Education in the Health Professions

REVIEW ARTICLE
Year
: 2021  |  Volume : 4  |  Issue : 2  |  Page : 37--49

Ethnic and gender bias in objective structured clinical examination: A critical review


Iris C. I. Chao1, Efrem Violato2, Brendan Concannon1, Charlotte McCartan2, Sharla King2, Mary Roduta Roberts3 
1 Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
2 Department of Educational Psychology, Faculty of Education, University of Alberta, Edmonton, Canada
3 Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada

Correspondence Address:
Dr. Iris C. I. Chao
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton T6G 2R3.
Canada

This critical review aimed to synthesize the literature and critique the strength of the methodological quality of current evidence regarding examiner bias related to ethnicity and gender in objective structured clinical examination implemented in health professions education. The Guidelines for Critical Review (GCR) was used to critically appraise the selected studies. Ten studies were retrieved for review. The overall quality of the papers was moderate. Two studies met all the criteria of the GCR, indicating stronger evidence of their outcomes. One of them reported ethnic and gender bias potentially existing, while another found only one examiner showing consistent ethnic bias. No systematic bias was found across the studies. Nonetheless, the possibility of ethnic or gender bias by some examiners cannot be ignored. To mitigate potential examiner bias, the investigation of implicit bias training, frame of reference training, the use of multiple examiners, and combination assessments are suggested.


How to cite this article:
Chao IC, Violato E, Concannon B, McCartan C, King S, Roberts MR. Ethnic and gender bias in objective structured clinical examination: A critical review.Educ Health Prof 2021;4:37-49


How to cite this URL:
Chao IC, Violato E, Concannon B, McCartan C, King S, Roberts MR. Ethnic and gender bias in objective structured clinical examination: A critical review. Educ Health Prof [serial online] 2021 [cited 2022 Jan 25 ];4:37-49
Available from: https://www.ehpjournal.com/article.asp?issn=2590-1761;year=2021;volume=4;issue=2;spage=37;epage=49;aulast=Chao;type=0