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Gender composition of editorial boards in Pakistani Medline-indexed journals: a disaggregated analysis Open PDF
(Pakistan Medical Association, 2026-06-25)
Editorial boards determine the direction and scope of journals. The objective of this study was to assess the gender composition of the editorial boards of four Pakistani Medline-indexed journals using a descriptive cross-sectional study design. Gender composition of the editorial boards of four Pakistani Medline-indexed journals was assessed using a descriptive cross-sectional study design. The publicly available official editorial board pages were accessed and analysed for: Journal of the Pakistan Medical Association (JPMA), Journal of Ayub Medical College (JAMC), Journal of the College of Physicians and Surgeons of Pakistan (JCPSP), and Pakistan Journal of Pharmaceutical Sciences (PJPS). Cumulatively, 163 individuals comprised the editorial boards in these journals, out of which 112 (68.7%) were males. JPMA had the largest editorial team with 59 individuals, and JCPSP had the smallest team with 25 individuals. The most and least gender-diverse editorial teams were reported by JPMA and JAMC, with 22 (37.3%) and 6 (20.7%) women, respectively. Results augur the need for gender-sensitive training programmes to promote gender balance in the editorial boards of the country's medical journals.
Women in Surgery Open PDF
(American Medical Association (AMA), 2006-04-01)
Gargiulo, Debra A.
HYPOTHESIS: Women are deterred from a surgical career owing to a lack of role models rather than lifestyle considerations. DESIGN: Survey. SETTING: University teaching hospital. PARTICIPANTS: Surgery and obstetrics/gynecology attending physicians, residents, and medical students. INTERVENTION: Questionnaire. MAIN OUTCOME MEASURES: Potential deterrents to a surgical career. RESULTS: Men and women had a similar interest in a surgical career before their surgical rotation (64% vs 53%, P = .68). A similar percentage developed a mentor (40.0% vs 45.9%, P = .40). Women were far more likely to perceive sex discrimination (46.7% vs 20.4%, P = .002), most often from male attending physicians (33.3%) or residents (31.1%). Women were less likely to be deterred by diminishing rewards (4.4% vs 21.6%, P = .003) or workload considerations (28.9% vs 49.0%, P = .02). They were also less likely to cite family concerns as a deterrent (47.8% vs 66.7%, P = .02) and equally likely to be deterred by lifestyle during residency (83.3% vs 76.5%, P = .22). However, women were more likely to be deterred by perceptions of the "surgical personality" (40.0% vs 21.6%, P = .03) and the perception of surgery as an "old boys' club" (22.2% vs 3.9%, P = .002). CONCLUSIONS: Men and women are very similar in what they consider important in deciding on a surgical career. Women are not more likely to be deterred by lifestyle, workload issues, or lack of role models. However, the perceived surgical personality and surgical culture is a sex-specific deterrence to a career in surgery for women.
Diversity Drives Representation: An Internal Audit of Gender Representation in Citation Practices of a Single Surgical Laboratory Open PDF
(Ovid Technologies (Wolters Kluwer Health), 2024-06)
Fioranelli, Gabriela A.
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Lo, Yunee
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Jesch, Anna K.
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Laluzerne, Matthew J.
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Donnelly, D’Andrea
BACKGROUND: Large-scale retrospective studies have identified implicit gender bias in citation behaviors across multiple medical fields. There are minimal resources to directly assess one's own citation behavior before publication at a laboratory level. In this study, we performed an internal audit of our own citation practices and behavior, looking at the representation of authors by gender in our own bibliographies. METHODS: Bibliographies were collated from our laboratory's publications between 2015 and 2022 with a single senior author, who was excluded from participating in this study. Bibliographies were run through a simulation originally constructed and used by authors from the University of Pennsylvania that categorized authors of each article by gender: man or woman, according to external database records. RESULTS: Of the 1697 citations, the first and last authorship sequences displayed to be 60.8% male/male, 10.1% male/female, 16.3% female/male and 12.8% female/female. Men-led articles within our laboratory cited 67.4% male/male articles in their bibliographies compared with women-led articles citing 53.9%. All laboratory bibliographies consisted of 77.1% male senior authors compared with 22.9% female senior authors. CONCLUSIONS: Our data confirm that a gender bias in citation practices exists at the laboratory level. Promisingly, these data also indicate that diversity within an individual laboratory group leads to diversity in representation; therefore, diversifying a team of researchers is prone to improve the overall work and success of the laboratory. We encourage laboratory groups to challenge their own biases by replicating their own results and discovering how these biases might be impacting their publications.
Individual Strategies and Institutional Solutions: Advancement of Asian Women in Academic Surgery Open PDF
(Elsevier BV, 2026-10)
Nair, Nritya
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Sanghera, Jaspinder S.
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Liapis, Ioannis
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Sirianno, Marcus P.
