Gender differences in the clinical competence of residents in internal medicine
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Objective:To study the differences between cognitive and noncognitive skills of men and those of women entering internal medicine.
Design:Comparison of program directors’ ratings of overall clinical competence and its specific components and pass rates for men and women taking the Certifying Examinations in Internal Medicine in 1984–1987.
Participants:14,340 U.S. and Canadian graduates taking the Certifying Examinations of the American Board of Internal Medicine for the first time in 1984–1987.
Measurements/results:Average program directors’ ratings of overall competence were 6.70–6.78 for men and 6.60–6.71 for women. The greatest differences in ratings of specific components of competence were in the areas of medical knowledge and procedural skills, where men were rated higher than women, and humanistic qualities, where women were rated higher than men. Pass rates were stable over the four years of the study, and ranged from 85 to 86% for men and from 79 to 81% for women. Men consistently performed slightly better than women regardless of the type of residency or quality of medical school attended.
Conclusions:Small but consistent differences were found in the performances of men and those of women completing training in Internal Medicine as measured by program directors’ ratings and ABIM Certifying Examination performances.
- Bickel J. Women in medicine statistics. Washington, DC: Association of American Medical Colleges, 1988.
- Norcini JJ, Fletcher SW, Quimby BB, Shea JA. Performance of women candidates on the American Board of Internal Medicine Certifying Examination, 1973 – 1982. Ann Intern Med 1985;102:115–8.
- Norcini JJ, Webster GD, Grosso LJ, Blank LL, Benson JA. Ratings of residents’ clinical competence and performance on certification examination. J Med Educ 1987;62:457–62.
- Schueneman AL, Pickleman J, Freeark RJ. Age, gender, lateral dominance and prediction of operative skill among general surgery residents. Surgery 1985;98:506–14.
- Linn LS, Cope DW, Leake B. The effect of gender and training of residents on satisfaction ratings by patients. J Med Educ 1984;59:964–6.
- Engleman EG. Attitudes toward women physicians. A study of 500 clinic patients. West J Med 1974;120:95–100.
- Gourman J. The Gourman report — A rating of graduate and professional programs in American and international universities. Los Angeles: National Education Standards, Inc., 1980.
- American Board of Internal Medicine. Evaluation of clinical competence in internal medicine. Portland, OR: ABIM, 1988.
- Norcini JJ, Swanson DB, Grosso LJ, Webster GD. Reliability, validity, and efficiency of various item formats in assessment of physician competence. Med Educ 1985;19:238–47. CrossRef
- Weinberg E, Rooney JF. The academic performance of women students in medical school. J Med Educ 1973;48:240–7.
- Arnold L, Willoughby TL, Calkins V, Jensen T. The achievement of men and women in medical school. J Am Med Wom Assoc 1981;36:213–21.
- Linn LS, Cope DW, Robbins A. Sociodemographic and premedical school factors related to postgraduate physicians’ humanistic performance. West J Med 1987;147:99–103.
- Linn LS, Oye R, Cope DW, DiMatteo MR. Use of nonphysician staff to evaluate humanistic behavior of internal medicine residents and faculty members. J Med Educ 1986;61:918–20.
- Gender differences in the clinical competence of residents in internal medicine
Journal of General Internal Medicine
Volume 4, Issue 4 , pp 309-312
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- clinical competence
- residency evaluation
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