Gender effects in medical education: implications for training and gender equity in regional anesthesia

Sidhu, Navdeep S; Civil, Nina

doi:10.1136/rapm-2018-100080

Cited by 2 publications

(4 citation statements)

References 37 publications

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“…Women tend to be cautious when discussing their previous experience, interpreted by others as a shortcoming, whereas men highlight an identical previous experience as if it proves their competence. 16 One institution reported that 36% of male specialists with little training and experience in regional anaesthesia considered themselves equal in competence to trained and experienced subspecialists, unlike their female colleagues who were able to accurately identify their competency levels. 16 The complex interplay of deeply ingrained sociocultural gender-based expectations with unconscious bias must be considered in exploring the causes of this confidence gap.…”

Section: Discussionmentioning

confidence: 99%

“…16 One institution reported that 36% of male specialists with little training and experience in regional anaesthesia considered themselves equal in competence to trained and experienced subspecialists, unlike their female colleagues who were able to accurately identify their competency levels. 16 The complex interplay of deeply ingrained sociocultural gender-based expectations with unconscious bias must be considered in exploring the causes of this confidence gap. Unconscious (implicit) bias refers to how humans unintentionally and unknowingly use judgements and assumptions about individuals or groups in order to make decisions about them, 17 resulting in potentially harmful consequences.…”

Section: Discussionmentioning

confidence: 99%

“…Unconscious (implicit) bias refers to how humans unintentionally and unknowingly use judgements and assumptions about individuals or groups in order to make decisions about them, 17 resulting in potentially harmful consequences. A conceptual model addressing the potential interaction between bias, confidence, and learning is presented in Fig 2. 16 Patients are a frequent source of gender-based conscious and unconscious bias resulting in disregard of the professional role, 12 diminished patient trust, 18 and inappropriate verbal exchanges. 18 Our results confirm this, showing an exaggerated effect for women with an ethnic minority background.…”

Section: Discussionmentioning

confidence: 99%

“…2. Conceptual model for the potential interaction between bias, confidence, and learning in specialty education 16 (reproduced with permission).…”

Section: Discussionmentioning

confidence: 99%

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Gender effects in anaesthesia training in Australia and New Zealand

Pearce

Sidhu

Cavadino

et al. 2020

British Journal of Anaesthesia

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Background: Women face gender-based challenges in their medical education and career. Inequitable access to procedural training, a confidence gap, and professional identity deficit have been shown. We made a gender comparison of procedural case volume, confidence for independent practice, perceived gender and ethnic bias, and professional identity in Australasian anaesthesia trainees. Methods: An online, voluntary, anonymous survey using SurveyMonkey® was delivered to Australasian anaesthesia trainees. Information collected included demographics, experience and confidence in 12 anaesthetic procedures, assessments relating to confidence and professional identity, and perceived gender and ethnic bias. Gender differences were evaluated. Results: Three hundred and fifty-six trainees (22.2%) of the Australian and New Zealand College of Anaesthetists (ANZCA) responded. Male trainees reported a higher number (standard deviation) of procedures performed greater than 10 times (men 4.45 [2.55], women 3.78 [1.95]; P<0.001 adjusted for training level). Men were more likely to rate themselves at a training competency above their actual training level (men 18.6%, women 7.8%; P¼0.004) and exaggerate procedural experience to supervisors (men 30.8%, women 11.8%; P<0.001). Final-year male trainees felt significantly more prepared for independent practice (P¼0.021, trend across ordered responses). Women reported significantly higher levels of gender bias exhibited by patients (men 1.1%, women 84.5%; P<0.001) and in training overall (men 10.3%, women 55.3%; P<0.001), which was compounded in women with an ethnic minority background. Conclusions: A discrepancy exists between the number of procedures performed by male and female anaesthesia trainees in Australia and New Zealand. Relative male overconfidence may be a major contributing factor to the gender confidence gap.

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Section: Discussionmentioning

confidence: 99%