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Abstract
Background. Although self-assessment is an essential component of self-directed adult learning,
few data exist regarding the ability of medical students to perform this important
task. Therefore, the purpose of this study was to evaluate the ability of medical
students to perform self-assessment during a third-year surgery clerkship.
Methods. Sixty-eight (34 male, 34 female) third-year medical students assessed their progress
at the midpoint of an 8-week surgery clerkship using an 11-item, competency-based
evaluation. Students compared perceptions of their performance with a faculty member's
assessment using the identical evaluation form.
Results. Male students tended to overestimate their midclerkship performance compared with
faculty formative and summative evaluations (3.31 ± 0.03 vs 3.23 ± 0.03 and 3.28 ±
0.03) although this did not reach statistical significance. Female students significantly
underestimated their midclerkship performance compared with faculty formative and
summative evaluations (3.06 ± 0.03 vs 3.40 ± 0.03 and 3.45 ± 0.03, P < 0.05 vs faculty evaluations). Preclerkship academic performance (first- and second-year
grade point averages and NBME Part 1 scores) was not predictive of student self-assessment.
Finally, women statistically outperformed men on the surgery clerkship (86.6% ± 0.75
vs 83.2% ± 1.20, P < 0.05 vs male students).
Conclusions. Female students tend to underestimate their midclerkship performance compared with
male students on a surgery rotation. Despite lower self-assessment, female students
actually outperform male students. Women may underreport their capabilities when compared
with men as a result of gender differences in socialization. These gender differences
in self-assessment may be important to recognize when faculty provide feedback to
students.
Keywords
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© 2002 Elsevier Science (USA). Published by Elsevier Inc. All rights reserved.
