Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis

作者：Anna S. Mueller, Tania M. Jenkins, Melissa Osborne, Arjun Dayal, Daniel O’Connor, Vineet M. Arora · 发表于：Journal of Graduate Medical Education · 年份：2017 · DOI：10.4300/jgme-d-17-00126.1 · 被引用次数：231 · 研究领域：Innovations in Medical Education、Diversity and Career in Medicine、Medical Education and Admissions

BACKGROUND: Prior research has shown a gender gap in the evaluations of emergency medicine (EM) residents' competency on the Accreditation Council for Graduate Medical Education (ACGME) milestones, yet the practical implications of this are not fully understood. OBJECTIVE: To better understand the gender gap in evaluations, we examined qualitative differences in the feedback that male and female residents received from attending physicians. METHODS: This study used a longitudinal qualitative content analysis of narrative comments by attending physicians during real-time direct observation milestone evaluations of residents. Comments were collected over 2 years from 1 ACGME-accredited EM training program. RESULTS: In total, 1317 direct observation evaluations with comments from 67 faculty members were collected for 47 postgraduate year 3 EM residents. Analysis of the comments revealed that the ideal EM resident possesses many stereotypically masculine traits. Additionally, examination of a subset of the residents (those with 15 or more comments, n = 35) showed that when male residents struggled, they received consistent feedback from different attending physicians regarding aspects of their performance that needed work. In contrast, when female residents struggled, they received discordant feedback from different attending physicians, particularly regarding issues of autonomy and assertiveness. CONCLUSIONS: Our study revealed qualitative differences in the kind of feedback tha...