37(2):157-161. doi: 10.7899/JCE-22-12.
The purpose of this project was to determine if there was any relationship between the sex of the clinician grader and the sex of the chiropractic student intern on student spinal manipulation assessment grades.
Twelve thousand six hundred and thirty-one supervised patient adjustments by student interns were analyzed over a 3-year data collection window. Student interns were assessed by multiple male and female clinicians in a teaching clinic using a modified Dreyfus model scoring system on a 1-4 scale (1 = novice, 4 = proficient). A Mann-Whitney U test was used to compare the relationship between grader sex and student grade as well as student sex and student grade.
Sex of the grader had a statistically significant effect on spinal manipulation assessment grade, p < .001, with male clinician graders assigning average scores of 2.81 ± 0.39 (mean ± SD) and female clinician graders scores of 3.01 ± 0.52, r = .18. Sex of the student had a statistically significant but negligible (r = .08) effect on spinal manipulation assessment grade, p < .001, with male students averaging slightly higher scores (2.93 ± 0.47) than females (2.86 ± 0.44) on the modified Dreyfus scale.
Male clinicians tended to assign lower grades on spinal manipulation assessments than female clinicians. Male students on average received slightly higher scores than female students on spinal manipulation assessments.
本项目旨在确定临床评分者的性别与整脊专业实习学生的性别之间是否对学生脊柱手法评估成绩存在任何关联。
在一个为期3年的数据收集期内，对实习学生进行的12631次有监督的患者调整进行了分析。在教学诊所中，多名男性和女性临床医生使用改良的德雷福斯模型评分系统（1 - 4级，1 = 新手，4 = 熟练）对实习学生进行评估。采用曼-惠特尼U检验来比较评分者性别与学生成绩以及学生性别与学生成绩之间的关系。
评分者性别对脊柱手法评估成绩有统计学显著影响，p <.001，男性临床评分者给出的平均分数为2.81 ± 0.39（均值 ± 标准差），女性临床评分者的分数为3.01 ± 0.52，r =.18。学生性别对脊柱手法评估成绩有统计学显著但可忽略不计的影响（r =.08），p <.001，在改良的德雷福斯量表上，男学生的平均分数（2.93 ± 0.47）略高于女学生（2.86 ± 0.44）。
男性临床医生在脊柱手法评估中倾向于给出比女性临床医生更低的分数。在脊柱手法评估中，男学生平均得分略高于女学生。
