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  • Item type:Publication,
    Assessing Progress: An Integrated Review of LGBTQ+ Faculty Experiences in Higher Education 2010–2025 Open PDF 
    (Informa UK Limited, 2026-08-26)
    Garcia, Ellen
    ;
    Hassouneh, Dena
    The objective of this review was to synthesize and assess the empirical research about experiences of LGBTQ+ faculty in higher education published between January 2010 and March 2025 to evaluate progress made in addressing research gaps identified in a seminal 2010 review. Researchers have made notable progress by conducting more studies and increasingly using critical theoretical frameworks to examine the experiences of LGBTQ+ faculty. Through our analysis we identified three core themes: (1) Influence of work climate on LGBTQ+ faculty experiences: How institutional environments influence LGBTQ+ faculty well-being and success; (2) Discrimination affects LGBTQ+ faculty work experiences: Persistent homophobia, heterosexism, sexism, and racism impact LGBTQ+ faculty; (3) LGBTQ+ faculty responses: LGBTQ+ faculty use strategies for resilience and advocacy to navigate their work climates. Our findings indicate a greater need for academia and its leaders to value and support research about experiences of LGBTQ+ faculty. We also found that despite DEI initiatives, institutional climates often remain a source of discrimination for LGBTQ+ faculty, suggesting these efforts are symbolic rather than effective. Amid rising anti-LGBTQ+ legislation and a backlash against DEI efforts, we underscore the need for organizational leaders to urgently implement meaningful, systemic change.
  • Item type:Publication,
    Inclusive universities: promoting gender equality and sex-gender diversity Open PDF 
    (Frontiers Media SA, 2026-02-12)
    Sánchez Torrejón, Begoña
    ;
    Machín Álvarez, Macarena
    INTRODUCTION: This study investigates the implementation of gender equality and sex-gender diversity policies in a higher education context, within the G-FORCE Project funded by Erasmus+. METHODS: Two focus groups (N = 20) were conducted with participants from the academic community, administrative staff, research personnel, and external stakeholders, ensuring diverse generational and gender representation. Data were collected through guided focus group discussions, transcribed, and analyzed using reflexive thematic analysis with an interpretive approach. RESULTS: Three dimensions emerged: (1) knowledge and awareness of gender equality and sex-gender diversity, (2) institutional practices and university policies, and (3) university culture. Results indicate that although participants are aware of existing protocols and training, these initiatives are perceived as isolated, minimally innovative, and largely symbolic. CONCLUSION: A gap exists between formal policies and actual practices, reflecting a bureaucratic culture that limits inclusive transformation. Resistance is present among faculty and students committed to equality, yet systemic barriers persist. The study concludes that effective inclusion requires structural change, curricular integration of inclusive perspectives, creation of safe spaces, participatory governance, and alignment of institutional culture with gender equality and sex-gender diversity.
  • Item type:Publication,
    Gender disparities in gastroenterology and hepatology conferences: The journey towards equality Open PDF 
    (Springer Science and Business Media LLC, 2024-06-27)
    Devi, Jalpa
    ;
    Butt, Amna Subhan
    ;
    Rai, Lajpat
    ;
    Kumar, Jatin
    ;
    Memon, Sadik
    Background: This study scrutinizes gender representation in invited faculty and conference committee leadership at key gastroenterology and hepatology conferences in Pakistan over five years, exploring the impact of the "glass ceiling" and "sticky floor" phenomena on gender diversity within academic medicine. Methods: This cross-sectional study was conducted between January and March of 2023. The three major national societies of gastroenterology and hepatology in Pakistan that had been established for more than 10 years and the scientific programs of their annual conferences, which were publicly accessible, were included and coded as Society 1, Society 2 and Society 3 to maintain anonymity. The scientific programs for the last five years (2018-2022) were retrieved. The roles of invited faculties were identified as invited speakers, moderators, chairs/panelists, presidents and chairs of organizing or scientific committees and the gender makeup of the faculty was compared. Regression analysis was used to evaluate the trends for female representation over time for each role. Results: Significant gender disparity was evident by an extremely lower cumulative proportion of female invited faculty compared to males (211 [11.9%] vs. 1567 [88.1%], p 0.001). The predominance of invited male faculty was observed across all societies as well as in various roles of invited faculty (p 0.01). A significant disparity has also been observed in leadership positions of all three societies (43 [95.5%] males vs. 2 [4.5%] females, p 0.001), while the trend of women's underrepresentation across all societies remained almost unchanged over time (slope = 0.08, R2 = - 0.078, p-value = 0.875). Conclusion: Our study unveils striking gender disparities in women's representation as invited speakers and other roles at the annual scientific conferences of major gastroenterology and hepatology. Additionally, male dominance remains entrenched, notably in leadership positions, necessitating a proactive, multifaceted approach to rectify gender inequities.
