Gender Differences Among Milestone Assessments in a National Sample of Pediatric Emergency Medicine Fellowship Programs.
| Autor: | Zuckerbraun NS; UPMC Children's Hospital of Pittsburgh/University of Pittsburgh School of Medicine Pittsburgh PA USA., Levasseur K; the Beaumont Children's Hospital/Oakland University William Beaumont School of Medicine Royal Oak MI USA., Kou M; the Inova Children's Hospital/VCU School of Medicine Falls Church VA USA., Rose JA; the Rainbow Babies & Children's Hospital/Case Western Reserve University School of Medicine Cleveland OH USA., Roskind CG; the Columbia University Medical Center New York NY USA., Vu T; the Children's Hospital Colorado/University of Colorado School of Medicine Denver CO USA., Baghdassarian A; the Children's Hospital of Richmond at VCU/Virginia Commonwealth University School of Medicine Richmond VA USA., Leonard K; Washington University in St. Louis School of Medicine St. Louis MO USA., Shabanova V; and the Yale University School of Medicine New Haven CT USA., Langhan ML; and the Yale University School of Medicine New Haven CT USA. |
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| Jazyk: | angličtina |
| Zdroj: | AEM education and training [AEM Educ Train] 2020 Nov 03; Vol. 5 (3), pp. e10543. Date of Electronic Publication: 2020 Nov 03 (Print Publication: 2021). |
| DOI: | 10.1002/aet2.10543 |
| Abstrakt: | Background: Understanding gender gaps in trainee evaluations is critical because these may ultimately determine the duration of training. Currently, no studies describe the influence of gender on the evaluation of pediatric emergency medicine (PEM) fellows. Objective: The objective of our study was to compare milestone scores of female versus male PEM fellows. Methods: This is a multicenter retrospective cohort study of a national sample of PEM fellows from July 2014 to June 2018. Accreditation Council for Medical Education (ACGME) subcompetencies are scored on a 5-point scale and span six domains: patient care (PC), medical knowledge, systems-based practice, practice-based learning and improvement, professionalism, and interpersonal and communication skills (ICS). Summative assessments of the 23 PEM subcompetencies are assigned by each program's clinical competency committee and submitted semiannually for each fellow. Program directors voluntarily provided deidentified ACGME milestone reports. Demographics including sex, program region, and type of residency were collected. Descriptive analysis of milestones was performed for each year of fellowship. Multivariate analyses evaluated the difference in scores by sex for each of the subcompetencies. Results: Forty-eight geographically diverse programs participated, yielding data for 639 fellows (66% of all PEM fellows nationally); sex was recorded for 604 fellows, of whom 67% were female. When comparing the mean milestone scores in each of the six domains, there were no differences by sex in any year of training. When comparing scores within each of the 23 subcompetencies and correcting the significance level for comparison of multiple milestones, the scores for PC3 and ICS2 were significantly, albeit not meaningfully, higher for females. Conclusion: In a national sample of PEM fellows, we found no major differences in milestone scores between females and males. (© 2020 by the Society for Academic Emergency Medicine.) |
| Databáze: | MEDLINE |
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