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Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination?
Context The objective structured clinical examination (OSCE) requires the use of standardised patients (SPs). Recruitment of SPs can be challenging and factors assumed to be neutral may vary between SPs. On stations that are considered gender‐neutral, either male or female SPs may be used. This may...
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Published in: | Medical education 2009-06, Vol.43 (6), p.521-525 |
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creator | Humphrey-Murto, Susan Touchie, Claire Wood, Timothy J Smee, Sydney |
description | Context The objective structured clinical examination (OSCE) requires the use of standardised patients (SPs). Recruitment of SPs can be challenging and factors assumed to be neutral may vary between SPs. On stations that are considered gender‐neutral, either male or female SPs may be used. This may lead to an increase in measurement error. Prior studies on SP gender have often confounded gender with case.
Objective The objective of this study was to assess whether a variation in SP gender on the same case resulted in a systematic difference in student scores.
Methods At the University of Ottawa, 140 Year 3 medical students participated in a 10‐station OSCE. Two physical examination stations were selected for study because they were perceived to be ‘gender‐neutral’. One station involved the physical examination of the back and the other of the lymphatic system. On each of the study stations, male and female SPs were randomly allocated.
Results There was no difference in mean scores on the back examination station for students with female (6.96/10.00) versus male (7.04/10.00) SPs (P = 0.713). However, scores on the lymphatic system examination station showed a significant difference, favouring students with female (8.30/10.00) versus male (7.41/10.00) SPs (P |
doi_str_mv | 10.1111/j.1365-2923.2009.03336.x |
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Objective The objective of this study was to assess whether a variation in SP gender on the same case resulted in a systematic difference in student scores.
Methods At the University of Ottawa, 140 Year 3 medical students participated in a 10‐station OSCE. Two physical examination stations were selected for study because they were perceived to be ‘gender‐neutral’. One station involved the physical examination of the back and the other of the lymphatic system. On each of the study stations, male and female SPs were randomly allocated.
Results There was no difference in mean scores on the back examination station for students with female (6.96/10.00) versus male (7.04/10.00) SPs (P = 0.713). However, scores on the lymphatic system examination station showed a significant difference, favouring students with female (8.30/10.00) versus male (7.41/10.00) SPs (P < 0.001). Results were not dependent on student gender.
Conclusions The gender of the SP may significantly affect student performance in an undergraduate OSCE in a manner that appears to be unrelated to student gender. It would be prudent to use the same SP gender for the same case, even on seemingly gender‐neutral stations.</description><identifier>ISSN: 0308-0110</identifier><identifier>EISSN: 1365-2923</identifier><identifier>DOI: 10.1111/j.1365-2923.2009.03336.x</identifier><identifier>PMID: 19493175</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Canada ; Clinical Competence - standards ; Education, Medical, Undergraduate - methods ; Education, Medical, Undergraduate - standards ; Female ; Health participants ; Humans ; Male ; Medical sciences ; Miscellaneous ; Patient Simulation ; Physical Examination ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Sex Factors ; Statistics as Topic ; Students, Medical - psychology</subject><ispartof>Medical education, 2009-06, Vol.43 (6), p.521-525</ispartof><rights>Blackwell Publishing Ltd 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3</citedby><cites>FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21425740$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19493175$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Humphrey-Murto, Susan</creatorcontrib><creatorcontrib>Touchie, Claire</creatorcontrib><creatorcontrib>Wood, Timothy J</creatorcontrib><creatorcontrib>Smee, Sydney</creatorcontrib><title>Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination?</title><title>Medical education</title><addtitle>Med Educ</addtitle><description>Context The objective structured clinical examination (OSCE) requires the use of standardised patients (SPs). Recruitment of SPs can be challenging and factors assumed to be neutral may vary between SPs. On stations that are considered gender‐neutral, either male or female SPs may be used. This may lead to an increase in measurement error. Prior studies on SP gender have often confounded gender with case.
Objective The objective of this study was to assess whether a variation in SP gender on the same case resulted in a systematic difference in student scores.
Methods At the University of Ottawa, 140 Year 3 medical students participated in a 10‐station OSCE. Two physical examination stations were selected for study because they were perceived to be ‘gender‐neutral’. One station involved the physical examination of the back and the other of the lymphatic system. On each of the study stations, male and female SPs were randomly allocated.
Results There was no difference in mean scores on the back examination station for students with female (6.96/10.00) versus male (7.04/10.00) SPs (P = 0.713). However, scores on the lymphatic system examination station showed a significant difference, favouring students with female (8.30/10.00) versus male (7.41/10.00) SPs (P < 0.001). Results were not dependent on student gender.
