Department of Oncology, Mayo Clinic, Rochester, MN, USA.
Division of Hematology, Mayo Clinic, Rochester, MN, USA.
J Gen Intern Med. 2024 Nov;39(15):2904-2909. doi: 10.1007/s11606-024-08861-0. Epub 2024 Jun 26.
Studies have demonstrated patients hold different expectations for female physicians compared to male physicians, including higher expectations for patient-centered communication and addressing socioeconomic or emotional needs. Recent evidence indicates this gender disparity extends to the electronic health record (EHR). Similar studies have not been conducted with resident physicians.
This study seeks to characterize differences in EHR workload for female resident physicians compared to male resident physicians.
This study evaluated 12 months of 156 Mayo Clinic internal medicine residents' inbasket data from July 2020 to June 2021 using Epic's Signal and Physician Efficiency Profile (PEP) data. Excel, BlueSky Statistics, and SAS analytical software were used for analysis. Paired t-tests and analysis of variance were used to compare PEP data by gender and postgraduate year (PGY). "Male" and "female" were used in substitute for "gender" as is precedent in the literature.
Mayo Clinic internal medicine residents.
Total time spent in EHR per day; time in inbasket and notes per day; time in notes per appointment; number of patient advice requests made through the portal; message turnaround time.
Female residents received more patient advice requests per year (p = 0.004) with an average of 86.7 compared to 68, resulting in 34% more patient advice requests per day worked (p < 0.001). Female residents spent more time in inbasket per day (p = 0.002), in notes per day (p < 0.001), and in notes per appointment (p = 0.001). Resident panel comparisons revealed equivocal sizes with significantly more female patients on female (n = 55) vs male (n = 34) resident panels (p < 0.001). There was no difference in message turnaround time, total messages, or number of results received.
Female resident physicians experience significantly more patient-initiated messages and EHR workload despite equivalent number of results and panel size. Gender differences in inbasket burden may disproportionally impact the resident educational experience.
研究表明，患者对女性医生的期望与男性医生不同，包括对以患者为中心的沟通和解决社会经济或情感需求的更高期望。最近的证据表明，这种性别差距延伸到了电子健康记录（EHR）。类似的研究尚未在住院医师中进行。
本研究旨在描述女性住院医师与男性住院医师相比，在 EHR 工作量方面的差异。
本研究评估了 2020 年 7 月至 2021 年 6 月期间，156 名梅奥诊所内科住院医师的 12 个月收件箱数据，使用 Epic 的 Signal 和 Physician Efficiency Profile（PEP）数据。Excel、BlueSky Statistics 和 SAS 分析软件用于分析。使用配对 t 检验和方差分析比较性别和毕业后年（PGY）的 PEP 数据。“男性”和“女性”是为了代替文献中的“性别”而使用的。
梅奥诊所内科住院医师。
每天在 EHR 中花费的总时间；每天在收件箱和笔记中的时间；每次预约的笔记时间；通过门户提出的患者建议请求数；消息周转时间。
女性住院医师每年收到的患者建议请求更多（p=0.004），平均每年 86.7 次，而男性为 68 次，因此每天工作的患者建议请求多 34%（p<0.001）。女性住院医师每天在收件箱中的时间更长（p=0.002），每天在笔记中的时间更长（p<0.001），每次预约的笔记时间更长（p=0.001）。住院医师小组比较显示，女性（n=55）与男性（n=34）住院医师小组的女性患者明显更多，差异具有统计学意义（p<0.001）。消息周转时间、总消息数或收到的结果数没有差异。
尽管结果数量和小组规模相当，但女性住院医师经历的患者发起的消息和 EHR 工作量明显更多。收件箱负担方面的性别差异可能会不成比例地影响住院医师的教育体验。
