Evidence map›Paper›PMID 42316186›Full record

ArticleBMC medical education2026

Preceptor and student gender effects on clerkship assessment scores in medical education.

Elisabeth Kac, Isain Zapata, Amanda Brooks, TyRee Jenks, Terry L Hudgins

Abstract read
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Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Elisabeth KacRocky Vista University College of Osteopathic Medicine, Englewood, CO, 80112, USA.
Isain ZapataDepartment of Biomedical Sciences, Rocky Vista University, Englewood, CO, 80112, USA.
Amanda BrooksOffice of Research and Scholarly Activity, Rocky Vista University, Ivins, UT, 84738, USA.
TyRee JenksDepartment of Library Services, Rocky Vista University, Billings, MT, 59106, USA.
Terry L HudginsDepartment of Clinical Education, Rocky Vista University, 8401 S. Chambers Road, Englewood, CO, 80112, USA. thudgins@rvu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClerkship evaluations play a critical role in assessing medical student performance and informing residency selection. Prior studies suggest there are gender-related differences in narrative feedback and numerical evaluations of medical trainees; however, findings remain inconsistent across specialties and institutions. This study examined whether preceptor gender and student gender were associated with differences in clerkship evaluation scores.

methodsA retrospective analysis was conducted using 6,855 clerkship evaluations from students in the graduating classes of 2022-2024 at a U.S. Osteopathic medical school. Evaluations were completed by 2,425 preceptors across six required clerkships: Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Surgery. Associations between preceptor gender, student gender, and evaluation scores were analyzed using generalized linear mixed models, adjusting for academic year and clerkship rotation.

resultsPreceptor gender was significantly associated with evaluation scores, with female preceptors assigning modestly lower Total Average and Clinical Competence scores than male preceptors (P < 0.0001). Student gender demonstrated smaller effects, with female students receiving slightly higher Total Average scores (P = 0.0260) and Professionalism scores (P = 0.0026). No significant interaction between preceptor and student gender was observed. Clerkship rotation was strongly associated with evaluation scores, with higher adjusted scores in Family Medicine and Pediatrics and lower in Surgery and Internal Medicine.

conclusionEvaluator characteristics and specialty-specific grading cultures appear to influence numerical clerkship assessments. Although findings may be limited by the single-institution design, these results highlight the potential value of increased standardization and target preceptor development to promote equity and consistency in clinical evaluation.

Indexed as

Clinical ClerkshipClinical CompetenceEducational MeasurementPreceptorshipStudents, MedicalFemaleHumansMaleRetrospective StudiesSex FactorsUnited StatesClerkship evaluationClinical assessmentGender biasGrading variabilityMedical studentsPreceptor characteristics

Identifiers

PMID42316186
PMCPMC13491581

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.