Conclusions The gender of the SP may significantly affect student performance in an undergraduate OSCE in a manner that appears to be unrelated to student gender. It would be prudent to use the same SP gender for the same case, even on seemingly gender‐neutral stations.</description><subject>Biological and medical sciences</subject><subject>Canada</subject><subject>Clinical Competence - standards</subject><subject>Education, Medical, Undergraduate - methods</subject><subject>Education, Medical, Undergraduate - standards</subject><subject>Female</subject><subject>Health participants</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Patient Simulation</subject><subject>Physical Examination</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Sex Factors</subject><subject>Statistics as Topic</subject><subject>Students, Medical - psychology</subject><issn>0308-0110</issn><issn>1365-2923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqNkEuP0zAURi0EYsrAX0DeIFYJfibNBoQ6wxSpgIQYgWZjufY1uCROx06gI_HjcSZV2eKNH_e7x1cHIUxJSfN6tSspr2TBGsZLRkhTEs55VR4eoMWp8BAtCCfLglBKztCTlHaEkFqK5WN0RhvRcFrLBfpz0UPCww_A3yFYiLh397c06GB1tD6BxXs9eAgD9sG1IwQD2OSqt3oAvIfo-tjp6dUHrAPutzswg_81QeJohjFmhGl98Ea3GA668yED-_DmKXrkdJvg2XE_R9fvLr-s1sXm09X71dtNYQSvq8LKSkAlWNOwJTTVErauNppIJiRtmLQWdCWI4MJpQ9y2ss4w0xgBVtaOgOPn6OXM3cf-doQ0qM4nA22rA_RjUjXnjJFakJxczkkT-5QiOLWPvtPxTlGiJvVqpybDajKsJvXqXr065Nbnx0_GbQf2X-PRdQ68OAZ0yiZczM58OuUYFUzOM7yec799C3f_PYD6cHlxPR0zoJgBPg1wOAF0_KmqmtdSff14pb6t1zc3m88rteJ_AcoPsXA</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Humphrey-Murto, Susan</creator><creator>Touchie, Claire</creator><creator>Wood, Timothy J</creator><creator>Smee, Sydney</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200906</creationdate><title>Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination?</title><author>Humphrey-Murto, Susan ; Touchie, Claire ; Wood, Timothy J ; Smee, Sydney</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Canada</topic><topic>Clinical Competence - standards</topic><topic>Education, Medical, Undergraduate - methods</topic><topic>Education, Medical, Undergraduate - standards</topic><topic>Female</topic><topic>Health participants</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Patient Simulation</topic><topic>Physical Examination</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Sex Factors</topic><topic>Statistics as Topic</topic><topic>Students, Medical - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Humphrey-Murto, Susan</creatorcontrib><creatorcontrib>Touchie, Claire</creatorcontrib><creatorcontrib>Wood, Timothy J</creatorcontrib><creatorcontrib>Smee, Sydney</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Humphrey-Murto, Susan</au><au>Touchie, Claire</au><au>Wood, Timothy J</au><au>Smee, Sydney</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination?</atitle><jtitle>Medical education</jtitle><addtitle>Med Educ</addtitle><date>2009-06</date><risdate>2009</risdate><volume>43</volume><issue>6</issue><spage>521</spage><epage>525</epage><pages>521-525</pages><issn>0308-0110</issn><eissn>1365-2923</eissn><abstract>Context The objective structured clinical examination (OSCE) requires the use of standardised patients (SPs). Recruitment of SPs can be challenging and factors assumed to be neutral may vary between SPs. On stations that are considered gender‐neutral, either male or female SPs may be used. This may lead to an increase in measurement error. Prior studies on SP gender have often confounded gender with case.
Objective The objective of this study was to assess whether a variation in SP gender on the same case resulted in a systematic difference in student scores.
Methods At the University of Ottawa, 140 Year 3 medical students participated in a 10‐station OSCE. Two physical examination stations were selected for study because they were perceived to be ‘gender‐neutral’. One station involved the physical examination of the back and the other of the lymphatic system. On each of the study stations, male and female SPs were randomly allocated.
Results There was no difference in mean scores on the back examination station for students with female (6.96/10.00) versus male (7.04/10.00) SPs (P = 0.713). However, scores on the lymphatic system examination station showed a significant difference, favouring students with female (8.30/10.00) versus male (7.41/10.00) SPs (P < 0.001). Results were not dependent on student gender.
Conclusions The gender of the SP may significantly affect student performance in an undergraduate OSCE in a manner that appears to be unrelated to student gender. It would be prudent to use the same SP gender for the same case, even on seemingly gender‐neutral stations.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19493175</pmid><doi>10.1111/j.1365-2923.2009.03336.x</doi><tpages>5</tpages></addata></record> |
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subjects | Biological and medical sciences Canada Clinical Competence - standards Education, Medical, Undergraduate - methods Education, Medical, Undergraduate - standards Female Health participants Humans Male Medical sciences Miscellaneous Patient Simulation Physical Examination Public health. Hygiene Public health. Hygiene-occupational medicine Sex Factors Statistics as Topic Students, Medical - psychology |
title | Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination? |
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