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  • 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,
    Research production in high-impact journals of contemporary neuroscience: A gender analysis Open PDF 
    (2017)
    González-Álvarez, J.
    ;
    Cervera-Crespo, T.
    Neuroscience or Neural Science is a very active and interdisciplinary field that seeks to understand the brain and the nervous system. In spite of important advances made in recent decades, women are still underrepresented in neuroscience research output as a consequence of gender inequality in science overall. This study carries out a scientometric analysis of the 30 neuroscience journals (2009–2010) with the highest impact in the Web of Science database (Thomson Reuters) in order to quantitatively examine the current contribution of women in neuroscientific production, their pattern of research collaboration, scientific content, and the analysis of scientific impact from a gender perspective. From a total of 66,937 authorships, gender could be identified in 53,351 (79.7%) of them. Results revealed that 67.1% of the authorships corresponded to men and 32.9% to women. In relative terms, women tend to be concentrated in the first position of the authorship by-line (which could be a reflection of new female incorporations into neuroscience research publishing their first studies), and much less in the last (senior) position. This double pattern suggests that age probably plays a role in (partly) explaining gender asymmetry, both in science in general and in neuroscience in particular. © 2016 Elsevier Ltd
  • Item type:Publication,
    Visibility and representation of women in multiple sclerosis research. Open PDF 
    (2019)
    Thomson, Alison
    ;
    Horne, Rachel
    ;
    Chung, Christine
    ;
    Marta, Monica
    ;
    Giovannoni, Gavin
    OBJECTIVE: To establish the gender distribution of multiple sclerosis (MS) researchers across high-impact neurologic publications, MS-specific journals, and the European Committee for Treatment and Research in MS (ECTRIMS). METHODS: Journal editorial boards and contents were retrieved online to assess first-named and senior authors. Published tables of contents for each journal from 2017 were reviewed. Congrex, the ECTRIMS organizers, were contacted and speaker names were obtained from online abstracts to assess visible opinion leaders. RESULTS: A total of 2,080 articles were analyzed across 4 general neurology journals, and 452 across 2 MS journals. Overall, 36% of general neurology articles had a female first name author and 25% had a female senior author. In MS-specific journals, 44% of first authors and 35% of senior authors were female, with similar proportions of unique authors. There is limited female representation on the ECTRIMS executive board, but reasonable balance on Council. Almost 50% of attendees in 2017 were female, but only 35% of invited speakers. CONCLUSIONS: There is substantial female drop-off between junior and senior research level across multiple areas. Strategies to support gender balance are urgently required, including developing mentorship schemes, ensuring gender balance in conferences, and thorough examination of the barriers facing female academics with direct challenges to address unconscious bias.
  • Item type:Publication,
    Assessing the Gap in Female Authorship in Neurosurgery Literature: A 20-Year Analysis of Sex Trends in Authorship Open PDF 
    (2020)
    Farhan, S.A.
    ;
    Shahid, I.
    ;
    Siddiqi, J.
    ;
    Khosa, F.
    Background: Publications are considered a major factor for advancement in academia. An effort has been made to study authorship trends in neurosurgery publications. The objective of this study was to investigate authorship trends in the neurosurgery literature for the last 20 years (1998–2018). Methods: Articles for the years 1998, 2008, and 2018 were extracted from Neurosurgery, Journal of Neurosurgery, and World Neurosurgery for this retrospective study. Only original articles, case reports, and review articles were included. The gender of the first, senior, and corresponding author was determined. Subspecialty topic, type of paper, geographic origin of articles, and the number of citations for each article were also collected. Results: A total of 3912 articles were included. The number of articles, the total number of authors, and nonexperimental studies increased in the successive decades. A total of 744 women (19.0%) were first authors and 520 (13.3%) were senior authors of their respective publications. A decreasing trend (P < 0.05) was noted between female first authors and male senior authors over time. All 3 journals showed an increasing pattern of female authorships across the 2 decades. Conclusions: A rapid rise in female authorship positions in particular and authorship positions in general demonstrates the diversity that is slowly burgeoning to cater to perspectives and issues that require a multidimensional approach in neurosurgery. Increasing linkages among researchers in neurosurgery on a global scale are evident by the increase in multinational collaborations. Expansive efforts are needed at institutional and individual levels to eradicate sex-based pitfalls that hinder excellence in neurosurgery research. © 2020 Elsevier Inc.
