A graduating medical doctor is expected to be competent in physical examinations across all systems. The exploration of how gender affects the development of clinical skills has not been explored in an Arab context, despite cultural restrictions that make it more difficult for students and doctors to examine the opposite sex. A cross sectional survey was undertaken of graduating final year medical students in Northern Jordan. We asked about students’ perceptions regarding factors that may impact the development of clinical skills potentially related to gender, and asked about the frequency of examinations performed during their training for intimate and general physical examinations on all patients, as well as patients of the opposite sex. We also asked about the students’ confidence in performing the examinations (3-point Likert-scale). Comparison of male and female proportions was done using Chi square tests analysis. One hundred eighty-eight final year students from 481 students (41%) completed the survey, 99 males and 89 females. The greatest factor given for impacting a student’s clinical examination of a patient of the opposite sex was cultural or religious traditions. Overall male students perform more clinical examinations than female students, with the odds of a male conducting more than 10 cardiovascular examinations on any patient compared to female students being 2.07 (1.13–3.79) and as high as 3.06 (1.53–6.18) for thyroid examinations. However, females were significantly more likely to examine male patients than vice versa (0.49 (0.27–0.88) for cardiovascular and 0.39 (0.21–0.71) for respiratory examinations). The gender division was more prominent for intimate examinations, with a lower odds of males conducting breast 0.11 (0.04–0.28) and vaginal examinations 0.22 (0.02–1.98) and more male students conducting prostate examinations OR 11.00 (1.39–87.03) and male genitalia examinations OR 16.31 (3.75–70.94). Overall a large proportion of students had never performed common intimate clinical examinations at all. In our context, clinical exposure to both intimate and general clinical examinations differs significantly between male and female students. A greater awareness and more research on the influence of gender on clinical skill attainment in conservative cultures is needed with appropriate adaption of clinical teaching. Non interventional thus not required.

中文翻译：

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性别对约旦医学生临床检查技能的影响：一项横断面研究

预计即将毕业的医生将能够胜任所有系统的体格检查。尽管文化上的限制使学生和医生更难检查异性，但在阿拉伯语环境中，还没有探讨过性别如何影响临床技能发展的问题。一项横断面调查是对约旦北部地区即将毕业的医学专业毕业生进行的。我们询问了学生对可能影响与性别有关的临床技能发展的因素的看法，并询问了在培训期间对所有患者以及异性患者进行全面和全面的体格检查的检查频率。我们还询问了学生对进行考试的信心（三分李克特量表）。使用卡方检验分析比较男性和女性的比例。481名学生中的188名最后一年的学生（占41％）完成了调查，男99位，女89位。影响学生对异性患者进行临床检查的最大因素是文化或宗教传统。总体而言，男性学生进行的临床检查要比女性学生多，男性对任何患者进行10次以上心血管检查的几率与女性学生相比为2.07（1.13–3.79），甲状腺检查最高为3.06（1.53–6.18） 。但是，女性检查男性患者的可能性要大得多，反之亦然（心血管检查为0.49（0.27–0.88），呼吸检查为0.39（0.21-0.71））。性别检查在亲密检查中更为突出，男性进行乳房检查的几率较低，为0.11（0.04–0.28），阴道检查的几率较低，为0.22（0.02–1.98），进行前列腺检查的男性学生的几率更高，或者进行前列腺检查的男性为11.00（1.39–87.03），男性生殖器的几率较低。考试或16.31（3.75-70.94）。总体上，很大一部分学生根本没有进行过常规的亲密临床检查。在我们的上下文中，男女学生在临床上进行的亲密和一般临床检查的接触差异很大。在适当地适应临床教学的情况下，需要对性别对保守文化中临床技能获得的影响有更多的了解并进行更多的研究。因此不需要非介入。28）和阴道检查0.22（0.02–1.98）以及更多进行前列腺检查的男学生，或11.00（1.39–87.03）和男性生殖器检查，或16.31（3.75–70.94）。总体上，很大一部分学生根本没有进行过常规的亲密临床检查。在我们的上下文中，男女学生在临床上进行的亲密和一般临床检查的接触差异很大。在适当地适应临床教学的情况下，需要对性别对保守文化中临床技能获得的影响有更多的了解并进行更多的研究。因此不需要非介入。28）和阴道检查0.22（0.02–1.98）以及更多进行前列腺检查的男学生，或11.00（1.39–87.03）和男性生殖器检查，或16.31（3.75–70.94）。总体上，很大一部分学生根本没有进行过常规的亲密临床检查。在我们的背景下，男女学生的临床接触常规和常规临床检查的机会均存在显着差异。在适当地适应临床教学的情况下，需要对性别对保守文化中临床技能获得的影响有更多的了解并进行更多的研究。因此不需要非介入。总体上，很大一部分学生根本没有进行过常规的亲密临床检查。在我们的背景下，男女学生的临床接触常规和常规临床检查的机会均存在显着差异。在适当地适应临床教学的情况下，需要对性别对保守文化中临床技能获得的影响有更多的了解并进行更多的研究。因此不需要非介入。总体上，很大一部分学生根本没有进行过常规的亲密临床检查。在我们的背景下，男女学生的临床接触常规和常规临床检查的机会均存在显着差异。在适当地适应临床教学的情况下，需要对性别对保守文化中临床技能获得的影响有更多的了解并进行更多的研究。因此不需要非介入。