Highlights
- •We investigated the influence of gender on the communication skills assessment.
- •The students performed better when interacting with female standardized patients.
- •Male students performed worse when interacting with male standardized patients.
- •Female standardized patients may be preferable to minimize gender effects.
- •The global rating scores may be preferable for the communication skills assessment.
Abstract
Background
Opinions on the interaction between the genders of standardized patients and examinees
are controversial. Our study sought to determine the influence of gender on communication
skills assessment in Eastern country.
Methods
We recruited year 5 medical students from a medical college in Taiwan. They were assigned
to obtain informed consent from either male or female age-matched standardized patients.
Their performance was rated by standardized checklist rating scores and global rating
scores. Either male or female examiners rated their performance.
Results
A total of 253 medical students (166 male students and 87 female students) were recruited.
The checklist rating scores for students interacting with male standardized patients
were significantly lower than the scores for interactions with female standardized
patients (male examiners, P = 0.006; female examiners, P = 0.001). For male students, the checklist rating scores were significantly lower for
male standardized patients than for female standardized patients (male examiners,
P = 0.006; female examiners, P = 0.008). For male standardized patients, male students had significantly lower checklist
rating scores than female students when rated by male examiners (P = 0.044). The global rating scores were similar except when female students interacted
with male and female SPs and when rated by female examiners (P = 0.004).
Conclusion
The gender of standardized patients influences communication skills assessment. In
terms of checklist rating scores, female standardized patients seem preferable to
minimize potential gender effects. In the best interest of students, global rating
score may be preferable to checklist rating score, especially for male examinees.
Abbreviations:
ANOVA (Analysis of variance), OSCE (Objective Structured Clinical Exam), SP (Standardized patient)Keywords
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Article info
Publication history
Published online: July 06, 2015
Accepted:
June 27,
2015
Received in revised form:
May 12,
2015
Received:
January 7,
2015
Identification
Copyright
© 2015 European Federation of Internal Medicine. Published by Elsevier Inc. All rights reserved.