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  • Item type:Publication,
    The Leadership Ceiling in Global Radiology: A 2024–2026 High-Throughput Algorithmic Audit of Gender Representation in Senior Authorship Open PDF 
    (Elsevier BV, 2026-07)
    Wang, Tanche (Jimmy)
    Rationale and objectives: To establish a 2026 global benchmark for senior authorship gender representation in high-impact imaging journals and identify structural barriers to digital metadata visibility. Materials and methods: An algorithmic audit analyzed 6454 publications from seven leading radiology journals compiled between January 2024 and February 2026. Senior author gender was inferred utilizing the validated gender-guesser name-inference engine. Pearson's Chi-squared test compared gender distributions across journals. A dynamic, web-based dashboard was developed using a Python-Streamlit framework to facilitate continuous, live data exploration. Results: The global female senior authorship rate across successfully classified data was established at 17.70% (1144/3717). Significant variation was found by journal (x2=34.19, p < 0.0001). The Journal of the American College of Radiology (JACR) demonstrated the highest representation (37.17%), while technical subspecialty journals showed lower parity. A profound "Metadata Gap" was identified, with 42.42% (2737/6454) of the total cohort lacking identifiable gender markers or sufficient name strings in professional publishing summaries to allow for algorithmic inference. Conclusion: A profound gender gap persists in global senior research leadership within imaging specialties. Enhancing publishing metadata hygiene is an essential step for accurate institutional equity tracking. Informatics-driven auditing via live dashboards provides a scalable roadmap for modern departmental and institutional accountability.
  • Item type:Publication,
    A longitudinal analysis of gendered career trajectories and academic efficiency in North American MD/PhD faculty Open PDF 
    (Informa UK Limited, 2026-05-28)
    Quon, Stephanie
    ;
    Joseph, Marissa
    ;
    Khosa, Faisal
    Gender disparities in academic medicine persist despite increasing women's representation in higher education. Prior research highlights the underrepresentation of women in senior ranks and leadership roles, yet few studies have assessed these disparities using time-adjusted productivity metrics. This study aims to evaluate gender-based differences in academic rank, scholarly productivity, and leadership representation among MD/PhD faculty in North America, accounting for career length and institutional variability. A secondary analysis was conducted on a dataset of 6,149 MD/PhD faculty from 122 accredited North American medical schools. Time-adjusted measures of productivity, H-index per year and citations per year, were calculated. Gender differences in rank, productivity, and leadership were assessed using Mann-Whitney U tests and descriptive statistics. Institutional-level representation of women in leadership roles was also analyzed. Women held significantly lower academic ranks than males and were underrepresented in departmental leadership roles. Despite achieving assistant and full professorships earlier, women were overall less likely to reach these positions. Males exhibited higher time-adjusted H-index and citation rates (p < .0001), with a compounded 3.5-year publication gap. Institutional analysis revealed stark variability: 38 institutions had no women in MD/PhD leadership roles, while fewer than 20 percent achieved gender parity. Gender disparities in academic medicine cannot be explained by productivity alone. Structural barriers, opaque promotion criteria, and institutional cultures continue to impede women's advancement and leadership. Addressing these inequities requires transparent policies, targeted mentorship, equity audits, and inclusive leadership pathways to support a more equitable academic workforce.
