PubMed · 10243389
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E E Tillock. 1979. Avoiding conflicts between the board and administrator.. https://pubmed.ncbi.nlm.nih.gov/10243389/
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CONTEXT: Physician gender has been viewed as a possible source of variation in the interpersonal aspects of medical practice, with speculation that female physicians facilitate more open and equal exchange and a different therapeutic milieu from that of male physicians. However, studies in this area are generally based on small samples, with conflicting results. OBJECTIVE: To systematically review and quantify the effect of physician gender on communication during medical visits. DATA SOURCES: Online database searches of English-language abstracts for the years 1967 to 2001 (MEDLINE, AIDSLINE, PsycINFO, and Bioethics); a hand search was conducted of reprint files and the reference sections of review articles and other publications. STUDY SELECTION: Studies using a communication data source, such as audiotape, videotape, or direct observation, and large national or regional studies in which physician report was used to establish length of visit, were identified through bibliographic and computerized searches. Twenty-three observational studies and 3 large physician-report studies reported in 29 publications met inclusion criteria and were rated. DATA EXTRACTION: The Cohen d was computed based on 2 reviewers' (J.A.H. and Y.A.) independent extraction of quantitative information from the publications. Study heterogeneity was tested using Q statistics and pooled effect sizes were computed using the appropriate effects model. The characteristics of the study populations were also extracted. DATA SYNTHESIS: Female physicians engage in significantly more active partnership behaviors, positive talk, psychosocial counseling, psychosocial question asking, and emotionally focused talk. There were no gender differences evident in the amount, quality, or manner of biomedical information giving or social conversation. Medical visits with female physicians are, on average, 2 minutes (10%) longer than those with male physicians. Obstetrics and gynecology may present a different pattern than that of primary care, with male physicians demonstrating higher levels of emotionally focused talk than their female colleagues. CONCLUSIONS: Female primary care physicians engage in more communication that can be considered patient centered and have longer visits than their male colleagues. Limited studies exist outside of primary care, and gender-related practice patterns in some subspecialties may differ from those evident in primary care.
Hydrology in Scotland has emerged as a diverse and maturing discipline in recent years following its origins in engineering and the environmental sciences. Despite significant progress in understanding the physical, chemical and biological aspects of the hydrological cycle in Scotland, hydrologists face a number of significant challenges. These include: improved basic process understanding and modelling of catchment functioning; increased understanding of climatic variability and change; the collection of more extensive and well-integrated data sets; improved understanding of the role of hydrology in maintaining good ecological status in managed rivers; and a rapidly evolving policy agenda both within Scotland and the EU. So far, the response of the scientific community to these challenges has been encouraging. However, it is concluded that in the future, hydrologists need to be increasingly engaged in interdisciplinary research projects and communicate better with environmental planners and various stakeholder groups if the discipline is going to make its full contribution to sustainable water resource management in Scotland.