Intrinsic inequity in assessment refers to sources of harmful discrimination inherent in the design of assessment tools and systems. This study seeks to understand intrinsic inequity in assessment systems by studying assessment policies and associated procedures in residency training, using general pediatrics as a discourse case study. Foucauldian discourse analysis (FDA) was conducted on assessment policy and procedure documents. Two authors independently prepared structured analytic notes using guiding questions. Documents and respective analytic notes were subsequently reviewed independently by all authors. Each author prepared further unstructured analytic notes on the documents' discourse. The authors then compared notes and constructed truth statements (i.e., interpretations of what the discourse establishes as true about the construct under study) and sub-strands (i.e., themes) that were repeated and legitimized across the documents via iterative discussion. Based on analysis, the authors constructed two truth statements. These truth statements, "good assessment is equitable assessment," and "everyone is responsible for inequity," conceptualized inequity in assessment as an isolated or individual-level aberration in an otherwise effective or neutral system. Closer examination of the truth statements and sub-strands in the discourse presented an alternative view, suggesting that inequity may in fact not be an aberration but rather an inherent feature of assessment systems.

中文翻译：

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不平等融入其中：儿科住院医师培训评估的话语分析。

评估中的内在不平等是指评估工具和系统设计中固有的有害歧视的根源。本研究旨在通过研究住院医师培训中的评估政策和相关程序，并使用普通儿科作为话语案例研究，来了解评估系统中的内在不平等。福柯话语分析（FDA）是对评估政策和程序文件进行的。两位作者使用指导性问题独立准备了结构化分析笔记。文件和各自的分析笔记随后由所有作者独立审查。每位作者都针对文件的论述准备了进一步的非结构化分析笔记。然后作者比较了笔记并构建了事实陈述（即 对话语所建立的关于所研究的结构的真实解释）和子链（即主题）通过迭代讨论在文档中重复并合法化。根据分析，作者构建了两个事实陈述。这些真理陈述“良好的评估是公平的评估”和“每个人都对不平等负责”，将评估中的不平等概念化为有效或中立系统中孤立或个人层面的失常。对话语中的真相陈述和子流的更仔细审查提出了另一种观点，表明不平等实际上可能不是一种失常，而是评估体系的固有特征。主题）通过迭代讨论在文件中重复并合法化。根据分析，作者构建了两个事实陈述。这些真理陈述“良好的评估是公平的评估”和“每个人都对不平等负责”，将评估中的不平等概念化为有效或中立系统中孤立或个人层面的失常。对话语中的真相陈述和分支进行更仔细的审查提出了另一种观点，表明不平等实际上可能不是一种失常，而是评估体系的固有特征。主题）通过迭代讨论在文件中重复并合法化。根据分析，作者构建了两个事实陈述。这些真理陈述“良好的评估是公平的评估”和“每个人都对不平等负责”，将评估中的不平等概念化为有效或中立系统中孤立或个人层面的失常。对话语中的真相陈述和子流的更仔细审查提出了另一种观点，表明不平等实际上可能不是一种失常，而是评估体系的固有特征。将评估中的不平等概念化为有效或中立系统中孤立的或个人层面的失常。对话语中的真相陈述和子流的更仔细审查提出了另一种观点，表明不平等实际上可能不是一种失常，而是评估体系的固有特征。将评估中的不平等概念化为有效或中立系统中孤立的或个人层面的失常。对话语中的真相陈述和子流的更仔细审查提出了另一种观点，表明不平等实际上可能不是一种失常，而是评估体系的固有特征。