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Record W4224014369 · doi:10.21203/rs.3.rs-1540839/v1

Integrating gender in medical curriculum of Bangladesh: exploring perceptions, prospects and challenges

2022· preprint· en· W4224014369 on OpenAlexaff
Fariha Haseen, Mosammat Ivylata Khanam, Sabrina Sharmin, Katia Mahindra, Sanjida Hasan, Fariba Tabassum, Sharlin Akhter, Sakib Mahmud, Ayesha Afroz Chowdhury, Abu Momtaz Saaduddin Ahmed, Md. Saidur Rahman Khan, AGM Mashuqur Rahman, Mohd. Shahadt Hossain Mahmud, Syed Shariful Islam

Bibliographic record

VenueResearch Square · 2022
Typepreprint
Languageen
FieldMedicine
TopicSex and Gender in Healthcare
Canadian institutionsUniversity of Ottawa
FundersMinistry of Health and Family Welfare
KeywordsThematic analysisPerceptionCurriculumDescriptive statisticsPsychologyMedical educationHealth careGovernment (linguistics)Multivariate analysis of varianceMultivariate analysisFamily medicineMedicineNursingQualitative researchPolitical sciencePedagogy

Abstract

fetched live from OpenAlex

Abstract Background Gender is an important biological, behavioral, societal and cultural factor influencing affecting health and health care utilization. In medical education, gender tends to be less prioritized and limiting gender sensitivity among medical professionals leading to compromised and substandard health care. Our study aims to investigate the gender perceptions among medical students and practitioners identifying possibilities and challenges in better integrating gender into medical curriculum. Method Quantitative data were collected from 249 respondents (151 medical students, 33 service providers and 65 service recipients) by using structured questionnaires. Descriptive and univariate analysis were conducted to assess socio-demographic characteristics and gender perceptions of participants respectively. To determine the relations of mean perception score with socio-demographic variables, we used one-way ANOVA tests. Finally, we performed multivariate linear regression to determine socio-demographic variables predicting perceptions of respondents towards gender. SPSS version 25 was used for analysis. For qualitative data 16 key informants (6 administrative staffs, 2 policy makers and 8 teaching staffs) were interviewed. The interviews were analyzed manually using thematic analysis procedure. Result Mean score of perception on ‘gender’ among medical students and medical professionals were 10.29 (SD = 2.70) with 52% positive perception and 9.94 (SD = 2.98) with 50% positive perception out of 20 respectively. Significantly greater perception was found among female compared to male. Mean perception score was found significantly higher among respondents aged 20–25 years and students studying in Government medical college. In terms of opinion regarding gender integration in medical or dental curriculum, maximum respondents (91%) thought that inclusion may initiate gender sensitive attitude and respectful behavior and 85% respondents thought people’s health care rights will be ensured. Regarding challenges of integrating greater gender content in medical curriculum, majority service providers (42%) said there are no challenges, but 70% of students responded that due to the huge syllabus, it may create an extra burden to students. The majority of respondents recommended to start reviewing curriculum by a review board (91%) and to develop an intention module (85%). Qualitative findings supported the quantitative results. Conclusion An early sensitization on gender among medical personnel and it’s influence on health care system could contribute in ensuring gender equitable health services and achieving SDGs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.008
Threshold uncertainty score0.016

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0020.001
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.379
GPT teacher head0.482
Teacher spread0.103 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2022
Admission routes1
Has abstractyes

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