A survey of undergraduate medical students’ knowledge and attitudes about gender bias: the Newfoundland and Labrador perspective
DOI:
https://doi.org/10.36834/cmej.75919Abstract
Background: Female physicians and patients experience gender bias in healthcare. The purpose of this research is to explore medical students’ gender bias toward physicians and patients and whether their bias varies by gender.
Methods: We surveyed medical students at Memorial University between November 2020 and April 2021. We recruited participants through Facebook, email, and e-posters. We collected demographic information, including gender and class year. We used the Nijmegen Gender Awareness in Medicine Scale to measure gender sensitivity, gender role ideology toward patients, and gender role ideology toward doctors. We analyzed the data using averages and t-tests.
Results: Mean gender sensitivity scores were 4/5 indicating high gender sensitivity. Gender role ideology toward doctors mean scores were 2/5 indicating that students did not hold strong stereotypical views toward doctors. Although male students scored higher than female students (p<.05), mean scores for gender role ideology toward patients were low for both male and female students (x̄<2), indicating low stereotyping toward patients.
Conclusions: We found that students held largely non-biased ideologies surrounding gender in medicine and that female students were even less biased than male students for gender role ideology toward patients.
References
Potee RA, Gerber AJ, Ickovics JR. Medicine and motherhood: shifting trends among female physicians from 1922 to 1999. Acad Med. 1999;74(8):911-919. https://doi:10.1097/00001888-199908000-00017 DOI: https://doi.org/10.1097/00001888-199908000-00017
Bernstein B, Kane R. Physicians’ attitudes toward female patients. Med care. 1981;19(6):600-608. https://doi.org/10.1097/00005650-198106000-00004 DOI: https://doi.org/10.1097/00005650-198106000-00004
Glauser W. Medicine changing as women make up more of physician workforce. CMAJ News. 2018 Mar 8 Available from: https://cmajnews.com/2018/03/08/medicine-changing-as-women-make-up-more-of-physician-workforce-cmaj-109-5577/ [Accessed Dec 1, 2019].
Glauser W. Rise of women in medicine not matched by leadership roles. CMAJ News 2018 Mar 26. Available from: https://cmajnews.com/2018/03/26/rise-of-women-in-medicine-not-matched-by-leadership-roles-cmaj-109-5567/. [Accessed Dec 1, 2019].
Babaria P, Bernheim S, Nunez‐Smith M. Gender and the pre‐clinical experiences of female medical students: a taxonomy. Med Educ. 2011;45(3):249-260.https://doi.org/10.1111/j.1365-2923.2010.03856.x DOI: https://doi.org/10.1111/j.1365-2923.2010.03856.x
Seemann NM, Webster F, Holden HA, et al. Women in academic surgery: why is the playing field still not level?. Am J Surg. 2016;211(2):343-349. https://doi.org/10.1016/j.amjsurg.2015.08.036 DOI: https://doi.org/10.1016/j.amjsurg.2015.08.036
Boge LA, Dos Santos C, Moreno-Walton LA, Cubeddu LX, Farcy DA. The relationship between physician/nurse gender and patients’ correct identification of health care professional roles in the Emergency Department. J Women’s Health. 2019;28(7):961-964. https://doi:10.1089/jwh.2018.7571 DOI: https://doi.org/10.1089/jwh.2018.7571
Levine RB, Lin F, Kern DE, Wright SM, Carrese J. Stories from early-career women physicians who have left academic medicine: a qualitative study at a single institution. Acad Med. 2011;86(6):752-758. https://doi:10.1097/ACM.0b013e318217e83b DOI: https://doi.org/10.1097/ACM.0b013e318217e83b
Lo Sasso AT, Richards MR, Chou CF, Gerber SE. The $16,819 pay gap for newly trained physicians: the unexplained trend of men earning more than women. Health Aff. 2011;30(2):193-201. https://doi.org/10.1377/hlthaff.2010.0597 DOI: https://doi.org/10.1377/hlthaff.2010.0597
Dossa F, Simpson AN, Sutradhar R, et al. Sex-based disparities in the hourly earnings of surgeons in the fee-for-service system in Ontario, Canada. JAMA Surg. 2019;154(12):1134-1142. https://doi:10.1001/jamasurg.2019.3769 DOI: https://doi.org/10.1001/jamasurg.2019.3769
Borkhoff CM, Hawker GA, Kreder HJ, Glazier RH, Mahomed NN, Wright JG. The effect of patients’ sex on physicians’ recommendations for total knee arthroplasty. CMAJ. 2008;178(6):681-7. https://doi.org/10.1503/cmaj.071168 DOI: https://doi.org/10.1503/cmaj.071168
Motov SM, Khan AN. Problems and barriers of pain management in the emergency department: are we ever going to get better?. J Pain Res. 2009;2:5-11. https://doi.org/10.2147/JPR.S4324 DOI: https://doi.org/10.2147/JPR.S4324
Dimant OE, Cook TE, Greene RE, Radix AE. Experiences of transgender and gender nonbinary medical students and physicians. Transgender Health. 2019;4(1):209-216. https://doi.org/10.1089/trgh.2019.0021 DOI: https://doi.org/10.1089/trgh.2019.0021
Bohman J. Critical theory. Stanford encyclopedia of philosophy. 2005. Available from: https://plato.stanford.edu/entries/critical-theory/. [Accessed Dec 1, 2019].