  • Item type:Publication,
    Advancing gender equity in gynecology and obstetrics: perspectives from the German workforce Open PDF 
    (Springer Science and Business Media LLC, 2025-08-27)
    Neuhold, Jasmin
    ;
    von Versen-Höynck, Frauke
    PURPOSE: Despite the high proportion of women in medical education and clinical training, female physicians remain underrepresented in leadership and academic positions in Gynecology and Obstetrics in Germany. This study investigates structural and cultural factors contributing to this disparity and highlights trends in workforce composition and recognition in the field. METHODS: We conducted a descriptive, cross-sectional analysis using publicly available data from the German Federal Statistical Office and the German Medical Association (2004-2024), as well as database from the German Society for Gynecology and Obstetrics (DGGG). RESULTS: In 2023, women comprised 73% of gynecologists in Germany. Female representation declined with advancing career stage. In 2024, 82% of resident physicians at German university hospitals were women, while they held 26% of department head positions in Gynecology and Obstetrics. Female membership in the DGGG reached 75%, with 40% on the executive board. In 2022, 65% of major awards went to men, while women received most poster and lecture prizes (61%) at the biannual conference. CONCLUSIONS: While gender diversity in the clinical workforce has improved, systemic inequities persist in academic and leadership domains. Addressing these requires structural reforms, increased transparency in recruitment and promotion processes, and targeted programs supporting women's professional advancement. Enhanced visibility, mentorship, and inclusive institutional policies are essential to ensure gender-equitable development in the specialty.
  • Item type:Publication,
    Gender Disparities in Interventional Pain Medicine: Representation, Leadership, and Compensation Open PDF 
    (Wiley, 2026-05-06)
    Catalanotto, Marissa
    ;
    Kim, Serena Jiyeon
    ;
    Javed, Saba
    INTRODUCTION: Despite increasing representation of women in medicine overall, significant gender disparities persist in procedural specialties such as interventional pain medicine. Women remain underrepresented as speakers at national pain conferences and in leadership roles. Additionally, a pay gap between female and male pain physicians remains. This study aims to objectively demonstrate the above-mentioned inequities. METHODS: National conference faculty were analyzed across five major pain societies (ASRA, NANS, AAPM, ASIPP, ASPN) from 2020 to 2024 annual conference agendas. Gender was assigned based on publicly available information. Leadership roles were assessed by identifying the gender of pain fellowship program directors and pain medicine department chairs. Lastly, using the Association of American Medical Colleges (AAMC) Faculty Salary Report (2021-2024), we examined the compensation gap and difference in salary growth rates between genders. RESULTS: Across national conferences, only 25% of speakers were female, with ASRA demonstrating the most consistent female representation. Of the pain medicine fellowship programs studied, there were 36 (32.7%) female program directors and 25 (23.8%) female department chairs. Programs led by female program directors had significantly higher proportions of female faculty (OR = 1.97, CI [1.45, 2.68], p < 0.0001). Salary data revealed that at every academic rank, women in pain medicine faculty earned less than their male counterparts. Additionally, there is a statistically significant difference between the salary growth rates of male and female associate professors between 2021 and 2024 (F = 12.25, p < 0.05). CONCLUSION: Substantial gender disparities remain in visibility at national conferences, academic leadership, and compensation in pain medicine. Female-led academic programs demonstrate more gender-diverse faculties, highlighting the importance of representation in leadership. Focused efforts are needed to promote mentorship, equitable hiring, and transparency in pay and speaking opportunities to foster a more inclusive field.
  • Item type:Publication,
    Closing the gap?—Trends in women’s full professorship at the medical faculty of the University of Rostock 1563–2018 Open PDF 
    (Springer Science and Business Media LLC, 2026-04-22)
    Bindrich, Sabrina
    ;
    Wille, Nico
    BACKGROUND: This study analyses the representation of female full professors at the Medical Faculty of the University of Rostock (UMR) between 1563 and 2018 based on the Catalogus Professorum Rostochiensium, while also examining the career paths and personal background of the professors. METHODS: The data for this study was acquired from the Catalogus Professorum Rostochiensium (CPR), a biographical online lexicon, the university archive and the statistical department of the University of Rostock. Descriptive Statistics, the Mann–Whitney-U-Test and the Kruskal–Wallis-Test for independent samples followed by pairwise comparison with Bonferroni correction were used to analyse differences between subgroups like epochs and male or female professors. RESULTS: The dataset includes 295 professors, 279 (94.57%) listed as male and 16 (5.42%) as female. There were no female full professors until 1964. While women are overrepresented in the lower ranks of academia, they remain underrepresented in the highest ranks: In 2018, 63.16% of students, 59.69% of the faculty’s graduates, 59.50% of newly graduated doctors and 33.33% of habilitations were women, while only 10.94% of professors at the UMR were female. In comparison, in 2018 female professors accounted for 23.69% of all professors in medicine in Germany. The first initiative for the promotion of women at the UMR mentioned in the archive files dates to 1962. The stomatological clinic was the first to create personalized development plans for women in academia and in total there were more female professors in orthodontics than male ones. Over the course of the study period, the proportion of female professors at the medical faculty increased noticeably, which is also reflected in a significant difference in appointment years between male and female professors (p < 0.001). In 1985, 9.76% of professors were women, while 55.90% of students were female. By 2024, these figures had risen to 18.31% of professors and 69.38% of students, respectively. CONCLUSION: Though significant progress has been made, further systematic changes are needed to achieve gender equity at the UMR. To make this possible, consequent initiatives by leaders, sufficient resources and continuous re-evaluation are needed.
