Table 4.
Comparison of Senior Medical Student Recommendations for Cardiac Vignette Patients Based on Combinations of Vignette Patient Race and Gender, 2012
| Variable | Vignette race and gender | Χ2 (p value) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Black male | Black female | White male | White female | ||||||
| N | Procedure (%) | N | Procedure (%) | N | Procedure (%) | N | Procedure (%) | ||
| Total | 3,389 | 44.1 | 3,456 | 43.6 | 3,369 | 42.9 | 3,446 | 41.2 | 6.99 (0.07) |
| Vignette SES* | |||||||||
| 1–2 | 1,232 | 41.9 | 1,309 | 41.4 | 1,269 | 40.3 | 1,277 | 36.2 | 10.70 (0.01) |
| 3–4 | 911 | 44.5 | 862 | 40.6 | 827 | 40.9 | 851 | 39.6 | 4.96 (0.17) |
| 7–9 | 1,246 | 46.1 | 1,285 | 47.9 | 1,273 | 46.8 | 1,318 | 47.0 | 0.76 (0.86) |
| Student gender | |||||||||
| Male | 1,660 | 43.6 | 1,711 | 42.8 | 1,665 | 41.9 | 1,598 | 40.6 | 3.32 (0.34) |
| Female | 1,672 | 44.3 | 1,661 | 43.9 | 1,640 | 43.8 | 1,770 | 41.7 | 2.90 (0.41) |
| Unknown | 57 | 57.9 | 84 | 53.6 | 64 | 45.3 | 78 | 42.3 | |
| Student race/ethnicity | |||||||||
| AA, H, NA† | 360 | 45.0 | 391 | 46.5 | 357 | 46.2 | 376 | 44.9 | 0.31 (0.96) |
| Other | 2,936 | 43.8 | 2,933 | 42.9 | 2,902 | 42.5 | 2,942 | 40.7 | 6.21 (0.10) |
| Unknown | 93 | 51.6 | 132 | 50.0 | 110 | 43.6 | 128 | 41.4 | |
| Student SES | |||||||||
| Low/lower middle | 440 | 44.3 | 471 | 44.2 | 468 | 46.6 | 522 | 41.0 | 3.20 (0.36) |
| Middle | 1,370 | 42.4 | 1,388 | 42.8 | 1,322 | 42.6 | 1,302 | 40.2 | 2.28 (0.52) |
| Upper middle | 1,279 | 45.9 | 1,249 | 43.8 | 1,267 | 42.0 | 1,312 | 41.7 | 5.90 (0.12) |
| Upper | 208 | 40.4 | 226 | 42.0 | 212 | 41.0 | 203 | 44.8 | 0.97 (0.81) |
| Unknown | 92 | 53.3 | 122 | 51.6 | 100 | 45.0 | 107 | 40.2% | |
| Geographic region | |||||||||
| Central | 943 | 44.8 | 963 | 40.1 | 893 | 43.2 | 931 | 42.5 | 4.42 (0.22) |
| Northeast | 725 | 44.8 | 759 | 42.6 | 745 | 42.6 | 745 | 36.9 | 10.39 (0.02) |
| South | 1,305 | 44.5 | 1,333 | 46.8 | 1,294 | 42.2 | 1,341 | 43.3 | 6.34 (0.10) |
| West | 416 | 40.4 | 401 | 43.4 | 437 | 44.9 | 429 | 39.2 | 3.64 (0.30) |
| School ownership | |||||||||
| Private | 932 | 45.0 | 916 | 42.1 | 920 | 43.8 | 920 | 39.1 | 7.27 (0.06) |
| Public | 2,457 | 43.8 | 2,540 | 44.1 | 2,449 | 42.6 | 2,526 | 41.9 | 3.37 (0.34) |
*Socioeconomic status, grouped by ranking, with level 1 lowest SES and level 9 highest SES
†African American, Hispanic, and Native American