A Student Reflection on Doctoring With Confidence: Mind the Gap
Authors: Nicole Treadway
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions16 October 2018A Student Reflection on Doctoring With Confidence: Mind the GapNicole Treadway, BANicole Treadway, BAEmory University School of Medicine, Atlanta, Georgia (N.T.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-0865 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail On a recent Friday evening, I met several female classmates for dinner—an event that has become more precious, if less frequent, over the course of our third-year clerkships. Although our medical school assigns each of us to a small group for discussion of professionalism and debriefing of clinical experiences, there is an intimacy in our group of women that enables honesty and vulnerability. In the assigned groups, we are eager to share our success stories, compare notes on the procedures we have witnessed, or describe particularly meaningful interactions. In our chosen group, we share our perceived failures, discuss the criticisms ...References1. Sarsons H, Guo X. Confidence men? Gender and confidence: evidence among top economists. Cambridge, MA: Harvard University; 2015. Google Scholar2. Estes R, Hosseini J. The gender gap on Wall Street: an empirical analysis of confidence in investment decision making. J Psychol. 1988;122:577-90. doi:10.1080/00223980.1988.9915532 CrossrefGoogle Scholar3. Blanch DC, Hall JA, Roter DL, Frankel RM. Medical student gender and issues of confidence. Patient Educ Couns. 2008;72:374-81. [PMID: 18656322] doi:10.1016/j.pec.2008.05.021 CrossrefMedlineGoogle Scholar4. Ehrlinger J, Dunning D. How chronic self-views influence (and potentially mislead) estimates of performance. J Pers Soc Psychol. 2003;84:5-17. [PMID: 12518967] CrossrefMedlineGoogle Scholar5. Butkus R, Serchen J, Moyer DV, Bornstein SS, Hingle ST; Health and Public Policy Committee of the American College of Physicians. Achieving gender equity in physician compensation and career advancement: a position paper of the American College of Physicians. Ann Intern Med. 2018;168:721-3. [PMID: 29710100]. doi:10.7326/M17-3438 LinkGoogle Scholar6. Massachusetts Medical Society. Event Profile: Women's Leadership Forum: Confident Communication: Achieving Socially Intelligent Leadership. 2017. Accessed at https://portal.massmed.org/eweb/DynamicPage.aspx?webcode=EventInfo&reg_evt_key=AE31DB18-F59E-45AA-AA11-62A9C7B06EC5&RegPath=EventRegFees on 19 June 2018. Google Scholar7. Tsugawa Y, Jena AB, Figueroa JF, Orav EJ, Blumenthal DM, Jha AK. Comparison of hospital mortality and readmission rates for Medicare patients treated by male vs female physicians. JAMA Intern Med. 2017;177:206-13. [PMID: 27992617] doi:10.1001/jamainternmed.2016.7875 CrossrefMedlineGoogle Scholar8. Baumhäkel M, Müller U, Böhm M. Influence of gender of physicians and patients on guideline-recommended treatment of chronic heart failure in a cross-sectional study. Eur J Heart Fail. 2009;11:299-303. [PMID: 19158153] doi:10.1093/eurjhf/hfn041 CrossrefMedlineGoogle Scholar9. Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288:756-64. [PMID: 12169083] CrossrefMedlineGoogle Scholar10. Armstrong K. If you can't beat it, join it: uncertainty and trust in medicine. Ann Intern Med. 2018;168:818-9. [PMID: 29710210]. doi:10.7326/M18-0445 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Emory University School of Medicine, Atlanta, Georgia (N.T.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0865.Corresponding Author: Nicole J. Treadway, BA, Emory University School of Medicine, 1648 Pierce Drive NE, Atlanta, GA 30307; e-mail, nicole.[email protected]edu.Author Contributions: Conception and design: N. Treadway.Drafting of the article: N. Treadway.Critical revision of the article for important intellectual content: N. Treadway.Final approval of the article: N. Treadway.Administrative, technical, or logistic support: N. Treadway.This article was published at Annals.org on 11 September 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Student Reflection on Doctoring With Confidence Richard L. Kravitz A Student Reflection on Doctoring With Confidence Juan N. Lessing and Mary E. Lacy A Student Reflection on Doctoring With Confidence Nicole Treadway A Student Reflection on Doctoring With Confidence John E. Coda Metrics Cited byThe diagnostic certainty levels of junior clinicians: A retrospective cohort studyReal time self-rating of decision certainty by clinicians: a systematic reviewReal-time confidence of clinical decision making: a systematic reviewA Student Reflection on Doctoring With ConfidenceRichard L. Kravitz, MDA Student Reflection on Doctoring With ConfidenceJohn E. Coda, BSA Student Reflection on Doctoring With ConfidenceJuan N. Lessing, MD and Mary E. Lacy, MDLet's Face It: We Are Biased, and It Should Not Be That Way 16 October 2018Volume 169, Issue 8Page: 564-565KeywordsBehaviorElderlyFearHabitsHealth careHospitalistsPatientsProblem solvingSexual identitySocial influence ePublished: 11 September 2018 Issue Published: 16 October 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...