ArticleBMC medical education2024
Competence over confidence: uncovering lower self-efficacy for women residents during central venous catheterization training.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Diagnostic accuracy of otitis media with and without a fictitious AI support among physicians in primary care and medical students.Scandinavian journal of primary health care · 2026Article
- Investigating gender disparities in urological care for non-muscle invasive bladder cancer (NMIBC).BJUI compass · 2026Article
- National Assessment of Nephrology Fellow Attitudes toward and Perceptions of Patient Health Equity in Kidney Care and Training.Clinical journal of the American Society of Nephrology : CJASN · 2026Article
- Development and validation of scales measuring self-efficacy and behavioral capability in managing common medical emergencies in dental clinics.BMC medical education · 2025Article
- Gender Differences in the Use of ChatGPT as Generative Artificial Intelligence for Clinical Research and Decision-Making in Occupational Medicine.Healthcare (Basel, Switzerland) · 2025Article
- Assessing anatomical knowledge and confidence in central venous catheter insertion: a single-center cross-sectional study among physicians in a resource-limited setting.Annals of medicine and surgery (2012) · 2025Article
- Prevalence of Dunning-Kruger effect in first semester medical students: a correlational study of self-assessment and actual academic performance.BMC medical education · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundWhile women make up over 50% of students enrolled in medical school, disparities in self-efficacy of medical skills between men and women have been observed throughout medical education. This difference is significant because low self-efficacy can impact learning, achievement, and performance, and thus create gender-confidence gaps. Simulation-based training (SBT) employs assessments of self-efficacy, however, the Dunning-Kruger effect in self-assessment posits that trainees often struggle to recognize their skill level. Additionally, the impact of gender on self-efficacy during SBT has not been as widely studied. The objective of this study was to identify if the gender-confidence gap and the Dunning-Kruger effect exist in SBT for central venous catheterization (CVC) on the dynamic haptic robotic trainer (DHRT) utilizing comparisons of self-efficacy and performance.
methods173 surgical residents (N
resultsGeneral estimating equation results indicated that women residents were significantly more likely to report lower self-efficacy for 9 of the 14 CLSE items (p < .0035). Mann-Whitney U and Fisher's exact tests showed there were no performance differences between men and women for successfully accessing the vein on the DHRT. Regression models relating performance and self-efficacy found no correlation for either gender.
conclusionsThese results indicate that despite receiving the same SBT and performing at the same level, the gender-confidence gap exists in CVC SBT, and the Dunning-Kruger effect may also be evident.
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