The influence of patient gender on medical students' care: Evaluation during an objective structured clinical examination.
Détails
Télécharger: LeBoudec_Pec_2023.pdf (1539.20 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_570A0DE7FBE3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The influence of patient gender on medical students' care: Evaluation during an objective structured clinical examination.
Périodique
Patient education and counseling
ISSN
1873-5134 (Electronic)
ISSN-L
0738-3991
Statut éditorial
Publié
Date de publication
05/2023
Peer-reviewed
Oui
Volume
110
Pages
107655
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
To assess whether men and women are evaluated and treated differently by medical students.
We evaluated patient care provided by 110 fifth-year medical students during an objective structured clinical examination (OSCE), using two clinical cases with standardized patients (SPs): generalized anxiety disorder (GAD) and ascending aortic dissection (AAD). Half of the students encountered male and half female SPs. Except for gender, the cases were identical. We compared diagnosis and treatment of male vs female SPs.
Students diagnosed GAD more often in female SPs than in male SPs (diagnosis completed, partially completed, and not completed in 47%, 16% and 36% respectively vs. 22%, 20%, and 58% for male SPs, p = 0.02). The nature of symptoms was better described for male SPs. For AAD, the emergency was more frequently identified and the examination of femoral pulses better performed in female SPs.
Medical students have a gender bias when evaluating patients with GAD and AAD.
The observed gender bias in the evaluation of patients, likely leads to differences in treatment between male and female patients (i.e. under-recognition of anxiety in men). Medical schools should implement gender-sensitive medical education initiatives to improve inclusive patient care.
We evaluated patient care provided by 110 fifth-year medical students during an objective structured clinical examination (OSCE), using two clinical cases with standardized patients (SPs): generalized anxiety disorder (GAD) and ascending aortic dissection (AAD). Half of the students encountered male and half female SPs. Except for gender, the cases were identical. We compared diagnosis and treatment of male vs female SPs.
Students diagnosed GAD more often in female SPs than in male SPs (diagnosis completed, partially completed, and not completed in 47%, 16% and 36% respectively vs. 22%, 20%, and 58% for male SPs, p = 0.02). The nature of symptoms was better described for male SPs. For AAD, the emergency was more frequently identified and the examination of femoral pulses better performed in female SPs.
Medical students have a gender bias when evaluating patients with GAD and AAD.
The observed gender bias in the evaluation of patients, likely leads to differences in treatment between male and female patients (i.e. under-recognition of anxiety in men). Medical schools should implement gender-sensitive medical education initiatives to improve inclusive patient care.
Mots-clé
General Medicine, Bias, Diagnosis, Gender, Inclusive patient care, Management, Objective structured clinical examination, Stereotypes, Students
Pubmed
Web of science
Open Access
Oui
Création de la notice
08/02/2023 8:51
Dernière modification de la notice
13/01/2024 7:08