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学生和教职员工的性别会影响助理医师专业学生的临床实习体验吗?

Does Student and Staff Gender Affect Physician Associate Student Experience on Clinical Rotations?

作者信息

Guest Brogan, Aichison Katie, Bascombe Kate, Chakraborty Tripti, Gnanapragasam Vasa, Haider Ban, Hickman Beck, Louis Chandran, McCann Lauren

机构信息

Brogan Guest, PA-C/R, is a reader, St George's, University of London, London, United Kingdom.

Katie Aichison, PA-R, is a PA student, St George's, University of London, London, United Kingdom.

出版信息

J Physician Assist Educ. 2025 Mar 1;36(1):e89-e95. doi: 10.1097/JPA.0000000000000640. Epub 2024 Nov 27.

Abstract

INTRODUCTION

Physician assistant/associate (PA) courses rely heavily on hands-on experience during clinical placement, and higher education institutes aim to provide students with an equitable experience. This article aims to understand how student gender and supervisor gender affect student experience on clinical placement at 2 PA courses in the United Kingdom, where PAs are known as physician associates. We found no evidence of pedagogical literature that focused on the gender differences in PA experience, so we aim to be the first to provide this research.

METHODS

To assess student experience, student feedback was collected through online qualitative surveys and stratified by student and supervisor gender. 95% confidence intervals were calculated for scaled questions.

RESULTS

Qualitative feedback from students shows a clear difference in their clinical placement experiences. Male students report fewer opportunities to observe and assess female patients, while female students report fewer opportunities observe and assess male patients. The most significant difference is seen when male students are seeing female patients. The discrepancy becomes more pronounced when male students are supervised by male supervisors and when female students are supervised by female supervisors.

DISCUSSION

In planning clinical placements for students, programs must understand and recognize the potential for differences in experience based on student and supervisor gender and should take action to ensure a more equitable experience for all students.

摘要

引言

医师助理课程在很大程度上依赖临床实习期间的实践经验,高等教育机构旨在为学生提供公平的实习体验。本文旨在了解在英国的两门医师助理课程中,学生性别和带教老师性别如何影响学生的临床实习体验,在英国医师助理被称为physician associates。我们没有找到专注于医师助理实习体验中性别差异的教学文献证据,因此我们旨在率先开展此项研究。

方法

为评估学生的实习体验,通过在线定性调查收集学生反馈,并按学生和带教老师的性别进行分层。对量表问题计算95%置信区间。

结果

学生的定性反馈显示出他们临床实习体验存在明显差异。男学生报告观察和评估女性患者的机会较少,而女学生报告观察和评估男性患者的机会较少。当男学生诊治女性患者时差异最为显著。当男学生由男带教老师指导以及女学生由女带教老师指导时,这种差异变得更加明显。

讨论

在为学生规划临床实习时,课程项目必须了解并认识到基于学生和带教老师性别可能存在的体验差异,并应采取行动确保所有学生都能获得更公平的实习体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bfd/11841715/9e1301d5f4ad/jpa-36-e89-g001.jpg

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