  • 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,
    Sex Disparities in Spine Surgeon Leadership of Clinical Trials for Degenerative Spine Disease Research Open PDF 
    (Ovid Technologies (Wolters Kluwer Health), 2025-08-28)
    Silvestre, Jason
    ;
    Walker, Jasmine J.
    ;
    Kang, James D.
    ;
    Ravinsky, Robert A.
    ;
    Lawrence, James P.
    Introduction: Despite increasing awareness, women remain underrepresented in academic spine surgery. This study assessed whether women were equitably represented among spine surgeon PIs of clinical trials for degenerative spine disease research. Methods: This was a retrospective cohort study of spine surgeon principal investigators (PIs) in the United States (2015 to 2022). ClinicalTrials.gov was queried for the most common diagnoses and surgeries for degenerative spine diseases. Characteristics of spine surgeon PIs were collected from academic profiles. Participation-to-prevalence ratios (PPRs) were calculated for men and women PIs relative to their prevalence among spine surgery faculty at accredited training programs. A PPR of 0.8 to 1.2 indicated equitable sex representation. A PPR <0.8 was defined as underrepresentation and >1.2 as overrepresentation. Results: In total, 129 spine surgeon PIs of 91 clinical trials were included in this study. Overall, there were 125 male (97%) and four female (3%) spine surgeon PIs. Overall, women were underrepresented among spine surgeon PIs (PPR = 0.64), whereas men had equitable representation (PPR = 1.02). From 2015 to 2018, female spine surgeons were underrepresented (PPR = 0.33), but achieved equitable representation from 2019 to 2022 (PPR = 0.95). Male spine surgeons had consistently equitable representation across the study period (PPR range 1.00 to 1.03). Women had equitable representation at assistant (PPR = 1.08) and associate (PPR = 0.31) professor ranks, but were underrepresented at the full professor rank (PPR = 0). PIs were funded by industry (54%), academic institution (44%), and US Federal (2%) sources. No differences were observed in funding sources by sex ( P = 0.36). Discussion: There are a limited number of female spine surgeon PIs for degenerative spine disease clinical trials, which may have negative implications on the vitality of the specialty moving forward. Future investigations are needed to understand the barriers women face in obtaining clinical trial leadership positions.
  • Item type:Publication,
    Gender disparity among top North American medical schools and their affiliated radiology departments Open PDF 
    (Elsevier BV, 2025-01)
    Ahmadi, Shukria
    ;
    Joarder, Ishraq
    ;
    Rotter, Lara K
    ;
    Hussain, Mehwish
    ;
    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.
  • Item type:Publication,
    Assessing and improving women representation in radiology leadership positions Open PDF 
    (Elsevier BV, 2025-01)
    Sharma, Sonali
    ;
    Malik, Aleena
    ;
    Matschek, Jessica
    ;
    Zaki-Metias, Kaitlin M.
    ;
    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.