Gender Bias in Simulation-Based Assessments of Emergency Medicine Residents

Journal of Graduate Medical Education
Jeffrey N SiegelmanBijal Shah

Abstract

Gender-related disparities persist in medicine and medical education. Prior work has found differences in medical education assessments based on gender. We hypothesized that gender bias would be mitigated in a simulation-based assessment. We conducted a retrospective cohort study of emergency medicine residents at a single, urban residency program. Beginning in spring 2013, residents participated in mandatory individual simulation assessments. Twelve simulated cases were included in this study. Rating forms mapped milestone language to specific observable behaviors. A Bayesian regression was used to evaluate the effect of resident and rater gender on assessment scores. Both 95% credible intervals (CrIs) and a Region of Practical Equivalence approach were used to evaluate the results. Participants included 48 faculty raters (25 men [52%]) and 102 residents (47 men [46%]). The difference in scores between male and female residents (M = -0.58, 95% CrI -3.31-2.11), and male and female raters (M = 2.87, 95% CrI -0.43-6.30) was small and 95% CrIs overlapped with 0. The 95% CrI for the interaction between resident and rater gender also overlapped with 0 (M = 0.41, 95% CrI -3.71-4.23). In a scripted and controlled system of assessments...Continue Reading

References

Oct 25, 2002·Teaching and Learning in Medicine·Jessica L BienstockHarold E Fox
Oct 18, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Katherine S McOwenJudy A Shea
Feb 10, 2010·Journal of Women's Health·Peter ConradLinda Pololi
May 14, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chad M ThorsonKiran K Turaga
Jun 14, 2012·JAMA : the Journal of the American Medical Association·Reshma JagsiPeter A Ubel
Oct 24, 2014·International Journal of Medical Education·Carmen M Burgos, Anna Josephson
Jan 7, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Katherine BergMohammadreza Hojat
Feb 7, 2015·Journal of Women's Health·Phyllis L CarrKaren M Freund
Sep 16, 2015·JAMA : the Journal of the American Medical Association·Anupam B JenaDaniel M Blumenthal
Sep 16, 2015·JAMA : the Journal of the American Medical Association·Robert SegeSabrina Selk
Mar 15, 2016·Journal of Women's Health·Helen K MorganMaya M Hammoud
Aug 24, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Danielle HartJoshua Hui

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Citations

May 28, 2021·AEM Education and Training·Michael GottliebTeresa M Chan

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