  • Item type:Publication,
    Teaching, service, and leadership: exploring gender inequities in Saudi pharmacy academia Open PDF 
    (Frontiers Media SA, 2025-12-11)
    Almaghaslah, Dalia
    Background Gender equity remains a global challenge in academic pharmacy, with disparities documented in rank, leadership, and workload distribution. However, limited evidence exists from Middle Eastern contexts where unique structural and cultural factors, such as gender segregation, shape faculty experiences. Objective This study examined gender equity perceptions among faculty at a Saudi college of pharmacy, focusing on workload distribution, access to resources, classroom experiences, and advancement opportunities, and compared findings with national data from the AACP-APhA Gender Equity Task Force. Methods A cross-sectional survey adapted from the AACP-APhA Gender Equity Task Force instrument was administered to pharmacy faculty. The survey measured perceptions of equity across domains including teaching, research, service, student interactions, mentoring, leadership, and promotion. Responses were analyzed using chi-square tests to identify gender differences. Results Significant gender differences were identified across multiple domains. Female faculty reported heavier teaching workloads, less access to research resources, and greater service obligations compared to male colleagues. They also perceived significant disparities in classroom civility ( p = 0.0052), student respect, and teaching evaluations ( p = 0.0451), with students perceived as treating male faculty more favorably. Leadership opportunities, promotion, and peer respect also significantly favored men. These findings are consistent with national data, reinforcing that inequities in academic pharmacy are systemic rather than context-specific. Conclusion Women faculty in Saudi pharmacy education face structural and cultural barriers, compounded by implicit student bias, that limit their time for scholarship and affect their career advancement. Institutional interventions, including equitable workload distribution, resource allocation, bias training, and mentorship programs, are essential to promote gender equity and ensure a supportive academic environment.
  • Item type:Publication,
    Fostering trustworthy dialogue on race, ethnicity and gender in a mentoring and leadership program for academic medicine faculty Open PDF 
    (Springer Science and Business Media LLC, 2025-12-30)
    Pololi, Linda
    ;
    Brimhall-Vargas, Mark
    ;
    Mojto, Alison Milofsky
    Background Inequity and marginalization of faculty historically underrepresented in academic medicine persist. As medical schools seek to increase the diversity and success of all their faculty, there is a need for effective change activities to address racism and sexism in medicine. We present an evaluation of an exercise aimed at enhancing cross-cultural awareness and valuing of diversity that was embedded in a faculty mentoring and leadership program in academic medicine. Most cross-cultural training fails to include opportunity to practice these difficult conversations in a diverse group. Methods Participants were 80 MD and PhD multidisciplinary medical school faculty who participated in five implementations of the yearlong C-Change Mentoring and Leadership Institute between 2018 and 2023. 43% of faculty were from underrepresented racial and ethnic groups, 60% were female, 65% were physicians and 35% had a PhD degree. We conducted a qualitative analysis of written and oral faculty responses to a collection of verbatim quotations of underrepresented minority and female faculty that described experiences of being discriminated against in the workplace. Thematic analysis of written and oral data was inductive, allowing themes to emerge from the data. Results Themes that emerged in the data from these facilitated conversations were: increased awareness of racism, recognition of lack of knowledge; connection, shared experience, and empathy; blame, judgment, dismissiveness, and deflection; focus on solutions/paths for change; the nature of prejudice; and reflection on their role in the system. The themes in participant responses illustrated the developmental stages of identity awareness in White and underrepresented minority persons. Participating faculty were able to productively engage in difficult conversations across race, ethnicity and gender. Conclusions The facilitated exercise engendered reflection, dialogue and learning about racism, sexism and identity development. Such exercises can open spaces of possibility for change at the individual level as well as the creation of inclusive cultures necessary for systemic change to occur.
  • Item type:Publication,
    The Status of Women in Academic Medicine, and Particularly in Neurosurgery, in a Developing Country, Türkiye Open PDF 
    (Elsevier BV, 2026-02)
    Aslan, Ayfer
    ;
    Bulduk, Erkut B.
