scholarly journals Implicit gender-career bias in postgraduate medical training still exists, mainly in residents and in females

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maud Kramer ◽  
Ide C. Heyligers ◽  
Karen D. Könings
Keyword(s):  
Gender Bias ◽  
Medical Training ◽  
Leadership Positions ◽  
Medical Field ◽  
Online Questionnaire ◽  
Surgical Specialty ◽  
Postgraduate Medical Training ◽  
Career Ambition ◽  
The Mean ◽  
Attending Physicians

Abstract Background More and more female residents enter postgraduate medical training (PGMT). Meanwhile, women are still underrepresented in academic medicine, in leadership positions and in most surgical specialties. This suggests that female residents’ career development may still be negatively impacted by subtle, often unconscious stereotype associations regarding gender and career-ambition, called implicit gender-career bias. This study explored the existence and strength of implicit gender-career bias in doctors who currently work in PGMT, i.e. in attending physicians who act as clinical trainers and in their residents. Methods We tested implicit gender-career bias in doctors working in PGMT by means of an online questionnaire and an online Implicit Association Test (IAT). We used standard IAT analysis to calculate participants’ IAT D scores, which indicate the direction and strength of bias. Linear regression analyses were used to test whether the strength of bias was related to gender, position (resident or clinical trainer) or specialty (non-surgical or surgical specialty). Results The mean IAT D score among 403 participants significantly differed from zero (D-score = 0.36 (SD = 0.39), indicating bias associating male with career and female with family. Stronger gender-career bias was found in women (βfemale =0 .11; CI 0.02; 0.19; p = 0.01) and in residents (βresident 0.12; CI 0.01; 0.23; p = 0.03). Conclusions This study may provide a solid basis for explicitly addressing implicit gender-career bias in PGMT. The general understanding in the medical field is that gender bias is strongest among male doctors’ in male-dominated surgical specialties. Contrary to this view, this study demonstrated that the strongest bias is held by females themselves and by residents, independently of their specialty. Apparently, the influx of female doctors in the medical field has not yet reduced implicit gender-career bias in the next generation of doctors, i.e. in today’s residents, and in females.

scholarly journals From the Editors

2003 ◽  
Vol 12 (1) ◽  
pp. 4-5
Keyword(s):  
Clinical Setting ◽  
Ethical Issues ◽  
Medical Training ◽  
Postgraduate Medical Training ◽  
The Future ◽  
Clinical Questions ◽  
Attending Physicians

Historians of the future tracking the development of bioethics will note that the debates and arguments that have most engaged bioethicists thus far have been directed toward addressing the dilemmas attending physicians face as they interact with patients in the clinical setting. This is only to be expected, given the circumstances that gave birth to this burgeoning field. The preoccupation with clinical questions has, however, had an unfortunate consequence. Less examined by bioethicists are the significant behind-the-scenes ethical issues generated by, and specific to, the years of undergraduate and postgraduate medical training.

scholarly journals Emotional Bonding and Sexual Activity During COVID-19 Lockdown: A Cross-National Pilot Study

2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir
Keyword(s):  
Online Survey ◽  
Sampling Technique ◽  
Sexual Relationships ◽  
Sexually Active ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Emotional Bonding ◽  
Significant Difference ◽  
The Mean ◽  
Study Participants

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.

Description of the Characteristics of Public’s Knowledge and Perceptions About the Covid-19 Pandemic in the New Normal Era

2020 ◽  
Vol 1 (1) ◽  
pp. 32-47
Author(s):  
Pariyana Yana ◽  
Mariatul Fadillah ◽  
Zulkarnain ◽  
Apriyani Supia Dewi ◽  
Rani Anggarini
Keyword(s):  
College Graduates ◽  
Hand Washing ◽  
Public Knowledge ◽  
Risk Of Infection ◽  
Positive Perception ◽  
Online Questionnaire ◽  
Individual Health ◽  
Level Of Knowledge ◽  
The Mean ◽  
The Government

