The Influence of Gender on Saudi Students Performance in the Undergraduate Surgical Examination


The relationship between student gender and examination of medical knowledge and clinical competence has been assessed by a number of studies from western countries with controversial results. The aim of this study was to investigate if gender would make a difference on the performance of Arab medical students in the final certifying examination in surgery. Methods: This a cross-sectional study which was carried out at Department of Surgery, University of Dammam, Saudi Arabia over 3 years. The scores in each section and the total score of the final certifying examination of surgery were recorded for all sixth year students between 2008 and 2011. Differences between the scores of the female and male students in the written test and subjective examinations were assessed. Results: Six hundred and twenty students were involved in this study. Three hundred and fifty were male and 270 were female. Overall scores revealed that female medical students scored significantly better with lower failure rate compared to their male colleagues. Female students received significantly better scores than male in subjective tests. However, there was no significant difference between groups in written examination. Conclusion: There was no significant difference between male and female students in the written examination scores. However, female students performed better in subjective evaluations. Further studies are warranted to reveal the reasons behind this difference.

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A. Al-Mulhim, M. Elsharawy and N. Awad, "The Influence of Gender on Saudi Students Performance in the Undergraduate Surgical Examination," Surgical Science, Vol. 3 No. 4, 2012, pp. 206-209. doi: 10.4236/ss.2012.34039.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] A. Hammarstrom, “The Integration of Gender in Medical Research, Education—Obstacles and Possibilities from a Nordic Perspective,” In: L. Manderson, Ed., Teaching Gender, Teaching Women’s Health. Case Studies in Medical and Health Science Education, The Haworth Medical Press, Binghamton, 2003, pp. 121-133.
[2] V. W. Pinn, “Sex and Gender Factors in Medical Studies. Implications for Health and Clinical Practice,” Journal of the American Medical Association, Vol. 289, No. 4, 2003, pp. 397-400. doi:10.1001/jama.289.4.397
[3] S. S. Meit, H. T. Meit and V. Yasek, “Personality Traits of Incoming WVU Medical Students: Phase I Gender Findings,” West Virginia Medical Journal, Vol. 95, 1999, pp. 123-126.
[4] J. A. Richman and J. A. Flaherty, “Gender Differences in Medical Student Distress: Contributions of Prior Socialization and Current Role-Related Stress,” Social Science & Medicine, Vol. 30, No. 7, 1990, pp. 777-787. doi:10.1016/0277-9536(90)90201-3
[5] F. F. Holmes, G. E. Holmes and R. Hassanein, “Performance of Male and Female Medical Students in a Medicine Clerkship,” Journal of the American Medical Association, Vol. 239, 1978, pp. 2259-2262. doi:10.1001/jama.1978.03280480051020
[6] W. C. Plauchéand J. M. Miller Jr., “Performances of Female Medical Students in an Obstetrics and Gynecology Clerkship,” Journal of Medical Education, Vol. 61, 1986, pp. 323-325.
[7] P. M. Krueger, “Do Women Medical Students Outperform Men in Obstetrics and Gynecology?” Academic Medicine, Vol. 73, No. 1, 1998, pp. 101-102. doi:10.1097/00001888-199801000-00021
[8] J. K. Dorsey and J. A. Colliver, “Effect of Anonymous Test Grading on Passing Rates as Related to Gender and Race,” Academic Medicine, Vol. 70, 1995, pp. 321-323. doi:10.1097/00001888-199504000-00017
[9] N. E. Gronlund, “Nature of Student Assessment,” In: A. E. Burvikovs and K. Hopkins, Eds., Assessment of Student Achievement, 8th Edition, Pearson, Boston, 2006, pp. 14-30.
[10] C. Castagnetti and L. Rosti, “Effort Allocation in Tournaments: The Effect of Gender on Academic Performance in Italian Universities,” Economics of Education Review, Vol. 28, 2008, pp. 3357-3379.
[11] G. Margo, “Gender Differences in Multiple Choice Assessment,” Record No. 10, 1993.
[12] R. M. Carrothers, S. W. Gregory Jr. and T. J. Gallagher, “Measuring Emotional Intelligence of Medical School Applicants,” Academic Medicine, Vol. 75, No. 5, 2000, pp. 456-463. doi:10.1097/00001888-200005000-00016
[13] R. Kusurkar, C. Kruitwagen, O. Ten Cate and G. Croiset, “Effects of Age, Gender and Educational Background on Strength of Motivation for Medical School,” Advances in Health Sciences Education, Vol. 15, No. 3, 2010, pp. 303-313. doi:10.1007/s10459-009-9198-7
[14] J. M. Tanner, R. H. Whitehouse, E. Marubini and L. F. Resele, “The Adolescent Growth Spurt of Boys and Girls of the Harpenden Growth Study,” Annal of Human Biology, Vol. 3, No. 2, 1976, pp. 109-126. doi:10.1080/03014467600001231
[15] L. Steinberg and E. Cauffman, “Maturity of Judgment in Adolescence: Psychosocial Factors in Adolescent Decision Making,” Law and Human Behavior, Vol. 20, No. 3, 1996, pp. 249-272. doi:10.1007/BF01499023
[16] R. J. Vallerand and R. Bissonnette, “Intrinsic, Extrinsic, and a Motivational Style as Predictors of Behavior: A Prospective Study,” Journal of Personality, Vol. 60, No. 3, 1992, pp. 599-620. doi:10.1111/j.1467-6494.1992.tb00922.x
[17] J. Yates, J. Smith, D. James and E. Ferguson, “Should Applicants to Nottingham University Medical School Studies a Non-Science A-level? A Cohort Study,” BMC Medical Education, Vol. 9, 2009, pp. 5-13. doi:10.1186/1472-6920-9-5
[18] C. M. Wiskin, T. F. Allan and J. R. Skelton, “Gender as a Variable in the Assessment of Final Year Degree-Level Communication Skills,” Medical Education, Vol. 38, No. 2, 2004, pp. 129-137. doi:10.1111/j.1365-2923.2004.01746.x
[19] E. Krupat, C. M. Hiam, M. Z. Fleming and P. Freeman, “Patient-Centeredness and Its Correlates among First Year Medical Students,” International Journal of Psychiatry in Medicine, Vol. 29, No. 3, 1999, pp. 347-356. doi:10.2190/DVCQ-4LC8-NT7H-KE0L
[20] R. Axelson, “Assessing Implicit Gender Bias in Medical Student Performance Evaluation,” Evaluation & the Health Professions, Vol. 33, 2010, pp. 365-385.
[21] D. Sadker and M. Sadker, “Failing at Fairness: How Our Schools Cheat Girls,” Simon & Schuster Inc., Toronto, 1994.
[22] J. L. Bienstock, S. Martin, W. Tzou and H. E. Fox, “Medical Students’ Gender Is a Predictor of Success in the Obstetrics and Gynecology Basic Clerkship,” Teaching and Learning in Medicine, Vol. 14, No. 4, 2002, pp. 240-243. doi:10.1207/S15328015TLM1404_7
[23] I. Haq, J. Higham, R. Morris and J. Dacre, “Effect of Ethnicity and Gender on Performance in Undergraduate Medical Examinations,” Medical Education, Vol. 39, No. 11, 2005, pp. 1126-1128. doi:10.1111/j.1365-2929.2005.02319.x

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