    OBJECTIVE: Women have always faced inequality in academic medical careers in Türkiye as well as the rest of the world. However, to date, no definitive data has been published regarding the representation rate of women in academic medicine in Türkiye. The aim of this study is to reveal the status of women in faculty and leadership positions in academic medicine in Türkiye. METHODS: This is a cross-sectional observational study conducted through websites of the Council of Higher Education (YOK) in Türkiye and medical faculties accredited by YOK as of October 2025. RESULTS: There were 132 medical schools in Türkiye. Women constituted 41% of all faculty members, 37% of professors, 42% of associate professors, 44% of assistant professors, 57% of lecturers, and 50% of residents in medical faculties in Türkiye. Among leadership positions, there were 26 (21%) women deans, and 98 (46%) women vice deans. Women comprised 35% of the faculty administrative committees and 35% of faculty boards. 25% of chairpersons of medical sciences divisions, and 35% of department heads were women. Regarding women in Neurosurgery, only 6% (n=25) of faculty and 5% (n=5) of department heads in neurosurgery were women. Among neurosurgery faculty, women comprised only 2% (n=3) of full professors, 6% (n=5) of associate professors, 9% (n=14) of assistant professors, and 27% (n=3) of lecturers. There were 45 (28%) female residents in neurosurgery. CONCLUSIONS: Gender equity has not yet been achieved in academic medicine in Türkiye. More effective policies promoting gender equality should be implemented by the authorities.
  • Item type:Publication,
    Exploring gender disparities in academic orthopaedic surgery faculty: analyzing subspecialty and leadership diversity to foster inclusivity Open PDF 
    (Springer Science and Business Media LLC, 2025-07-11)
    Anand, Malini
    ;
    Julian, Kaitlyn R.
    ;
    Mulcahey, Mary K.
    ;
    Wong, Stephanie E.
    Background The historic gap in gender diversity within orthopaedic surgery is widely acknowledged and continues to persist. The lack of female representation in orthopaedic surgery has been attributed to a variety of factors, including the absence of female mentors and leaders within the field. As such, we sought to examine the gender diversity among orthopaedic surgery faculty in various subspecialties at academic institutions and the distribution of female faculty in positions of leadership. Methods The American Medical Association Fellowship and Residency Electronic Interactive Database (FREIDA) was used to identify all allopathic orthopaedic surgery residency programs during the 2022 to 2023 academic year. The total number of faculty, and distribution of female faculty by subspecialty were collected from January to March 2023. The mean and percentage of female faculty in each subspecialty per program was calculated. Results The total number of orthopaedic surgery female faculty identified was 524. The subspecialty with the highest percentage of female faculty per program was pediatrics at 26.1% (148/511). Hand (18.6%; 113/511), oncology (19.2%; 38/511), foot and ankle (13.6%; 49/511), spine (3.9%; 21/511), shoulder and elbow (7.4%; 7/511) and adult reconstruction (3.7%; 24/511) had lower percentages of female faculty per program. A total of 52 (10.2%) female section chiefs were identified across all programs. Oncology had the highest percentage of female faculty represented in section leadership at 18.4% (7) and sports medicine had the lowest at 4.8% (4). Conclusion Gender diversity of faculty in orthopaedic surgery is low with adult reconstruction (3.7%), spine (3.9%), and shoulder and elbow (7.4%) having the lowest percentages of female faculty. The percentage of female faculty represented in section leadership is also lacking with a total of 52 (10.2%) female section chiefs identified across all programs. Increasing the number of females in leadership positions across all orthopaedic subspecialties may be one step in helping improve gender diversity in the field.