McGregor AJ, Choo E. Gender‐specific medicine: Yesterday’s neglect, tomorrow’s opportunities. Acad Emerg Med. 2012 Jul;19(7):861-5. https://doi.org/10.1111/j.1553-2712.2012.01389.x DOI: https://doi.org/10.1111/j.1553-2712.2012.01389.x
Woitowich NC, Beery A, Woodruff T. A 10-year follow-up study of sex inclusion in the biological sciences. Elife. 2020 Jun 9;9:e56344. https://doi.org/10.7554/eLife.56344 DOI: https://doi.org/10.7554/eLife.56344
Dey S, Flather MD, Devlin G, et al. Sex-related differences in the presentation, treatment and outcomes among patients with acute coronary syndromes: the Global Registry of Acute Coronary Events. Heart. 2009 Jan 1;95(1):20-6. https://doi.org/10.1136/hrt.2007.138537 DOI: https://doi.org/10.1136/hrt.2007.138537
Brush Jr JE, Krumholz HM, Greene EJ, Dreyer RP. Sex differences in symptom phenotypes among patients with acute myocardial infarction. Circ. Cardiovasc Qual. 2020 Feb 17;13(2):e005948. https://doi.org/10.1161/CIRCOUTCOMES.119.005948 DOI: https://doi.org/10.1161/CIRCOUTCOMES.119.005948
Stehli J, Duffy SJ, Burgess S, et al. Sex disparities in myocardial infarction: biology or bias?.Heart, Lung Circ. 2021 Jan 1;30(1):18-26. https://doi.org/10.1016/j.hlc.2020.06.025 DOI: https://doi.org/10.1016/j.hlc.2020.06.025
Andersson J, Verdonk P, Johansson EE, Lagro-Janssen T, Hamberg K. Comparing gender awareness in Dutch and Swedish first-year medical students – results from a questionnaire. BMC Med Educ. 2012;12(3). https://doi:10.1186/1472-6920-12-3 DOI: https://doi.org/10.1186/1472-6920-12-3
McArthur J. Achieving social justice within and through higher education: the challenge for critical pedagogy. Teach High Educ. 2010;15(5):493-504. https://doi.org/10.1080/13562517.2010.491906 DOI: https://doi.org/10.1080/13562517.2010.491906
Wallis CJ, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA surgery. 2022;157(2):146-156. https://doi.org/10.1001/jamasurg.2021.6339 DOI: https://doi.org/10.1001/jamasurg.2021.6339
Parker R, Larkin T, Cockburn J. A visual analysis of gender bias in contemporary anatomy textbooks. Soc Sci Med. 2017 May 1;180:106-13. https://doi.org/10.1016/j.socscimed.2017.03.032 DOI: https://doi.org/10.1016/j.socscimed.2017.03.032
Martin GC, Kirgis J, Sid E, Sabin JA. Equitable imagery in the preclinical medical school curriculum: findings from one medical school. Acad Med. 2016 Jul 1;91(7):1002-6. https://doi.org/10.1097/ACM.0000000000001105 DOI: https://doi.org/10.1097/ACM.0000000000001105
Farrell GJ, Peters SD, Rourke JT. Memorial University of Newfoundland Faculty of Medicine. Acad Med. 2010;85(9):S690-693.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Erika Maxwell, Gillian Sheppard, Yanqing Yi
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.
Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the licence summary and the full licence.