  • Item type:Publication,
    Social Perception and Academic Trends on Women in the Field of Neurosurgery: A Bibliometric Analysis Open PDF 
    (2021)
    Carpenter, K.
    ;
    Scullen, T.
    ;
    Mathkour, M.
    ;
    Dumont, A.S.
    ;
    Biro, E.
    Background: The ongoing trend of societal evolution in contemporary civilization has allowed increased inclusion of heterogenous identity groups into fields, such as neurosurgery, where certain groups have traditionally been underrepresented. In regard to the field of neurosurgery, the increasing recognition of the disparities faced by women is illustrated by a growing body of academic literature. Methods: We conducted a bibliometric analysis querying the PubMed, Web of Science, Scopus, and Embase databases for articles on women in neurosurgery using the MeSH terms “woman,” “women,” “gender,” neurosurgery,” neurological surgery,” and “neurosurgeon.” Articles were excluded if they did not concern societal impact of nonmale population in the context of neurosurgery. Total citations, mean citations per year, publishing journal information, and author demographics were abstracted from included reports. Associations between abstracted continuous variables were evaluated using the Pearson correlation coefficient. Derived P values < 0.05 were taken as significant. Results: A total of 49 articles were included. Total numbers of citations per report were positively associated with mean citations per year (r = 0.7289, P = 0.0253), the latter of which was slightly negatively associated with the age of the report (r = −0.0413, P = 0.0009). Age of publication year was found to be negatively correlated with the number of reports published per year (r = −0.648, P = 0.0066). Total citations per reports were significantly correlated with increased numbers of citations during the last completed calendar year (2019: r = 0.8956, P = 0.0397). Conclusions: Recognition in societal evolutionary trends as evidenced by academic activity has shown increased focus on the explicit and intrinsic biases faced by women in neurosurgery. Recent years have seen significant increases in published reports concerning the subject, as well as rising academic impact per a given report. This phenomenon is speculated to continue, and understanding to broaden as societal perception continues to develop. © 2021 Elsevier Inc.
  • Item type:Publication,
    Influential Women in the Field of Neurological Rehabilitation: A Literature Review Open PDF 
    (2022)
    Cano-de-la-Cuerda, Roberto
    Medicine requires the brightest minds, regardless of gender. Women working in the health sciences have time and again demonstrated the value of their technical training, communication skills, emotional support, and ability to provide understandable explanations to their patients. The objective of this work was to carry out a historical review of the main female authors linked to classic sensorimotor neurorehabilitation techniques throughout the nineteenth and twentieth centuries, as well as female authors linked to eponymous tests or assessments, exposing their scientific trajectory and main contributions to the field of neurological rehabilitation. A literature review was conducted. The databases of Physiotherapy Evidence Database (PEDro), Scopus, CINAHL Medical Science, Medline through EBSCO and PubMed were used to obtain the biographical information of each author, searches of papers were limited until August 2021 in English and Spanish languages. Seventeen female authors were identified who linked to the main rehabilitation techniques or approaches described for neurological rehabilitation and for scales or tests with an eponymous origin as an example of female contribution on neurorehabilitation. Biographical information based on the computerized search in the electronic databases showed 57 potentially relevant articles. Of those articles, 43 were subsequently excluded. Fourteen articles were used to show their contribution to neurorehabilitation. This paper demonstrates the influential role of women in the history of sensorimotor neurorehabilitation throughout the nineteenth and twentieth centuries, linked to the methods, techniques, concepts, or approaches used in physical therapy or occupational therapy.
