Gender and Inconsistent Evaluations: A Mixed-methods Analysis of Feedback for Emergency Medicine Residents

Autor: Alexandra Brewer, Laura Nelson, Anna S. Mueller, Rebecca Ewert, Daniel M. O’Connor, Arjun Dayal, Vineet M. Arora
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Western Journal of Emergency Medicine, Vol 24, Iss 5, Pp 847-854 (2023)
Druh dokumentu: article
ISSN: 1936-900X
1936-9018
DOI: 10.5811/westjem.58153
Popis: Objectives: Prior research has demonstrated that men and women emergency medicine (EM) residents receive similar numerical evaluations at the beginning of residency, but that women receive significantly lower scores than men in their final year. To better understand the emergence of this gender gap in evaluations we examined discrepancies between numerical scores and the sentiment of attached textual comments. Methods: This multicenter, longitudinal, retrospective cohort study took place at four geographically diverse academic EM training programs across the United States from July 1, 2013–July 1, 2015 using a real-time, mobile-based, direct-observation evaluation tool. We used complementary quantitative and qualitative methods to analyze 11,845 combined numerical and textual evaluations made by 151 attending physicians (94 men and 57 women) during real-time, direct observations of 202 residents (135 men and 67 women). Results: Numerical scores were more strongly positively correlated with positive sentiment of the textual comment for men (r = 0.38, P
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