Covid-19 (Coronavirus Disease 2019) caused by Severe Acute Respiratory SyndromeCoronavirus 2 (SARS-CoV2) was declared a pandemic on March 11, 2020.Various stepshave been taken to control the spread of the Covid-19 pandemic that is currentlyhappening in Indonesia. Despite all the efforts of the government and media to educatethe public, the increase in the number of daily cases in Indonesia has not shown adecline. This encourages researchers to assess the level of public knowledge andperceptions because factors have an influence on individual health behavior that cancontribute to pandemic control efforts. This research uses study method observationaldescriptive. The population in this study were 343 people who filled out a researchquestionnaire conducted by the IKM-IKK FK Unsri department. For 251 respondents whofilled out the online questionnaire completely, the mean age was 23.78 ± 7.46, 63.7%female, 63.7% college graduates, 77.7% Muslim, and the majority of occupations arecollege students and students (54.6%). In the assessment of knowledge, 137 people(35.7%) had a good level of knowledge with a mean valueknowledge 13.25 ± 3.2. Themajority of respondents have a good perception, namely 249 people (99.2%) with morethan half showing a positive perception of the risk of infection if not taking precautions,the importance of wearing masks and physical distancing, hand washing behavior, self-isolation, and consumption of nutritious food during the Covid-19 pandemic..

Factors relating to working hours restriction that have impacted the professional identity of trainees in the last decade

2021 ◽  
Vol 82 (3) ◽  
pp. 1-10
Author(s):  
Soumya Mukherjee ◽  
James Meacock ◽  
Eleanor Kissane ◽  
Debasish Pal
Keyword(s):  
Identity Development ◽  
Professional Identity ◽  
Medical Training ◽  
Working Hours ◽  
Junior Doctors ◽  
Clinical Experiences ◽  
Postgraduate Medical Training ◽  
European Working ◽  
Working Time Directive ◽  
The Impact

Ever-developing changes to the working hours of junior doctors by the European Working Time Directive, the junior doctor contract of 2019 and most recently the COVID-19 pandemic have impacted the professional identity of doctors. There has been little investigation into its influence on the multifaceted aspects of postgraduate medical training, which feeds into how trainees consider themselves professionally and the concept of professional identity or ‘being a doctor’. A review of the medical, socio-political and educational literature reveals that the impact on the professional identity development of trainees is influenced by several perspectives from the trainee, trainer and the public. Gross reduction in working hours has no doubt decreased the raw volume of clinical experiences. However, to counteract this, smarter learning processes have evolved, including narrative reflection, supervised learning events, and a greater awareness of coaching and training among trainers.

scholarly journals Brief Version of Caffeine Expectancy Questionnaire in Brazil

2021 ◽  
Vol 8 ◽  
Author(s):  
Guilherme Falcão Mendes ◽  
Caio Eduardo Gonçalves Reis ◽  
Eduardo Yoshio Nakano ◽  
Renata Puppin Zandonadi
Keyword(s):  
Statistical Modeling ◽  
Expert Panel ◽  
Adult Population ◽  
Intraclass Correlation ◽  
Absolute Error ◽  
Online Questionnaire ◽  
Full Version ◽  
Filling Time ◽  
Excellent Internal Consistency ◽  
The Mean

The use of extensive questionnaires has the limitation of filling time bias, related to the ability to focus and accurately respond to many items, justifying the necessity for a brief version. This study aimed to build a brief version of the Caffeine Expectancy Questionnaire in Brazil (B-CaffEQ-BR) composed of 21 items divided into seven factors, with as adequate consistency and reproducibility as the full version. Quantitative procedures using statistical modeling were applied using the CaffEQ-BR (full version) database keeping the Mean Absolute Error (MAE) (based on the full version) <0.5 and Cronbach's α and Intraclass Correlation Coefficient (ICC) ≥0.7. The expert panel (n = 3), in a blind design, evaluated the semantic structuring within the options indicated by previous statistical modeling until the agreement of the expert panel. The participants (n = 62), Brazilian adults who were regular caffeine consumers (175.8 ± 94.4 mg/day), of whom 62.9% were women, 33.1 ± 9.7 years, 24.5 ± 3.8 kg/m2, and 62.9% of whom self-identified as white, were asked to respond twice to the online questionnaire in 48–72 h. The first sample (n = 40) tested interobserver reproducibility with the double application of B-CaffEQ-BR. Another sample (n = 22) answered the CaffEQ-BR (full version) and B-CaffEQ-BR, and the last sample (n = 18) performed the reverse process. The B-CaffEQ-BR presented excellent internal consistency (Cronbach's α ≥ 0.729) and overall reproducibility (ICC ≥ 0.915) for the entire questionnaire and its seven factors. The B-CaffEQ-BR can be a valuable tool in caffeine research with the Brazilian adult population.

