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Women in Radiology: A perspective from Spain Open PDF
(Elsevier BV, 2024-03)
Cayón Somacarrera, S.
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Alonso Rodríguez, C.
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del Campo del Val, L.
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Oleaga Zufiría, L.
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Rodríguez Carnero, P.
Abstract Introduction There are gender inequalities in all fields, including radiology. Although the situation is improving, the presence of radiologists in leadership positions continues to be a minority. The objective of this article is to analyse the situation of women in the spanish radiology, comparing it with Europe and the United States. Materials and methods We selected the years 2000-2022 as reference period to make a comparison with feminization data throughout history. In addition, relevant specific data from the just begun 2023 were also included. The variables in which we investigated feminization were the following: medical students, medical graduates, radiology residents and specialists, section chiefs, department chairs, radiology residency programme directors, radiology university professors, presidents of the main radiological entities and societies in Spain, Europe and the United States, recipients of the main awards given by these radiological societies and chief editors of their journals. In order to perform this analysis we conducted an in-depth bibliographic research, we contacted the radiological societies of Spain, Europe and the USA and we carried out a survey in the main Spanish radiology departments. Results The female presence in radiology decreases as we rise to leadership positions, a situation that is patent in Spain, Europe and the US, comparison that will be analysed in depth throughout the article. In Spanish hospitals in 2021 there were 58.1% female radiology residents, 55% female radiologists, 42.9% female section chiefs and 24.4% female department chairs. In SERAM’s history there have been 10% female presidents, 22% female gold medallists and 5% female editors-in-chief. If we analyse data from 2000 to 2023, female presidents reach 32% and female gold medallists 31%. Conclusions Although gender inequality is declining, in radiology women continue to be underrepresented in leadership positions. Work must be done in order to build a diverse and inclusive profession that reflects demographic reality. Resumen Introducción Existen desigualdades por razón de género en todos los ámbitos, incluyendo en la radiología. Aunque la situación está mejorando, la presencia de radiólogas en puestos de liderazgo continúa siendo minoritaria. El objetivo de este artículo es analizar la situación de la mujer en la radiología española, comparándola con Europa y EE.UU. Materiales y métodos Seleccionamos como franja de referencia los años 2000–2022 para hacer una comparación con datos de feminización a lo largo de la historia. Además también se incluyeron datos puntuales relevantes del recién comenzado 2023. Las variables en las que investigamos la feminización fueron las siguientes: estudiantes de medicina, médicos graduados, residentes y especialistas en radiodiagnóstico, jefes de sección, jefes de servicio, tutores de residentes de radiodiagnóstico, radiólogos profesores universitarios, presidentes de las principales entidades y sociedades radiológicas de España, Europa y EE.UU, receptores de los principales galardones de dichas sociedades radiológicas y editores jefe de sus revistas. Para ello realizamos una amplia búsqueda bibliográfica, contactamos con las sociedades radiológicas de España, Europa y EE.UU y realizamos una encuesta a los principales servicios de radiodiagnóstico de España. Resultados La presencia femenina en radiología va disminuyendo a medida que ascendemos a puestos de liderazgo, situación que se constata tanto en España como en Europa y EE.UU, comparativa que analizaremos en profundidad a lo largo del artículo. En los hospitales españoles en el año 2021 había un 58,1% de mujeres residentes de radiodiagnóstico, 55% de radiólogas, 42,9% de jefas de sección y 24,4% de jefas de servicio. En la historia de la SERAM ha habido un 10% de mujeres presidentas, un 22% de mujeres medallas de oro y un 5% de editoras jefe. Analizando los datos del año 2000 al 2023 el porcentaje de presidentas alcanza el 32% y las mujeres medallas de oro el 31%. Conclusiones Aunque la desigualdad de género está disminuyendo, en radiología las mujeres continúan estando infrarrepresentadas en puestos de liderazgo. Es preciso trabajar para crear una profesión diversa e inclusiva que refleje la realidad demográfica.
