Gender-Based Linguistic Analysis of Pediatric Clinical Faculty Evaluations.


Journal

Academic pediatrics
ISSN: 1876-2867
Titre abrégé: Acad Pediatr
Pays: United States
ID NLM: 101499145

Informations de publication

Date de publication:
03 2022
Historique:
received: 26 07 2021
revised: 02 12 2021
accepted: 09 12 2021
pubmed: 20 12 2021
medline: 23 4 2022
entrez: 19 12 2021
Statut: ppublish

Résumé

Gendered stereotypes are embedded in the culture of medicine. Women are stereotypically expected to act collaboratively and less assertively, while men are expected to act with authority and power. Whether gender-biased language is expressed in academic pediatric teaching evaluations is unknown. Determine whether stereotypic gender-based linguistic differences exist in resident evaluations of pediatric faculty. We performed a retrospective cross-sectional study of clinical faculty evaluations by pediatric residents in a single program from July 2016 to June 2019. Using Linguistic Inquiry and Word Count, responses to 2 open-ended questions were analyzed for stereotypic language. Categories were reported as a percent of total words written. Comparisons between gender groups were conducted using nonparametric Wilcoxon rank sum tests. Rates of word use within each category were analyzed using logistic regression where faculty and resident gender were included as predictor variables. A total of 6436 free-text responses from 3218 unique evaluations were included. As hypothesized, evaluations of women faculty were less likely than those of men to include certain agentic language like power (odds ratio [OR] 0.9, P < .001) and insight (OR 0.9, P < .001), and research words (OR 0.6, P = .003). As expected, evaluations of women were more likely to include grindstone words, like "hardworking" (OR 1.2, P = .012). Contrary to our hypothesis, women received fewer teaching words like "mentor" (OR 0.9, P = .048) and communal words like "friendly" (OR 0.6, P = .001). Certain stereotypic language was demonstrated in clinical teaching evaluations of pediatric faculty. These findings should be further examined to improve gender inequities in academic pediatrics.

Sections du résumé

BACKGROUND
Gendered stereotypes are embedded in the culture of medicine. Women are stereotypically expected to act collaboratively and less assertively, while men are expected to act with authority and power. Whether gender-biased language is expressed in academic pediatric teaching evaluations is unknown.
OBJECTIVE
Determine whether stereotypic gender-based linguistic differences exist in resident evaluations of pediatric faculty.
METHODS
We performed a retrospective cross-sectional study of clinical faculty evaluations by pediatric residents in a single program from July 2016 to June 2019. Using Linguistic Inquiry and Word Count, responses to 2 open-ended questions were analyzed for stereotypic language. Categories were reported as a percent of total words written. Comparisons between gender groups were conducted using nonparametric Wilcoxon rank sum tests. Rates of word use within each category were analyzed using logistic regression where faculty and resident gender were included as predictor variables.
RESULTS
A total of 6436 free-text responses from 3218 unique evaluations were included. As hypothesized, evaluations of women faculty were less likely than those of men to include certain agentic language like power (odds ratio [OR] 0.9, P < .001) and insight (OR 0.9, P < .001), and research words (OR 0.6, P = .003). As expected, evaluations of women were more likely to include grindstone words, like "hardworking" (OR 1.2, P = .012). Contrary to our hypothesis, women received fewer teaching words like "mentor" (OR 0.9, P = .048) and communal words like "friendly" (OR 0.6, P = .001).
CONCLUSION
Certain stereotypic language was demonstrated in clinical teaching evaluations of pediatric faculty. These findings should be further examined to improve gender inequities in academic pediatrics.

Identifiants

pubmed: 34923143
pii: S1876-2859(21)00624-0
doi: 10.1016/j.acap.2021.12.009
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

324-331

Informations de copyright

Copyright © 2021 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Auteurs

Sarah Webber (S)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis. Electronic address: sawebber@wisc.edu.

Kirstin Nackers (K)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Michelle M Kelly (MM)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Carrie L Nacht (CL)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Kristin Tiedt (K)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Ann Allen (A)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Jens Eickhoff (J)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

Jessica C Babal (JC)

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.

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