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“Make the Implicit Explicit”: Measuring Perceptions of Gender Bias and Creating a Gender Bias Curriculum for Internal Medicine Residents
Advances in Medical Education and Practice ( IF 1.8 ) Pub Date : 2021-01-12 , DOI: 10.2147/amep.s292166 Paula Chatterjee 1 , Lindsay N Warner 2 , Maria C Basil 1 , Michelle Christopher 3 , Katharine Manning 4 , Herrick N Fisher 4 , Kathryn M Rexrode 4 , Sonja R Solomon 4 , Rose M Kakoza 5 , Maria A Yialamas 4
Advances in Medical Education and Practice ( IF 1.8 ) Pub Date : 2021-01-12 , DOI: 10.2147/amep.s292166 Paula Chatterjee 1 , Lindsay N Warner 2 , Maria C Basil 1 , Michelle Christopher 3 , Katharine Manning 4 , Herrick N Fisher 4 , Kathryn M Rexrode 4 , Sonja R Solomon 4 , Rose M Kakoza 5 , Maria A Yialamas 4
Affiliation
Background: Gender bias in clinical training has been well established; however, little is known about how perceptions differ between men and women. Furthermore, few curricular options have been developed to discuss gender bias.
Objective: To measure the prevalence of gender bias, examine qualitative differences between men and women, and create a gender bias curriculum for internal medicine residents.
Methods: We surveyed 114 residents (response rate of 53.5%) to identify the prevalence and types of gender bias experienced in training. We compared estimates between genders and organized qualitative results into shared themes. We then developed a curriculum to promote and normalize discussions of gender bias.
Results: Among surveyed residents, 61% reported personal experiences of gender bias during training, with 98% of women and 19% of men reporting experiences when stratified by gender. We identified two domains in which gender bias manifested: role misidentification and a difficult working environment. Residents identified action items that led to the development of a gender bias curriculum. The curriculum includes didactic conferences and training sessions, a microaggression response toolkit, dinners for men and women residents, participation in a WhatsApp support group, and participation in academic projects related to gender bias in training.
Conclusion: We confirmed a wide prevalence of gender bias and developed a scalable curriculum for gender bias training. Future work should explore the long-term impacts of these interventions.
中文翻译：
“使隐性变得显性”：衡量对性别偏见的看法并为内科住院医师创建性别偏见课程
背景：临床培训中的性别偏见已经确定；然而，人们对男性和女性的看法有何不同却知之甚少。此外，很少有课程选择来讨论性别偏见。
目的：衡量性别偏见的发生率，检查男性和女性之间的质性差异，并为内科住院医师创建性别偏见课程。
方法：我们对 114 名居民进行了调查（回应率为 53.5%），以确定培训中经历的性别偏见的普遍程度和类型。我们比较了性别之间的估计，并将定性结果组织成共同的主题。然后，我们开发了一门课程来促进性别偏见的讨论并使之正常化。
结果：在接受调查的居民中，61% 的人报告了培训期间性别偏见的个人经历，按性别分层时，98% 的女性和 19% 的男性报告了经历。我们确定了性别偏见表现出的两个领域：角色错误识别和困难的工作环境。居民们确定了导致性别偏见课程开发的行动项目。课程包括教学会议和培训课程、微侵犯应对工具包、男女居民晚餐、参与 WhatsApp 支持小组以及参与与培训中性别偏见相关的学术项目。
结论：我们证实了性别偏见的普遍存在，并开发了可扩展的性别偏见培训课程。未来的工作应该探索这些干预措施的长期影响。
更新日期：2021-01-12
Objective: To measure the prevalence of gender bias, examine qualitative differences between men and women, and create a gender bias curriculum for internal medicine residents.
Methods: We surveyed 114 residents (response rate of 53.5%) to identify the prevalence and types of gender bias experienced in training. We compared estimates between genders and organized qualitative results into shared themes. We then developed a curriculum to promote and normalize discussions of gender bias.
Results: Among surveyed residents, 61% reported personal experiences of gender bias during training, with 98% of women and 19% of men reporting experiences when stratified by gender. We identified two domains in which gender bias manifested: role misidentification and a difficult working environment. Residents identified action items that led to the development of a gender bias curriculum. The curriculum includes didactic conferences and training sessions, a microaggression response toolkit, dinners for men and women residents, participation in a WhatsApp support group, and participation in academic projects related to gender bias in training.
Conclusion: We confirmed a wide prevalence of gender bias and developed a scalable curriculum for gender bias training. Future work should explore the long-term impacts of these interventions.
中文翻译：
“使隐性变得显性”：衡量对性别偏见的看法并为内科住院医师创建性别偏见课程
背景：临床培训中的性别偏见已经确定；然而，人们对男性和女性的看法有何不同却知之甚少。此外，很少有课程选择来讨论性别偏见。
目的：衡量性别偏见的发生率，检查男性和女性之间的质性差异，并为内科住院医师创建性别偏见课程。
方法：我们对 114 名居民进行了调查（回应率为 53.5%），以确定培训中经历的性别偏见的普遍程度和类型。我们比较了性别之间的估计，并将定性结果组织成共同的主题。然后，我们开发了一门课程来促进性别偏见的讨论并使之正常化。
结果：在接受调查的居民中，61% 的人报告了培训期间性别偏见的个人经历，按性别分层时，98% 的女性和 19% 的男性报告了经历。我们确定了性别偏见表现出的两个领域：角色错误识别和困难的工作环境。居民们确定了导致性别偏见课程开发的行动项目。课程包括教学会议和培训课程、微侵犯应对工具包、男女居民晚餐、参与 WhatsApp 支持小组以及参与与培训中性别偏见相关的学术项目。
结论：我们证实了性别偏见的普遍存在，并开发了可扩展的性别偏见培训课程。未来的工作应该探索这些干预措施的长期影响。
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