Understanding the significant underrepresentation of women in radiology Open PDF
(Elsevier BV, 2026-03)
Peraka, Veena
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Raj, Karuna
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Champine, Julie
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Ozcan, Bersu
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Dogan, Basak
The aim of this systematic review is to highlight the reasons for a significant underrepresentation of women in radiology. We systematically examined the gender disparity within radiology across career stages, including medical school, residency training, and faculty positions. A comprehensive literature analysis was conducted to identify the determinants influencing female medical students' and physicians' pursuit of radiology. Despite women making up approximately half of medical school graduates, their representation in radiology remains disproportionately low. Contributing factors include a scarcity of female mentors and insufficient exposure to radiology during medical training, leading to persistent misconceptions about the specialty. Additionally, female radiology faculty members encounter challenges, including gender bias and difficulty advancing in leadership positions, which contribute to professional dissatisfaction. Strategies like the formation of Women in Radiology groups and institutional initiatives have been established to increase mentorship for female trainees and progression of faculty in their careers. The underrepresentation of women is a concern that warrants attention due to the unique collaborative and empathetic dimensions that women contribute to patient care and education. Throughout their careers, women encounter numerous obstacles that affect their exposure to, involvement in, and satisfaction with the field. Addressing these barriers is crucial for enhancing the presence and influence of women in radiology.
Mind the gap: Gender disparities in authorship in the Journal of Medical Imaging and Radiation Sciences Open PDF
(Elsevier BV, 2024-12)
Bolderston, Amanda
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McCuaig, Carly
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Ghosh, Sunita
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McEntee, Mark F.
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Kiely, Elizabeth
Abstract Introduction Research studies tracking gender and academic publication productivity in healthcare find gender disparities in research activity, publication, and authorship. Article authorship is one of the important metrics to track when seeking to understand gender inequality in academic career advancement. Research on gender disparities in publication productivity in the field of Medical Radiation Science (MRS) is very limited thus this study analyses and explains potential gender differences in article authorship and acceptance for publication in the Journal of Medical Imaging and Radiation Sciences (JMIRS) for a 5-year period (2017–2021). Methods Gender was inferred based on the author's first name or title (e.g., Mr, Mrs or Ms). For those who left the title blank or reported as ‘Dr’ or ‘Prof,’ a series of steps were taken to identify their gender. Where gender was impossible to ascribe, these authors were excluded. Descriptive and inferential statistics are reported for the study population. Descriptive and inferential statistics are used. Percentages of females are reported, and males constitute the other portion. Chi-square, slope analysis and z-tests were used to test hypotheses. Results Results show that female authorship overall and in all categories of authorship placement (i.e., first, last and corresponding) increased over the timeframe reviewed. The percentage gain in the increase was higher than that for male authorship. However, male authorship started from a higher baseline in 2017 and has also increased year on year and overall, as well as in each placement category examined. More female authors were in the MRS sub-specialism Radiation Therapy (RT) than in the other MRS sub-specialisms. Analysis of the acceptance rate of articles with female authors shows a weak downward trend, and this may be related to higher submission and acceptance rates of articles by male authors during the same period. Conclusion Male authors are overrepresented in all categories, which raises questions about the persistence of gender disparities in JMIRS authorship and article acceptance. Positive trends in female authorship indicate progress, yet there is the persistence of the significant under-representation of women in the Medical Radiation Sciences workforce in academic publishing. Recruiting more males to address the gender imbalance in the profession should not be at the expense of females’ career progression. RÉSUMÉ Introduction Les études de recherche portant sur le genre et la productivité des publications universitaires dans le domaine des soins de santé révèlent des disparités entre les genres en matière d'activité de recherche, de publication et de paternité d'articles. La paternité d'un article est l'une des mesures importantes à suivre lorsqu'on cherche à comprendre l'inégalité entre les genres dans l'avancement de la carrière universitaire. La recherche sur les disparités entre les genres dans la productivité des publications dans le domaine des sciences de la radiation médicale (MRS) est très limitée; cette étude analyse et explique donc les différences potentielles entre les genres dans la paternité des articles et l'acceptation pour publication dans le Journal de l'imagerie médicale et des sciences de la radiation (JIMSR) sur une période de 5 ans (2017–2021). Méthodologie Le genre a été déduit sur la base du prénom ou du titre de l'auteur (par exemple, M., Mme ou Mlle). Pour ceux qui n'ont pas indiqué de titre ou qui ont indiqué « Dr » ou « Prof », une série