The Context of 'Confidence': Analyzing the Term Confidence in Resident Evaluations
| العنوان: | The Context of 'Confidence': Analyzing the Term Confidence in Resident Evaluations |
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| المؤلفون: | Janae K. Heath, Meagan E. Alvarado, Caitlin B. Clancy, Todd D. Barton, Jennifer R. Kogan, C. Jessica Dine |
| المصدر: | J Gen Intern Med |
| بيانات النشر: | Springer Science and Business Media LLC, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Cohort Studies, Male, Faculty, Medical, Mental Processes, Internal Medicine, Humans, Internship and Residency, Female, Clinical Competence, Retrospective Studies, Original Research |
| الوصف: | BACKGROUND: Despite similar performance metrics, women medical trainees routinely self-assess their own skills lower than men. The phenomenon of a “confidence gap” between genders, where women report lower self-confidence independent of actual ability or competency, may have an important interaction with gender differences in assessment. Identifying whether there are gender-based differences in how confidence is mentioned in written evaluations is a necessary step to understand the interaction between evaluation and the gender-based confidence gap. OBJECTIVE: To analyze faculty evaluations of internal medicine (IM) residents for gender-based patterns in the use of iterations of “confidence.” DESIGN: We performed a retrospective cohort study of all inpatient faculty evaluations of University of Pennsylvania IM residents from 2018 to 2021. We performed n-gram text-mining to identify evaluations containing the terms “confident,” “confidence,” or “confidently.” We performed univariable and multivariable logistic regression to determine the association between resident gender and references to confidence (including comments reflecting too little confidence), adjusting for faculty gender, post-graduate year (PGY), numeric rating, and service. SUBJECTS: University of Pennsylvania IM residents from 2018 to 2021. KEY RESULTS: There were 5416 evaluations of IM residents (165 women [51%], 156 men [49%]) submitted by 356 faculty members (149 women [51%]), of which 7.1 % (n=356) contained references to confidence. There was a significant positive association between the mention of confidence and women resident gender (OR 1.54, CI 1.23–1.92; p |
| تدمد: | 1525-1497 0884-8734 |
| DOI: | 10.1007/s11606-022-07535-z |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f71461272f57b42a713ef28a9b9e537a https://doi.org/10.1007/s11606-022-07535-z |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f71461272f57b42a713ef28a9b9e537a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15251497 08848734 |
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| DOI: | 10.1007/s11606-022-07535-z |