scholarly journals Quality improvement supervision comparison between training and non training posts

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S196-S196
Author(s):  
Qutub Jamali ◽  
Tarun Khanna ◽  
Gareth Thomas
Keyword(s):  
Patient Care ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Medical Training ◽  
Junior Doctors ◽  
List Type ◽  
Online Questionnaire ◽  
Qualitative And Quantitative ◽  
Training Post ◽  
Method Approach

AimsTo explore the level of supervision between training and non-training posts at LSCFT.Background•Supervision is defined as ‘provision of guidance and feedback on matters of personal, professional and educational development in the context of a trainees' experience of providing safe and appropriate patient care’.•Along with the trainees, doctors working in non-training posts such as staff grade, specialty doctors, trust grade doctors (TJD)and MTI (Medical training initiative) doctors form an integral part of patient care in the NHS.Method•A mixed method approach was adopted with both qualitative and quantitative data collected simultaneously in the form of an online questionnaire.•An anonymous online questionnaire was sent to junior doctors currently in training and non-training posts at LSCFT in 2019 using Meridian software.Result1- Quantitative Data: - Participants included were doctors in training post such as Foundation Doctors (5), Psychiatry Core Trainees (6), GP STs (2) and doctors in non-training post such as TJD (4), Specialty Doctors (2) and MTI doctors (4). Based on the Meridian score, 84% of doctors were satisfied with the supervision. It was found that 72% of doctors received weekly supervisions, 10% monthly (1 TJD, 1 Foundation trainee) and16% bi-monthly (1 MTI, 1 SAS, 2 CTs). The data suggested that there was no difference in the frequency of supervisions between training and non-training posts at LSCFT.2- Qualitative Data: - The feedback was common as there was no major difference between training and non-training doctors. •Positives – WPBAs, discussion on reflections, management of complex cases and medication, personal issues affecting work.•Negatives – Limited discussion on QI, Audit, Research and Psychotherapy.- More specific help, need more support at times.Conclusion1.To prepare a checklist of contents to be discussed during supervision.2.To prepare a timeline chart of supervision.3.Preparing a ‘menu’ of QI projects that junior doctors can sign up to at the start of each post.4.To formulate training packages available to support junior doctors with QI/Audits.

scholarly journals Plastic and aesthetic surgery among medical students: A cross-sectional study

2021 ◽  
Vol 9 ◽  
pp. 205031212110543
Author(s):  
Tareq Alyahya ◽  
Ossama Mohamed Zakaria ◽  
Faisal Ali Al Jabr ◽  
Saif Fahad Alshaikhmubarak ◽  
Abdulla Nidal ◽  
...  
Keyword(s):  
Medical Students ◽  
Plastic Surgery ◽  
Extensor Tendon ◽  
Aesthetic Surgery ◽  
Medical Institute ◽  
Common Source ◽  
Peripheral Neuropathies ◽  
Online Questionnaire ◽  
Surgical Specialty ◽  
Cross Sectional

Objectives: The wide variety of operations that a plastic surgeon can deal with creates confusion regarding its proper scope. This confusion was observed in primary physicians as well as medical students. Increasing the perception of medical students toward plastic surgery can aid in career decision-making and early referral patterns. The aim of this study is to gauge a holistic overview of how medical students and interns perceive the plastic and aesthetic surgical specialty in King Faisal University and to suggest a recommended plan. Methods: An online questionnaire was distributed equally to male and female medical students and interns in a local medical institute. The questionnaire constituted three sections; the first included the biographical data. The second is concerned with the different case scenarios and specialties to be chosen. The third is concerned with the previous clinical exposures. The data were analyzed by SPSS version 21. Between comparison, chi-square tests, Mann–Whitney U-test, and Kruskal–Wallis tests were applied. Normality tests were conducted using the Shapiro–Wilk’s test. Results: Two hundred ninety-two students and interns have participated and completed the questionnaire. There were 189 males and 103 females. Plastic surgery was most commonly chosen in the following case scenarios; burn of the hand (74%), broken nose (64.7%), and cosmetic nose reshaping (80.8%). However, plastic surgery was infrequently chosen (selected by <30% of students) in many areas of hands and peripheral neuropathies (severed finger extensor tendon (26.4%), fractured scaphoid (12.7%), carpal tunnel syndrome (14.4%), brachial plexus injury (16.1%)). The most common source of information was the social media, and the least one is meeting with doctors and professors. Conclusion: Medical students and interns lack a full view of plastic and reconstructive surgery, especially in hand and peripheral neuropathies. Improving the education of medical students and interns is recommended and needed.