d'étapes ont été suivies pour identifier leur genre. Lorsqu'il était impossible d'attribuer un genre, ces auteurs ont été exclus. Des statistiques descriptives et inférentielles sont présentées pour la population étudiée. Des statistiques descriptives et inférentielles sont utilisées. Les pourcentages de femmes sont indiqués, les hommes constituant l'autre partie. Le chi carré, l'analyse de la pente et les tests z ont été utilisés pour tester les hypothèses. Résultats Les résultats montrent que le nombre d'auteurs féminins dans l'ensemble et dans toutes les catégories de positionnement (c'est-à-dire premier, dernier et correspondant) a augmenté au cours de la période examinée. Le pourcentage d'augmentation est plus élevé que pour les auteurs masculins. Toutefois, les auteurs masculins sont partis d'un niveau de référence plus élevé en 2017 et ont également augmenté d'une année sur l'autre, dans l'ensemble, ainsi que dans chaque catégorie de positionnement examinée. Les femmes auteurs étaient plus nombreuses dans la sous-spécialité radiothérapie (RT) des SRM que dans les autres sous-spécialités des SRM. L'analyse du taux d'acceptation des articles rédigés par des femmes montre une faible tendance à la baisse, qui peut être liée à des taux de soumission et d'acceptation plus élevés pour les articles rédigés par des hommes au cours de la même période. Conclusion Les auteurs masculins sont surreprésentés dans toutes les catégories, ce qui soulève des questions sur la persistance des disparités entre les genres en ce qui concerne l'autorat du JIMSR et l'acceptation des articles. Les tendances positives dans le nombre d'auteurs féminins indiquent des progrès, mais la sous-représentation significative des femmes dans la main-d'œuvre des sciences de la radiation médicale dans les publications universitaires persiste. Le recrutement d'un plus grand nombre d'hommes pour remédier au déséquilibre entre les genres dans la profession ne doit pas se faire au détriment de la progression de la carrière des femmes
Gender disparity among top North American medical schools and their affiliated radiology departments Open PDF
(Elsevier BV, 2025-01)
Ahmadi, Shukria
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Joarder, Ishraq
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Rotter, Lara K
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Hussain, Mehwish
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Yong-Hing, Charlotte J
Purpose This study aimed to evaluate the degree of gender disparity in leadership positions at the top 25 medical schools in North America compared to their affiliated radiology departments. Methods The academic rank and leadership appointment of medical school and radiology faculty were obtained from publicly available official websites between June-November 2022. Gender was determined using self-identified pronouns on website biographies. Alternatively, gender API software was used. Finally, SCOPUS Elsevier was used to extract research output metrics including publication counts, citations, and h-indices. Statistical analysis was conducted using the IBM SPSS Statistics version 25 software. Results 2216 individuals across 25 medical schools were included in this study. 1301 (58.7 %) were part of the medical school and 915 (41.3 %) were part of the affiliated radiology departments. Additionally, 1575 (71.1 %) were identified as men and 641 (28.9 %) as women. Rank biserial correlations showed a significant association between higher academic rank and male gender (rpb = 0.143, p < 0.001) regardless of affiliation (medical school leadership versus radiology faculty); this disparity was largest at the highest academic ranks. Male gender was associated with higher research productivity relative to female gender regardless of affiliation (p < 0.001). There were minimal statistical differences in leadership positions between genders, however the proportion of men holding the position of dean was two times higher than women. Conclusion The underrepresentation of women in academic medicine is prevalent in the top-ranking medical institutions in North America and disproportionately involves senior academic ranks and leadership positions.
Assessing and improving women representation in radiology leadership positions Open PDF
(Elsevier BV, 2025-01)
Sharma, Sonali
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Malik, Aleena
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Matschek, Jessica
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Zaki-Metias, Kaitlin M.
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Gandhi, Rushali
Gender representation remains a critical issue in professions, especially within medical specialties like radiology, where the representation of women in leadership roles significantly lags. Despite a promising increase in women physicians in Canada, reaching 42.7% by 2019, radiology showcases a stark gender disparity, particularly in leadership positions. This article examines the barriers hindering women's advancement in radiology and proposes actionable solutions to cultivate a more equitable environment. It highlights the underrepresentation of women in radiology leadership across the United States and Canada, with women holding significantly fewer senior academic positions and leadership roles. Key barriers include a lack of women role models, gender-based obstacles in research opportunities, and by design discriminatory practices. Solutions proposed include the establishment of mentorship programs, and inclusive policies at multiple organizational levels such as at the level of trainees, faculty and leadership positions including chair of the department. Additionally, policies and initiatives centred on education and training in unconscious bias, the creation of professional groups for women in radiology, and interventions to address unsafe work environments.
