Abstract:
Implicit bias has been linked to gender disparities in medical careers, impacting not only access to leadership positions but also early career opportunities. We aimed to evaluate if there were differences in the assessment of Neurology residents according to gender. We collected publicly available grades and rankings of two major evaluations that residents are submitted to, one at the beginning and another at the end of the neurology residency program, the National Board Exam and neurology examination, respectively. The National Board Examination is a multiple-choice gender-blinded evaluation, while the neurology examination is an oral gender-unblinded evaluation. We found that 36.5% of women and 21.6% of men were in the first quartile of the National Board Examination ranking, which reflects a similar representation among top classifications when assessed through a gender-blinded examination. On the other hand, the percentage of men who were in the top classification of NE, a gender-unblinded evaluation, was more than twice as high compared to women (37.8% vs 18.3%, p < 0.05). The findings of the present study may imply that there could be a disparity in women\'s career progression among neurology residents in Portugal, although the recruitment seems balanced between genders.
摘要:
隐性偏见与医疗职业中的性别差异有关,不仅会影响获得领导职位,还会影响早期的职业机会。我们旨在根据性别评估神经内科住院医师的评估是否存在差异。我们收集了居民提交的两个主要评估的公开可用等级和排名,一个在神经科住院医师计划的开始和结束时,国家委员会考试和神经病学考试,分别。国家委员会考试是一项多项选择的性别盲化评估,而神经病学检查是一种口头性别非盲法评估。我们发现,36.5%的女性和21.6%的男性在国家委员会考试排名的第一四分位数中,这反映了在通过性别盲化检查进行评估时,顶级分类之间的相似表示。另一方面,NE最高分类的男性百分比,性别非盲化评估,是女性的两倍多(37.8%对18.3%,p<0.05)。本研究的发现可能暗示,在葡萄牙神经科居民中,女性的职业发展可能存在差异,尽管性别之间的招聘似乎是平衡的。