Effect of intern and preceptor gender on internship experiences for paramedic training

John Lewis, Mathew Miles, Tyler A Watson, Eli Lankford

Abstract


Introduction

The purpose of this study was to determine if the opportunity to execute advanced skills, including intravenous (IV) placement, intubations and medication administration was associated with preceptor/intern gender combination.

Methods

16,466 emergency calls were analysed from the Field Internship Student Data Acquisition Project. The analysis focussed on emergency calls requiring IV placement, intubation and/or medication administration. A chi-square test for independence was used to compare three advanced skills executed based on the preceptor/intern gender combination.

Results

Male interns were more likely to execute IV placement regardless of the preceptor gender when compared to female preceptor and female intern combination (p<0.001). When male preceptors were paired with female interns, the number of IV placements executed was significantly lower only when compared to a male preceptor and male intern combination. Female preceptor and female intern combination resulted in a reduced number of times endotracheal intubation was executed only when compared to female preceptor and male intern combination (p=0.017). There were no differences in any combination when executing medication administration.

Conclusion

These findings suggest female interns may experience bias in executing fewer intubation and IV placement skills than their male counterparts on their first ambulance call of their internship.


Keywords


paramedic; pre-hospital; gender bias; preceptorship

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References


Yang CI, Gau ML, Shiau SJ, Hu WH, Shih FJ. Professional career development for male nurses. J Adv Nurs 2004;48:642-50.

Carr PL, Ash AS, Friedman RH, et al. Faculty perceptions of gender discrimination and sexual harassment in academic medicine. Ann Intern Med 2000;132:889-96.

Anthony AS. Gender bias and discrimination in nursing education: can we change it? Nurse Educ 2004;29:121-5.

Cochran A, Hauschild T, Elder WB, et al. Perceived gender-based barriers to careers in academic surgery. Am J Surg 2013;206:263-8.

Seemann NM, Webster F, Holden HA, et al. Women in academic surgery: why is the playing field still not level? Am J Surg 2016;211:343-9.

Cudé G, Winfrey K. The hidden barrier: gender bias: fact or fiction? Nurs Womens Health 2007;11:254-65.

Bickel J. Gender equity in undergraduate medical education: a status report. J Womens Health Gend Based Med 2001;10:261-70.

Tsouroufli M, Rees CE, Monrouxe LV, Sundaram V. Gender, identities and intersectionality in medical education research. Med Educ 2011;45:213-6.

Goode WJ. A theory of role strain. Am Sociol Rev 1960:483-96.

Carte NS, Williams C. Role strain among male RNs in the critical care setting: perceptions of an unfriendly workplace. Intensive Crit Care Nurs 2017;43:81-6.

The U.S. Health Workforce Chartbook. In: Brief HRSA/national center for health workforce analysis [Internet]. [Updated 2013 November]. Available at: https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/chartbookbrief.pdf [Accessed 9 March 2017].

National Fire Protection Association News & Research. Firefighting occupations by women and race. Available at: www.nfpa.org/News-and-Research/Fire-statistics-and-reports/Fire-statistics/The-fire-service/Administration/Firefighting-occupations-by-women-and-race13

Hulett D, Bendick JM, Thomas S, Moccio F. A national report card on women in firefighting [Internet]. [Updated 2008]. Available at: https://women.org/wpcontent/uploads/2014/07/35827WSP.pdf [Accessed 8 March 2017].

Health Resources and Services Administration [Internet]. The registered nurse population: findings from the 2008 national sample survey of registered nurses. 2010 Available at: https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/rnsurveyfinal.pdf [Accessed 3 March 2017].

Meleis AI. Interprofessional education: a summary of reports and barriers to recommendations. J Nurs Scholarsh 2016;48:106-12.

Gibson SE, Hauri C. The pleasure of your company: attitudes and opinions of preceptors toward nurse practitioner preceptees. J Am Assoc Nurse Pract 2000;12:360-3.

Rosen R. What is FISDAP [Internet]? [Updated 2016]. Available at: www.fisdap.net/blog/what_fisdap [Accessed 10 February 2017].

IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.

Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd edn. Philadelphia, PA: FA Davis Company; 2015.

MacDonald PL, Gardner RC. Type I error rate comparisons of post hoc procedures for I×J chi-square tables. Educ Psychol Meas 2000;60:735-54.

Cantwell K, Morgans A, Smith K, et al. Time of day and day of week trends in EMS demand. Prehos Emerg Care 2015;19:425-31.

Westring AF, Speck RM, Dupuis Sammel M, et al. Culture matters: the pivotal role of culture for women’s careers in academic medicine. Acad Med 2014;89:658-63.




DOI: http://dx.doi.org/10.33151/ajp.16.627

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