Loading…

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...

Full description

Saved in:
Bibliographic Details
Published in:Medical education 2009-06, Vol.43 (6), p.521-525
Main Authors: Humphrey-Murto, Susan, Touchie, Claire, Wood, Timothy J, Smee, Sydney
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3
cites cdi_FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3
container_end_page 525
container_issue 6
container_start_page 521
container_title Medical education
container_volume 43
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
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733220740</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733220740</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3</originalsourceid><addsrcrecordid>eNqNkEuP0zAURi0EYsrAX0DeIFYJfibNBoQ6wxSpgIQYgWZjufY1uCROx06gI_HjcSZV2eKNH_e7x1cHIUxJSfN6tSspr2TBGsZLRkhTEs55VR4eoMWp8BAtCCfLglBKztCTlHaEkFqK5WN0RhvRcFrLBfpz0UPCww_A3yFYiLh397c06GB1tD6BxXs9eAgD9sG1IwQD2OSqt3oAvIfo-tjp6dUHrAPutzswg_81QeJohjFmhGl98Ea3GA668yED-_DmKXrkdJvg2XE_R9fvLr-s1sXm09X71dtNYQSvq8LKSkAlWNOwJTTVErauNppIJiRtmLQWdCWI4MJpQ9y2ss4w0xgBVtaOgOPn6OXM3cf-doQ0qM4nA22rA_RjUjXnjJFakJxczkkT-5QiOLWPvtPxTlGiJvVqpybDajKsJvXqXr065Nbnx0_GbQf2X-PRdQ68OAZ0yiZczM58OuUYFUzOM7yec799C3f_PYD6cHlxPR0zoJgBPg1wOAF0_KmqmtdSff14pb6t1zc3m88rteJ_AcoPsXA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733220740</pqid></control><display><type>article</type><title>Does the gender of the standardised patient influence candidate performance in an objective structured clinical examination?</title><source>Wiley</source><creator>Humphrey-Murto, Susan ; Touchie, Claire ; Wood, Timothy J ; Smee, Sydney</creator><creatorcontrib>Humphrey-Murto, Susan ; Touchie, Claire ; Wood, Timothy J ; Smee, Sydney</creatorcontrib><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 &lt; 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&amp;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 &lt; 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 &lt; 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>
fulltext fulltext
identifier ISSN: 0308-0110
ispartof Medical education, 2009-06, Vol.43 (6), p.521-525
issn 0308-0110
1365-2923
language eng
recordid cdi_proquest_miscellaneous_733220740
source Wiley
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?
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T04%3A25%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20the%20gender%20of%20the%20standardised%20patient%20influence%20candidate%20performance%20in%20an%20objective%20structured%20clinical%20examination?&rft.jtitle=Medical%20education&rft.au=Humphrey-Murto,%20Susan&rft.date=2009-06&rft.volume=43&rft.issue=6&rft.spage=521&rft.epage=525&rft.pages=521-525&rft.issn=0308-0110&rft.eissn=1365-2923&rft_id=info:doi/10.1111/j.1365-2923.2009.03336.x&rft_dat=%3Cproquest_cross%3E733220740%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4376-d564e6429928e968ebf7ca052451925ddea640434fac0fb6dfc2c9c4ed57f0ef3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=733220740&rft_id=info:pmid/19493175&rfr_iscdi=true