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研究生医学教育中偏倚研究方法

Methods for Studying Bias in Graduate Medical Education.

作者信息

Terry Danielle L, Graham Jessica, Terry Christopher P, Telge Mayanthi

机构信息

Department of Family Medicine, Guthrie Robert Packer Hospital, Sayre, PA.

Elmira College, Elmira, NY.

出版信息

PRiMER. 2025 Jul 7;9:34. doi: 10.22454/PRiMER.2025.759472. eCollection 2025.

DOI:10.22454/PRiMER.2025.759472
PMID:40727870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12303144/
Abstract

Consistent with patterns seen in the larger population, bias in medical settings has been well established and negatively impacts outcomes, quality of care, and patient-clinician interactions. The purpose of this article is to provide a brief and introductory review of research methods for studying bias in graduate medical education, including (a) specific designs to consider and (b) considerations for overcoming barriers to implementation. While there are a variety of ways in which bias and inequity can be studied in medical settings, the unique limitations of graduate medical education may pose numerous challenges that researchers may need to overcome. Limited research addresses bias and inequity in graduate medical settings; future research might explore these topics in ways that are tailored to this educational setting.

摘要

与在更广泛人群中观察到的模式一致,医疗环境中的偏见已得到充分证实,并且对医疗结果、护理质量以及患者与临床医生的互动产生负面影响。本文的目的是对研究生医学教育中研究偏见的研究方法进行简要的介绍性综述,包括(a)需要考虑的具体设计,以及(b)克服实施障碍的注意事项。虽然在医疗环境中有多种研究偏见和不公平现象的方法,但研究生医学教育的独特局限性可能带来众多研究人员可能需要克服的挑战。针对研究生医学环境中偏见和不公平现象的研究有限;未来的研究可能需要以适合这种教育环境的方式来探索这些主题。

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本文引用的文献

1
Exploring the Impact of Gender Bias Among Medical Trainees.探索医学实习生中性别偏见的影响。
PRiMER. 2024 Jan 10;8:3. doi: 10.22454/PRiMER.2024.177437. eCollection 2024.
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Moving on From Self-assessment.从自我评估中继续前进。
PRiMER. 2024 Jan 23;8:5. doi: 10.22454/PRiMER.2024.624901. eCollection 2024.
3
Expanding the Study of Bias in Medical Education Assessment.拓展医学教育评估中的偏差研究
J Grad Med Educ. 2023 Dec;15(6):623-626. doi: 10.4300/JGME-D-23-00027.1.
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Social desirability bias in qualitative health research.定性健康研究中的社会期望偏差。
Rev Saude Publica. 2022 Dec 9;56:101. doi: 10.11606/s1518-8787.2022056004164. eCollection 2022.
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Gender Bias in Resident Assessment in Graduate Medical Education: Review of the Literature.医学研究生教育中住院医师评估的性别偏见:文献综述。
J Gen Intern Med. 2019 May;34(5):712-719. doi: 10.1007/s11606-019-04884-0.
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How Small Differences in Assessed Clinical Performance Amplify to Large Differences in Grades and Awards: A Cascade With Serious Consequences for Students Underrepresented in Medicine.评估临床绩效的微小差异如何放大为成绩和奖励的巨大差异:对医学领域代表性不足的学生产生严重后果的级联效应。
Acad Med. 2018 Sep;93(9):1286-1292. doi: 10.1097/ACM.0000000000002323.
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Implicit bias in healthcare professionals: a systematic review.医疗保健专业人员中的隐性偏见:一项系统综述。
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