scholarly journals Names for Actors in the Medical Field in the 1920 Issues of Medicina, the First Medical Magazine in Independent Lithuania

Lituanistica ◽  
2020 ◽  
Vol 66 (4) ◽  
Author(s):  
Palmira Zemlevičiūtė
Keyword(s):  
Medical Information ◽  
Medical Training ◽  
Venereal Disease ◽  
Medical Science ◽  
Word Formation ◽  
Theory And Practice ◽  
Medical Field ◽  
Medical Theory ◽  
High Degree ◽  
The Military

The article deals with the names referring to persons engaged in medicine and related sciences as used in the 1920 issues of Medicina, a medical theory and practice magazine of independent Lithuania. The author identifies their meanings and typical groups, discusses their composition and characteristics, and, to some extent, touches upon the matters of their structure and origin. The names of the actors in the medical field carry a high degree of semantic diversity and fall into four identifiable core groups: (1) the names of persons administering treatment, (2) the names of medical training persons, (3) the names of pharmacy persons, and (4) the names of persons undergoing treatment. Within these groups, names further branch off into subgroups based on a set of different, often individual aspects. Still, there are several frequently occurring aspects that should be distinguished: these are the aspects of college medical education, the connection with the military, and the qualifying degree. Although all names of these actors in the medical field are covered by the overarching seme of medicine, they all vary in differential semes. In terms of word formation, the prevailing names for the actors in the medical field are compound words with their key components mostly deriving from Lithuanian terms. Obviously, the prevalence of compounds is the outcome of the need to name different persons associated with medical science and practice, as well as patients, something that cannot be done with single-word terms. Today, many think of a scientific text as one defined by an abundance of foreign terms. The subject source of the names for the actors in the medical field is a science magazine, yet most of the names are of Lithuanian origin. Many of them are suffixal derivatives: gydytojas ‘physician’, mokovas ‘expert’, slaugytojas ‘nurse’, pribuvėja ‘midwife’, seselė ‘sister’, vaistininkas ‘pharmacist’, ligonis ‘a sick person’, džiovininkas ‘a consumptive’, etc. Loanwords are dominated by words of Latin (daktaras ‘doctor’, medikas ‘medic’, pacientas ‘patient’, provizorius ‘pharmaceutical chemist’, sanitaras (‘orderly’), etc.) and Greek (anatomas ‘anatomist’, chirurgas ‘surgeon’, fiziologas ‘physiologist’, terapeutas ‘therapist’, etc.) origin. Hybrids are not very common and usually have a borrowed root and a Lithuanian suffix (stipendininkas ‘scholar’, farmacininkas ‘pharmacist’, venerininkas ‘a male with a venereal disease’, kretinaitė ‘a female with cretinism’, and so on). Conformity with the terminological criterion can mostly be observed in the names of persons administering treatment, whereas a number of the names of persons undergoing treatment are not very terminological due to them being expressed by substantival adjectives and, typically, participles (apsikrėtusysis ‘one who has caught a disease’, pažeistasis ‘(the) affected’, sergantysis ‘(the) sick’, sveikasis ‘(the) healthy’, etc.), or descriptive word combinations (akių liga sergantysis ‘one with an eye disease’, grįžtamąja šiltine sergantysis (‘one with recurrent typhus’, etc.). In addition to linguistic and terminological evidence, the names of actors in the medical field convey a certain amount of subject-related (medical) information. Their meanings provide insight into the medical situation in Lithuania in 1920, practitioners, the most common illnesses of the period, and so on.

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