PUBBLICAZIONE/PUBLICATION

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  • Item type:Publication,
    A gender gap in the next generation of physician-scientists: Medical student interest and participation in research Open PDF 
    (BMJ Publishing Group, 2002)
    Guelich, J.M.
    ;
    Singer, B.H.
    ;
    Castro, M.C.
    ;
    Rosenberg, L.E.
    Background: For 2 decades, the number of physician-scientists has not kept pace with the overall growth of the medical research community. Concomitantly, the number of women entering medical schools has increased markedly. We have explored the effect of the changing gender composition of medical schools on the present and future pipeline of young physician-scientists. Methods: We analyzed data obtained from the Association of American Medical Colleges, the National Institutes of Health, and the Howard Hughes Medical Institute pertaining to the expressed research intentions or research participation of male and female medical students in the United States. Results: A statistically significant decline in the percentage of matriculating and graduating medical students-both men and women-who expressed strong research career intentions occurred during the decade between 1987 and 1997. Moreover, matriculating and graduating women were significantly less likely than men to indicate strong research career intentions. Each of these trends has been observed for medical schools overall and for research-intensive ones. Cohort data obtained by tracking individuals from matriculation to graduation revealed that women who expressed strong research career intentions upon matriculation were more likely than men to decrease their research career intentions during medical school. Medical student participation in research supported the gender gap identified by assessing research intentions. Female medical student participation in the Medical Scientist Training Program and the Howard Hughes Medical Institute/National Institutes of Health-sponsored Cloisters Program has increased but lags far behind the growth in the female population in medical schools. Conclusion: Three worrisome trends in the research career intentions and participation of the nation's medical students (a decade-long decline for both men and women, a large and persistent gender gap, and a negative effect of the medical school experience for women) presage a further decline in the physician-scientist pipeline unless they are reversed promptly and decisively.
  • Item type:Publication,
    Is there gender bias in research fellowships awarded by the NHMRC? Open PDF 
    (Australasian Medical Publishing Co. Ltd, 1998)
    Ward, J.E.
    ;
    Donnelly, N.
    Objective: To assess whether there is gender bias in the allocation of research fellowships granted by the Research Fellowships Committee of the National Health and Medical Research Council. Data sources: Anonymous data from applications for a research fellowship from 1994 to 1997. Results: More men than women apply for research fellowships (sex ratio, 2.5:1), but there is no difference in the proportion of male or female applicants who succeed in their application. Among new applicants, men tend to apply for a higher level of fellowship than women. Conclusions: Lack of data about the numbers of eligible men and women means that we cannot draw conclusions about self-selection biases among potential applicants. However, the selection procedures of the Committee appear to be unbiased. The gender of applicants does not influence the outcome of their application.
  • Item type:Publication,
    Promotion of Women Physicians in Academic Medicine: Glass Ceiling or Sticky Floor? Open PDF 
    (1995)
    Tesch, B.J.
    ;
    Wood, H.M.
    ;
    Helwig, A.L.
    ;
    Nattinger, A.B.
    To assess possible explanations for the finding that the percentage of women medical school faculty members holding associate or full professor rank remains well below the percentage of men. —Cross-sectional survey of physician faculty of US medical schools using the Association of American Medical Colleges (AAMC) database. —Surveyed were 153 women and 263 men first appointed between 1979 and 1981, matched for institutions of original faculty appointment. —Academic rank achieved, career preparation, academic resources at first appointment, familial responsibilities, and academic productivity. —After a mean of 11 years on a medical school faculty, 59% of women compared with 83% of men had achieved associate or full professor rank, and 5% of women compared with 23% of men had achieved full professor rank. Women and men reported similar preparation for an academic career, but women began their careers with fewer academic resources. The number of children was not associated with rank achieved. Women worked about 10% fewer hours per week and had authored fewer publications. After adjustment for productivity factors, women remained less likely to be associate or full professors (adjusted odds ratio [OR]=0.37; 95% confidence interval [CI], 0.21 to 0.66) or to achieve full professor rank (adjusted OR=0.27; 95% CI, 0.12 to 0.63). Based on the AAMC database, 50% of both women and men originally appointed as faculty members between 1979 and 1981 had left academic medicine by 1991. —Women physician medical school faculty are promoted more slowly than men. Gender differences in rank achieved are not explained by productivity or by differential attrition from academic medicine. (JAMA. 1995;273:1022-1025). © 1995, Jama, All rights reserved.