Gender‐Based Outcomes in Grants, Prizes and Fellowship Success Rates in Clinical Radiology: A 14‐Year Review of Outcomes in Australia and New Zealand Open PDF
(Wiley, 2025-09-24)
Liu, Jack Edward
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Milner, Lisa
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Shaygi, Behnam
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Stewart, Michael
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Yazdabadi, Anousha
ABSTRACT Introduction While gender disparities in the radiology workforce are well‐documented, there has been no analysis of outcomes for competitive awards in Australia and New Zealand. As formal recognition is critical for career progression, this study aimed to investigate gender‐based differences in application and success rates for grants, prizes and educational fellowships within the Australasian context. Methods We retrospectively reviewed applications for Royal Australian and New Zealand College of Radiologists' (RANZCR) Faculty of Clinical Radiology grants, prizes and educational fellowships from 2011 to 2024. Application and success rates were stratified by gender and compared to College membership demographics. Significance was assessed using Fisher's exact test. Results Across 333 total applications, 227 (68.2%) were from males and 106 (31.8%) from females, closely reflecting College membership gender ratios (69.2% male vs. 30.8% female). No significant gender disparity was found in the success rates for grants (40.3% for males vs. 35.0% for females, p = 0.58), prizes (8.8% vs. 11.1%, p = 0.08) or educational fellowships (36.7% vs. 32.1%, p = 0.32). Application rates for each award type also broadly reflected the gender composition of the College membership. Conclusion This study is the first to examine gender differences in clinical radiology grant, prize and educational fellowship outcomes in Australia and New Zealand. We found no significant disparities in success rates, and application rates generally mirrored College membership, suggesting the award process itself is equitable. However, the continued underrepresentation of women in radiology underscores the need to examine broader structural and sociocultural factors that may impact engagement with competitive academic opportunities.
Gender Trends in Academic Radiology Publication in the United States Revisited Open PDF
(2018)
O'Connor, Erin E.
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Chen, Pauline
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Weston, Brian
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Anderson, Redmond
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Zeffiro, Timothy
RATIONALE AND OBJECTIVES: Although substantial increases in publications by female academic radiologists have appeared over the last several decades, it is possible that the rate of increase is decreasing. We examined temporal trends in gender composition for full-time radiology faculty, radiology residents, and medical students over a 46-year period. METHODS: We examined authorship gender trends to determine if the increases in female authorship seen since 1970 have been sustained in recent years and whether female radiologists continue to publish in proportion to their numbers in academic departments. Original articles for selected years in Radiology and in the American Journal of Roentgenology between 1970 and 2016 were examined to determine the gender of first, corresponding, and last authors. Generalized linear models evaluated (1) changes in proportions of female authorship over time and (2) associations between proportions of female authorship and female radiology faculty representation. RESULTS: While linear increases in first, corresponding, and senior authorships were observed for female radiologists from 1970 to 2000, the rate of increase in female first and corresponding authorships then changed, with the slope of the first author relationship decreasing from 0.81 to 0.34, corresponding to 47% fewer female first authors added per year. In contrast, the proportion of female last authorship continued to increase at the same rate. The proportion of female first authorship was linearly related to the proportion of female radiology faculty from 1970 to 2016. CONCLUSIONS: Annual increases in first author academic productivity of female radiologists have lessened in the past 16 years, possibly related to reductions in the growth of female radiology faculty and trainees. As mixed, compared to homogeneous gender, authorship teams are associated with more citations, efforts to encourage more women to pursue careers in academic radiology could benefit the radiology research community.
Gender Disparity in Chest Radiology in North America Open PDF
(2021)
O'Neill, S.B.
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Maddu, K.
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Jalal, S.
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Yeo, S.
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Khurshid, K.
Purpose: In the current cultural climate, gender disparity is a topical and contentious issue. In academic medicine, there is an underrepresentation of female faculty in leadership positions with lower research output and fewer grant awards. We study the gender differences in faculty rank, leadership positions, and research output among chest radiologists in North America. Materials and Methods: A list of clinical faculty at radiology programs in North America was obtained using the FREIDA database and program websites. Demographic information and data pertaining to academic rank, peer-reviewed publications, and research productivity of each chest radiologist was obtained from Doximity and SCOPUS databases. Results: Four hundred ten (281 male:129 female) academic chest radiologists were included. Females were underrepresented at senior faculty level accounting for 18.8% (n = 21) of full, 29.2% (n = 21) of associate and 40.7% (n = 61) of assistant professors. 23.1% (n = 14) of department chiefs were women. Women were more likely to occupy a faculty position in chest radiology in Canada than in US (P < 0.05). The median H-index, and numbers of publications and citations were lower for females than male faculty (P < 0.05). Male faculty had more years of experience – median of 19 years, 16.5 years for females (P < 0.05). Conclusions: Gender disparity exists in chest radiology with similar male predominance in terms of senior faculty rank, leadership roles, and research productivity to other medical specialties. The observed deficiency of research and scholarly output among female chest radiologists and the paucity of aspirational female radiologists in senior academic/leadership positions are factors which perpetuate this gender disparity and contribute to persistence of the gender pay gap. © 2019 Elsevier Inc.