  • Item type:Publication,
    Women in Neurosurgery: Gender Differences in Authorship in High-Impact Neurosurgery Journals through the Last Two Decades Open PDF 
    (2020)
    Aslan, Ayfer
    ;
    Kuzucu, Pelin
    ;
    Karaaslan, Burak
    ;
    Börcek, Alp Özgün
    OBJECTIVE: Despite common gender disparities in authorship across the vast majority of specialties, the presence of a similar lack of equality in neurosurgery literature is not published yet. Therefore the authors examined the changes in representation of women among the first and senior (last) authors of original articles in high-impact neurosurgical journals between 2003 and 2018. METHODS: Data regarding women proportions among the first and senior authors were collected from the issues of Neurosurgery and Journal of Neurosurgery published in 2003, 2008, 2013, and 2018. RESULTS: According to the analysis of 3247 original articles, compared with male authors, female authors have published fewer articles as the first (518 of women, 2729 of men) and senior authors (352 of women, 2884 of men). Nonetheless, the proportion of women in the first authorship represented a significant increase from 2003 to 2018 (from 12% to 16.5%, respectively; P < 0.01), but not in senior authorship (11.7% in 2003 vs. 10.5% in 2018; P > 0.05). Overall, women wrote more research articles than case reports as both first and senior authors (451 and 301 vs. 67 and 51, respectively). In addition, women demonstrated a higher percentage of first authors on female senior author articles (30.4%) than male senior author articles (14.1%). CONCLUSIONS: Although a rising trend in female authorship of neurosurgical literature has been going on through the last 2 decades, this advancement could not be regarded as satisfactory, as the gender gap in authorship is still excessive. Strikingly, female first authors had a tendency of coauthoring with female senior authors.
  • Item type:Publication,
    The role of gender in academic productivity, impact, and leadership among academic spine surgeons Open PDF 
    (2022)
    Agaronnik, Nicole
    ;
    Xiong, Grace X.
    ;
    Uzosike, Akachimere
    ;
    Crawford, Alexander M.
    ;
    Lightsey, Harry M.
    BACKGROUND/CONTEXT: Women represent a small minority of practicing orthopedic surgeons and neurosurgeons, with spine surgery having a disproportionately low representation relative to other subspecialties. Previous efforts have attempted to characterize gender patterns in authorship amongst select spine journals. However, no study to our knowledge has done a comprehensive assessment of the influence of gender on academic productivity, impact, and leadership amongst academic spine faculty. PURPOSE: To evaluate the impact of gender on academic productivity, promotion to leadership positions, and career advancement among academic spine faculty in the United States. STUDY DESIGN: Cross-sectional study. PATIENT SAMPLE: Academic spine faculty associated with orthopedic residency, North American Spine Society spine fellowship programs, and American Association of Neurological Surgeons spine fellowship programs. OUTCOME MEASURES: Academic productivity as measured by publications counts, h-index, authorship ranking as well as academic rank and leadership roles METHODS: We identified all spine faculty across orthopedic residency, orthopedic spine fellowship, and neurosurgical spine fellowship programs in the United States, and abstracted academic performance characteristics, cumulative h-index, and complete publication records for each individual faculty member. Proportions of men and women by specialty, academic rank, and leadership were compared with Fisher's exact testing, and comparison of mean h-index and publication counts compared with Wilcoxon rank-sum testing. Adjusted analyses on publication count and h-index were achieved with poisson regression analysis with gender as the primary predictor adjusting for specialty, degrees, academic rank, and seniority based on time since fellowship completion. RESULTS: The representation of women among spine faculty associated with orthopedic residency and North American Spine Society spine fellowship programs was 5.6%. On average, women had 40% fewer total publications (p=.025), h-indices approximately 5 units lower than men (p=.006), 40% fewer total high-impact publications (p=.030), half the senior author publications (p=.005), and half the high-impact senior author publications (p=.007) compared to men. After adjusting for seniority and academic rank, the number of publications in high impact journals no longer differed between men and women, although differences persisted for total publication count and the h-index. Men were significantly more likely to occupy higher academic ranks, with 25.6% of men and 9.5% of women holding the rank of full professor (p=.031), although there was no significant difference in the rate of appointment to leadership positions. Similar findings were encountered among American Association of Neurological Surgeons spine fellowship faculty. CONCLUSIONS: The present study details the low rate of women in academic spine surgery. Furthermore, gender disparities exist in publication volume, impact, and h-indices. A much lower proportion of women hold higher-ranking academic positions compared to men, though appointment to leadership positions was similar between genders. Differences in seniority and publication metrics may in part be due to the relatively younger cohort of women faculty. These findings underscore the need for active investment in diversity and pipeline efforts that facilitate recruitment and support academic productivity of women in spine surgery.