Medical student gender and issues of confidence

Patient Educ Couns. 2008 Sep;72(3):374-81. doi: 10.1016/j.pec.2008.05.021. Epub 2008 Jul 24.


Objective: To review the literature on gender differences and issues of self-confidence in medical students and to present original research on observers' perceptions of medical student confidence.

Methods: One hundred forty-one 3rd year medical students at Indiana University School of Medicine were videotaped during their objective structured clinical examination (OSCE). Trained coders rated how confident the student appeared and coded a variety of nonverbal behaviors at the beginning, middle, and end of the interaction. Analysis focused on gender differences in coders' ratings of perceived confidence.

Results: Female medical students were viewed as significantly less confident than male medical students (F(1,133)=4.45, p<0.05), especially at the beginning of the interaction.

Conclusion: Past research indicates that despite performing equally to their male peers, female medical students consistently report decreased self-confidence and increased anxiety, particularly over issues related to their competence. In a standardized patient interaction examination situation, female medical students also appeared significantly less confident than male medical students to independent observers.

Practice implications: Medical educators should focus on issues of female students' confidence, increasing faculty sensitivity, and publicly recognizing and discussing perceptions of confidence.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Anxiety / psychology*
  • Clinical Competence
  • Female
  • Humans
  • Indiana
  • Male
  • Physician-Patient Relations*
  • Self Concept*
  • Sex Factors
  • Stress, Psychological / psychology
  • Students, Medical / psychology*
  • Women / psychology*