Advances in Medical Education and Practice (Sep 2016)
Perceptions of final-year medical students towards the impact of gender on their training and future practice
Abstract
Jacqueline M Van Wyk,1 Soornarain S Naidoo,2 Kogie Moodley,1 Susan B Higgins-Opitz3 1Nelson R. Mandela School of Medicine, University of KwaZulu‑Natal, 2Faculty of Health Sciences, Durban University of Technology, 3School of Health Sciences, University of KwaZulu‑Natal, Durban, South Africa Introduction: Following policy implementations to redress previous racial and gender discrepancies, this study explored how gender impacted on the clinical experiences of final-year medical students during their undergraduate training. It also gathered their perceptions and expectations for the future.Methods: This cross-sectional, mixed-method study used a purposive sampling method to collect data from the participants (n=94). Each respondent was interviewed by two members of the research team. The quantitative data were entered into Excel and analyzed descriptively. The qualitative data were transcribed and thematically analyzed.Results: The majority of the respondents still perceived clinical practice as male dominated. All respondents agreed that females faced more obstacles in clinical practice than males. This included resistance from some patients, poor mentoring in some disciplines, and less support from hostile nurses. They feared for their personal safety and experienced gender-based stereotyping regarding their competency. Males thought that feminization of the profession may limit their residency choices, and they reported obstacles when conducting intimate examinations and consultations on female patients. Both males and females expressed desire for more normalized work hours to maintain personal relationships.Conclusion: Social redress policies have done much to increase equal access for females to medical schools. Cultural values and attitudes from mentors, peers, and patients still impact on the quality of their clinical experiences and therefore also their decisions regarding future clinical practice. More mentoring and education may help to address some of the perceived obstacles. Keywords: South Africa, opportunities, challenges, stigma, racial stereotypes, students
