دورية أكاديمية

Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study.
المؤلفون: Krause ML; Department of Internal Medicine Mayo Clinic, Rochester, MN, 55905, USA., Elrashidi MY; Department of Internal Medicine Mayo Clinic, Rochester, MN, 55905, USA., Halvorsen AJ; Internal Medicine Residency Office of Educational Innovations, Mayo Clinic, Rochester, MN, USA., McDonald FS; Departmentof Academic Affairs, American Board of Internal Medicine, Philadelphia, PA, USA., Oxentenko AS; Department of Internal Medicine Mayo Clinic, Rochester, MN, 55905, USA. Oxentenko.amy@mayo.edu.
المصدر: Journal of general internal medicine [J Gen Intern Med] 2017 Jun; Vol. 32 (6), pp. 648-653.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 8605834 Publication Model: Print Cited Medium: Internet ISSN: 1525-1497 (Electronic) Linking ISSN: 08848734 NLM ISO Abbreviation: J Gen Intern Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Secaucus, NJ : Springer
Original Publication: [Philadelphia, PA] : Hanley & Belfus, [c1986-
مواضيع طبية MeSH: Internship and Residency* , Peer Review* , Pregnancy*, Internal Medicine/*education, Adult ; Clinical Competence ; Educational Measurement ; Female ; Humans ; Linear Models ; Male ; Retrospective Studies ; Sex Factors ; Spouses ; Time Factors
مستخلص: Background: Pregnancy and its impact on graduate medical training are not well understood.
Objective: To examine the effect of gender and pregnancy for Internal Medicine (IM) residents on evaluations by peers and faculty.
Design: This was a retrospective cohort study.
Subjects: All IM residents in training from July 1, 2004-June 30, 2014, were included. Female residents who experienced pregnancy and male residents whose partners experienced pregnancy during training were identified using an existing administrative database.
Main Measures: Mean evaluation scores by faculty and peers were compared relative to pregnancy (before, during, and after), accounting for the gender of both the evaluator and resident in addition to other available demographic covariates. Potential associations were assessed using mixed linear models.
Key Results: Of 566 residents, 117 (20.7%) experienced pregnancy during IM residency training. Pregnancy was more common in partners of male residents (24.7%) than female residents (13.2%) (p = 0.002). In the post-partum period, female residents had lower peer evaluation scores on average than their male counterparts (p = 0.0099).
Conclusions: A large number of residents experience pregnancy during residency. Mean peer evaluation scores were lower after pregnancy for female residents. Further study is needed to fully understand the mechanisms behind these findings, develop ways to optimize training throughout pregnancy, and explore any unconscious biases that may exist.
التعليقات: Comment in: J Gen Intern Med. 2017 Jun;32(6):681. (PMID: 28284016)
Comment in: J Gen Intern Med. 2017 Dec;32(12):1277. (PMID: 28884276)
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فهرسة مساهمة: Keywords: evaluation; graduate medical education; pregnancy
تواريخ الأحداث: Date Created: 20170215 Date Completed: 20180313 Latest Revision: 20181113
رمز التحديث: 20240513
مُعرف محوري في PubMed: PMC5442019
DOI: 10.1007/s11606-017-4010-5
PMID: 28194690
قاعدة البيانات: MEDLINE
الوصف
تدمد:1525-1497
DOI:10.1007/s11606-017-4010-5