  • Item type:Publication,
    Advancing Women Physicians in Academic Medicine: A Scoping Review Open PDF 
    (2025)
    Purpose: Multiple studies have described higher rates of attrition for women in academic medicine, but actionable strategies to retain women in the field have not been well studied in the current era. This study reviewed the existing literature for studied interventions to support the advancement of women physicians in academic medicine. Method: A scoping review was conducted by searching the PubMed, Embase, and Scopus databases for articles describing interventions intended to support women physicians on September 12, 2022, and updated on August 23, 2024. All articles from inception of the databases through the search dates were included. Search terms included female physician , mentoring , leadership , career development , job satisfaction , advancement , and synonyms. Articles related to inequities in patient care, interventions related to nonphysician health care workers, and studies describing sexism without measured solutions were excluded from the analysis. Kirkpatrick's framework for the evaluation of educational programs was used to further classify results by 4 levels of evaluation for an educational or training program: reaction, learning, behavior, and results. Results: A total of 2,813 articles underwent abstract screening and full-text review, with 64 articles included in the final analysis. Seven studies (10.9%) were randomized controlled trials. Only 2 studies (3.1%) specifically examined mid- or late-career women. Career development programs (15 [23.4%]), mentorship programs (10 [15.6%]), and women's interest groups (7 [10.9%]) were the most described interventions. Outcome measures were most commonly satisfaction with the intervention (22 [34.4%]), self-perceived improvement in skills (17 [26.6%]), and representation or recruitment of women into a field (12 [18.8%]). Conclusions: This study describes 64 articles of studied interventions to support the advancement of women in medicine. Additional studies are needed and should emphasize rigorous study methods, a focus on institutional solutions, and identifying and targeting the needs of women physicians beyond their early career.
  • Item type:Publication,
    Expanding focus: reimagining and broadening women’s leadership programs in academic medicine Open PDF 
    (Oxford University Press (OUP), 2025-12-03)
    Iyer, Maya S
    ;
    Jagsi, Reshma
    ;
    Singer, Kanakadurga
    ;
    Overholser, Barbara
    ;
    Spector, Nancy D
    In light of increasing legislation aimed at prohibiting diversity, equity, and inclusion (DEI) efforts at publicly funded universities in the United States, women-only leadership programs (WOLPs) have come under increasing pressure, which could undermine gender equity advancements, particularly in academic medicine. Women-only leadership programs have traditionally offered a unique advantage for women over mixed-gender leadership programs by fostering psychologically safe spaces to share experiences, teaching leadership competencies while using a gender equity lens in areas where it makes sense, and providing essential support in the form of mentorship and sponsorship. Women-only leadership program participation is also ­associated with increased promotion rates, retention rates, and leadership roles. Given the current political environment, this is a pivotal moment—and a key opportunity—to elevate the work of WOLPs by expanding their reach to include all individuals who can benefit from their programming and help build a more inclusive and equitable field. To this end, WOLPs must reimagine, reframe, and rebrand their work to continue cultivating the future generation of health care leaders, focusing on a central tenet of WOLPs: different people have different experiences and are treated differently. As the national focus on DEI work evolves, it is imperative that WOLPs evolve and expand spaces for leadership development for all talented individuals to ensure that there continues to be progress in gender representation and leadership advancement.
  • Item type:Publication,
    The proportion of male and female editors in women's health journals: A critical analysis and review of the sex gap Open PDF 
    (2020)
    Grinnell, Madison
    ;
    Higgins, Shauna
    ;
    Yost, Kelli
    ;
    Ochuba, Olivia
    ;
    Lobl, Marissa
    BACKGROUND: Historically, women have been underrepresented in leadership positions in medicine. The reasons for this are multifactorial. In recent years, women's representation in medicine has improved. However, inequities in the proportion of men and women in medical leadership remain, especially with regard to editorial journal boards. OBJECTIVE: This study aimed to explore current trends of women in leadership positions on journal editorial boards. METHODS: A comprehensive search for women's health journals was performed in collaboration with university librarians in February 2019 using EMBASE, Scopus, SciFinder, and MEDLINE records for journals with relevance to women's health. Each journal was e-mailed to verify the accuracy of the journal editorial boards listed on their respective webpages. Five categories, as well as the totals for each journal, were analyzed for the proportion of women versus men: editor-in-chief, associate editor, deputy editor, and section editor, and other. RESULTS: Women comprised the minority of positions on women's health editorial boards. Of the total 1440 board members included, 602 members (42%) were women and 838 members (58%) were men. Women occupied 54 of 132 editor-in-chief positions (41%), 257 of 596 associate editor positions (43%), 13 of 42 deputy editor positions (30%), 46 of 120 section editor positions (38%), and 232 of 549 other editor positions (42%). CONCLUSION: Although the sex gap in leadership in medicine is improving, it is still present. Our findings suggest that women are underrepresented as editors at most levels in women's health journals centered on topics such as reproductive health, obstetrics and gynecology, perinatology, gynecological oncology, and breastfeeding. With sponsorship/mentorship for women, flexible scheduling, and considerate thought in leadership appointment, this sex gap will continue to improve.