  • Item type:Publication,
    A framework to analyse gender bias in epidemiological research Open PDF 
    (BMJ Publishing Group, 2007)
    Ruiz-Cantero, M.T.
    ;
    Vives-Cases, C.
    ;
    Artazcoz, L.
    ;
    Delgado, A.
    ;
    Calvente, M.D.M.G.
    The design and analysis of research may cause systematic gender dependent errors to be produced in results because of gender insensitivity or androcentrism. Gender bias in research could be defined as a systematically erroneous gender dependent approach related to social construct, which incorrectly regards women and men as similar/different. Most gender bias can be found in the context of discovery (development of hypotheses), but it has also been found in the context of justification (methodological process), which must be improved. In fact, one of the main effects of gender bias in research is partial or incorrect knowledge in the results, which are systematically different from the real values.This paper discusses some forms of conceptual and methodological bias that may affect women's health. It proposes a framework to analyse gender bias in the design and analysis of research carried out on women's and men's health problems, and on specific women's health issues.Using examples, the framework aims to show the different theoretical perspectives in a social or clinical research context where forms of selection, measurement and confounding bias are produced as a result of gender insensitivity. Finally, this paper underlines the importance of reexamining results so that they may be reinterpreted to produce new gender based knowledge.
  • Item type:Publication,
    A gender gap in the dermatology literature? Cross-sectional analysis of manuscript authorship trends in dermatology journals during 3 decades Open PDF 
    (2009)
    Feramisco, J.D.
    ;
    Leitenberger, J.J.
    ;
    Redfern, S.I.
    ;
    Bian, A.
    ;
    Xie, X.-J.
    Background: Despite a dramatic influx of female dermatologists during the last 30 years, women in academic dermatology departments remain relatively clustered in junior faculty positions. Research in other specialties showing a disparity in the academic productivity of women has led to many hypotheses regarding factors that may place them at a competitive disadvantage. It is unknown, however, whether similar differences in academic productivity might also serve as barriers to advancement in dermatology, or whether any productivity gap actually exists in this specialty that experienced a more substantial entry of women. Objective: Because publication in peer-reviewed journals is one of the core measures of academic productivity used in the promotion process, we evaluated trends in the prevalence of female authorship in top dermatology journals during the last 3 decades. Methods: We conducted an observational study of trends in the sex distribution of US authors in 3 prestigious general dermatology journals (in 1976, 1986, 1996, and 2006) and 3 subspecialty dermatology journals (in 2006 only). Journals were chosen based on published impact factors and citation half-lives. Results: During the last 3 decades, the proportion of women authoring manuscripts in the 3 major general dermatology journals increased from 12% to 48% of US-affiliated first authors (P < .001) and from 6.2% to 31% of US-affiliated senior authors (P < .001). Separate analyses by journal and by article type showed similar increases. The prevalence of female authors in subspecialty journals in 2006 was slightly more variable. Limitations: Although the publications selected for this study capture many of the most respected US journals in dermatology, they may not be representative of all journals in which dermatologists publish. Conclusions: Female dermatologists are authoring publications in growing numbers that match or exceed their prevalence in the academic and overall workforce. This suggests that other factors (differences in productivity outside of the publishing arena, differences in job descriptions or opportunities, differences in career aspirations, a lack of institutional support or flexibility, or gender bias) may be associated with the ongoing reduced advancement of women to senior academic dermatology ranks relative to their male colleagues, and further research is warranted to explore these possibilities. © 2009 American Academy of Dermatology, Inc.
  • Item type:Publication,
    A glass ceiling within academic general practice in Western Europe: Career-inhibiting and -facilitating factors for female general practitioners Open PDF 
    (2006)
    De Jong, G.M.
    ;
    Lagro-Janssen, A.L.M.
    WONCA 2004 in Orlando, Florida, provided the stage for a symposium on “Challenges for Women in Family Medicine”, organized by the WONCA Working Party on Women and Family Medicine. This international symposium provided a review of what women family physicians are doing to confront challenges in education, clinical practice, academia, organizations and leadership Citation[1]. Representing Europe, the results of a unique study on the latter subject were presented.