Council on Medical Student Education in Pediatrics

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COMSEP Meeting in Ottawa, ON

Poster Presentation:


The Association of Student and Faculty Gender and Age with Core Clerkship Clinical Evaluations

Authors:
Randy M. Rockney,Brown University,Providence,RI,Brian Alverson,Brown University,Providence,RI,Leah Rappaport,University of Michigan,Ann Arbor,MI,Alison . Riese,Brown University,Providence,RI,Sangshin Park,Brown University,Providence,RI


Background:

Clinical performance evaluations are major components of medical school clerkship grades, contributing to 50-70% of the final clerkship grade for any given student. Program directors value clerkship grades above all other criteria for residency selection. The objectivity of these evaluations is open to question



Objectives:

This study aimed to determine whether gender and the gender pairing of 3rd year medical students and evaluators were associated with assessment of overall clinical performance.



Results:

A total of 4,272 evaluations were included in the study, completed by 829 evaluators regarding the performance of 155 students. Female students were more likely to receive a better grade than males [adjusted odds ratio (AOR) 1.30, 95% confidence interval (CI) 1.13-1.50], and female evaluators awarded lower grades than males (AOR 0.72, 95% CI 0.55-0.93), adjusting for department, observation time, and student and evaluator age. The interaction between student and evaluator gender was significant (P = 0.03), with female evaluators assigning higher grades to female students, while male evaluators’ grading did not differ by student gender.

Discussion:

Examination of all 3rd year clerkships’ clinical performance evaluations at a single institution revealed that male and female evaluators rated male and female students differently, even when accounting for other measured variables.