Gender trends in authorships and publication impact in Academic Radiology—a 10-year perspective Open PDF
(2021)
Molwitz, I.
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Yamamura, J.
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Ozga, A.-K.
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Wedekind, I.
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Nguyen, T.-A.
Objectives: To analyze the development of publication numbers of female authors in high-, medium-, and low-impact radiological journals. Methods: In this bibliometric analysis, gender of the first (FA) and senior author (SA) was assigned to all original research articles and reviews, published in 10 high-, medium-, and low-impact radiological journals in 2007/8 and 2017/18. The adjusted event rate (AER) and adjusted odds ratio (AOR) were calculated using mixed logistic and multinomial logistic regression models to assess and compare female publications according to impact factor, journal, author position, and combination. Results: The proportion of female FA and female SA in N = 6979 (2007/2008) and N = 7383 (2017/2018) articles increased to 29.1% and 16.1% in 2017/2018, respectively. While most female authorships were continuously observed in medium-impact journals, the strongest increase occurred for both female FA (AOR 2.0; p <.0001) and SA (AOR 2.1; p <.0001) in low-impact journals. Female SA published significantly more often in a low- (AOR 1.5) or medium- (AOR 1.8) than in a high-ranking journal. Among the high-ranking journals, female FA published most frequently in European Radiology (32.4%; 95% CI [29.3–35.8]; p <.0001), female SA in Investigative Radiology (15.9%; 95% CI [13.7–18.4]; p <.0001). Male same-sex authorships decreased (AOR 0.9), but remained at least twice as common as all-female or mixed authorships. Conclusion: The increase in female authorship is reflected in all impact areas. Female FA and SA increased most in low-ranking journals but are most common in medium-ranking journals. Female SA remain rare, especially in high impact journals. Key Points: • Compared to the proportion of female radiologists worldwide, female senior authors are underrepresented in all impact areas, in particular in high-impact journals. • Among the included high-ranking radiological journals, female first authors and senior authors were strongest represented in European Radiology and Investigative Radiology, while across all impact areas they mostly published in medium-ranking journals. • Female author combinations were more frequent in low- and medium- than in high-ranking journals, whereas male author combinations remained more common than female senior author collaborations in all impact areas. © 2021, The Author(s).
Assessing the gap in female authorship in the journal Emergency Radiology: trends over a 20-year period Open PDF
(2017)
McKenzie, K.
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Ramonas, M.
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Patlas, M.
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Katz, D.S.
Purpose: To examine trends in female authorship in the journal Emergency Radiology from January 1994 to December 2014. Methods: We obtained institutional review board approval for our study. We retrospectively reviewed a total of 1617 articles published in the journal Emergency Radiology over a 20-year period. Original articles, case reports, review articles, and pictorial essays were included. The first and last position author’s gender was categorized as female or male. We analyzed trends by comparing the first and last position authors of original articles from the first and last year reviewed. We utilized Chi-square test for statistical analysis, with a p value <0.05 noted as significant. Results: One thousand four hundred twenty articles met our inclusion criteria. There were 1420 first position authors and 1295 last position authors. There were 125 articles that had a sole author—these authors were considered as first position authors only. We determined, as best as possible, the gender of 96% of the authors. Overall, female authors were 21% of first position authors (290 of 1368) and 15% of last position authors (183 of 1246). Thirty-two percent of articles with female last position authors also had female first position authors (58 of 183). There was a statistically significant increase in female last position authors, from 12.9% in 1994 to 21.3% in 2014 (p = 0.026), a non-significant increase in female first position authors, from 17.5% in 1994 to 20.9% in 2014 (p = 0.514), and a non-significant increase in articles with both a first and last female author, from 25% in 1994 to 35% in 2014 (p = 0.593). Conclusion: Over the last 20 years, there has been a statistically significant upward trend in female last position authors publishing in the journal Emergency Radiology. © 2017, American Society of Emergency Radiology.

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