'Make the Implicit Explicit': Measuring Perceptions of Gender Bias and Creating a Gender Bias Curriculum for Internal Medicine Residents
Autor: | Lindsay N Warner, Kathryn M. Rexrode, Rose M Kakoza, Paula Chatterjee, Maria C. Basil, Maria A Yialamas, Michelle Christopher, Katharine A. Manning, Sonja R Solomon, Herrick N Fisher |
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Rok vydání: | 2020 |
Předmět: |
Response rate (survey)
medicine.medical_specialty curriculum development media_common.quotation_subject medicine.medical_treatment education Graduate medical education Psychological intervention Short Report graduate medical education Support group Education Perception Internal medicine Curriculum development medicine survey Personal experience Advances in Medical Education and Practice Psychology Curriculum media_common |
Zdroj: | Advances in Medical Education and Practice |
ISSN: | 1179-7258 |
Popis: | 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 Yialamas4 1Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; 2Department of Medicine, Virginia Mason Medical Center, Seattle, WA, USA; 3Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA; 4Department of Medicine, Brigham & Women’s Hospital, Boston, MA, USA; 5Department of Primary Care and Community Medicine, Christiana Care, Wilmington, DE, USACorrespondence: Paula ChatterjeeDepartment of Medicine, Perelman School of Medicine at the University of Pennsylvania, 423 Guardian Drive, Room 1318, Philadelphia, PA 19140, USATel +1 (215) 573-9468Email pchat@pennmedicine.upenn.eduBackground: 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.Keywords: graduate medical education, curriculum development, survey |
Databáze: | OpenAIRE |
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