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
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
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.
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.