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Tripathi, Manish
INTRODUCTION: Asian women remain underrepresented in academic surgical leadership, despite increasing diversity among trainees and junior faculty over recent decades. While prior work has identified structural and cultural barriers to advancement, less is known about how individuals navigate these barriers and what solutions are necessary to promote retention and career progression. This qualitative study explores Asian women surgeons' perspectives on actionable strategies to promote retention and advancement. METHODS: Semi-structured interviews were conducted with Asian women surgeons recruited via a national surgical society. Transcripts were analyzed using grounded theory to identify participant-reported strategies to navigate barriers and institutional and systemic solutions identified as necessary for meaningful change. RESULTS: Twenty Asian women surgeons participated: 60% were academic faculty, 10% were faculty who had transitioned to private practice and 30% were trainees; 65% graduated from an American medical school. Participants described individual strategies including behavioral modification, self-promotion, proactive pursuit of mentorship and sponsorship, cultivating diverse mentorship and peer support networks, and perseverance within an inequitable system. Institutional solutions described included transparent and inclusive promotion pathways, equity-oriented policies, infrastructure and resource distribution, proactive and accountable leadership, increasing diversity beyond demographic representation, addressing racism and sexism and broader institutional initiatives like targeted support for mid-career faculty, and structured mentorship and sponsorship programs. CONCLUSIONS: While Asian women employ a range of individual strategies to advance in academic surgery, lasting progress requires institutional and structural change to reduce subjectivity in advancement, equitably distribute resources and opportunities, and hold leadership accountable for creating inclusive, supportive academic environments.
Gender Research Gap in Orthopaedics and Trauma Surgery: Gender-specific Disparities in Submission of Abstracts to the German Congress of Orthopaedic and Trauma Surgery from 2015 to 2024 Open PDF
(Georg Thieme Verlag KG, 2025-04-30)
Vogel, Carolina
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Bertsch, Vera
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Rollmann, Mika F.
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Histing, Tina
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Braun, Benedikt J.
Gender-specific differences also affect the subject of orthopaedics and trauma surgery (O&T). While the proportion of women studying medicine is steadily increasing, the proportion of female surgeons in O&T is only 18.6%. This underrepresentation affects not only clinics but also research and is reflected in participation in scientific annual meetings such as the German Congress for Orthopaedics and Trauma Surgery (DKOU).This retrospective study examined the gender differences in abstract submissions to the DKOU from 2015 to 2024. The anonymised data were subjected to examination regarding gender, role in submission and academic title.The overall participation of women in the 82,813 abstracts was 20%. The proportion of women among submitters was 23.3%, among presenters 24.5% and among co-authors 18.2%. In the analysis of the female cohort alone, women were more likely to be submitters and presenters than in the male cohort (p < 0.001). The proportion of female participation in abstract submissions increased by an average of 0.5% per year over the study period. However, women were significantly underrepresented at higher academic degrees, such as habilitations (7.4%), professorships (7.6%) and university professorships (5.2%).The results show that the proportion of women submitting abstracts to the DKOU largely corresponds to the percentage in the field of orthopaedics and trauma surgery (18.6% in 2022), reflecting the overall gender disparity in this specialty. If this trend analysis were applied to the general development of gender parity in orthopaedics and trauma surgery, gender-equitable staffing of medical positions could not be achieved before the year 2087. To accelerate this development, targeted measures to promote women in orthopaedics and trauma surgery are necessary. This includes dismantling structural barriers and implementing specific support programs for female surgeons pursuing academic careers.
Trends in Women Authoring Editorials in Cardiothoracic Surgery Journals. Open PDF
(2026-05-01)
Lee, Emily Hyunmin
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Gomes, Zoya
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Kim, Jinny Minji
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Liblik, Kiera
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Travis, Nicole
INTRODUCTION: Women have historically been underrepresented in leadership positions and academia in cardiothoracic surgery, creating barriers to career advancement and limiting role models for trainees. While publications are used to measure success in academia, invited articles such as editorials often represent a formal recognition of expertise. The objective of this study was to identify trends in the gender of editorial authors published in cardiothoracic surgery journals. METHODS: Editorials published between 2018 and 2022 across 16 peer-reviewed cardiothoracic surgery journals were analyzed. Author gender was estimated using a validated tool (https://gender-api.com/) with additional verification using available institutional profiles. RESULTS: In total, 806 editorials were published with a total of 1,858 authors (293 women, 16%). Women authors were predominantly from the United States of America (45%) followed by India (9%) and Germany (8%). The percentage of women first authors increased between 2018 and 2022 (P < 0.001); 9% in 2018, 9% in 2019, 17% in 2020, 16% in 2021, and 23% in 2022. A similar trend was observed for women senior authorship (P < 0.0001) (6% in 2018, 9% in 2019, 14% in 2020, 15% in 2021, and 18% in 2022) as well as for editorials with all-women authorship (P < 0.0001), increasing steadily from 9% in 2018 to 20% in 2022. CONCLUSION: Women authorship in editorials published in cardiothoracic surgery journals has steadily increased in recent years. Despite progress, women still make up less than a quarter of first and senior authors, highlighting a critical gap in gender equity in academic leadership that must be urgently addressed.
Trends and disparities in female authorship in surgical publications: A large-scale bibliometric study using natural language processing Open PDF
(Elsevier BV, 2026-06)
Renedo, Daniela
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Rivier, Cyprien A.
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Acosta, Julian N.
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Koo, Andrew
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Sujijantarat, Nanthiya
Background: Gender disparities in academic surgery persist, particularly in authorship positions that signal leadership, mentorship, and scholarly influence. Comprehensive global analyses across surgical specialties remain limited. This study examined gender representation among first and last (senior) authors across surgical subspecialties, countries, and continents using natural language processing applied to bibliometric data. Methods: In a cross-sectional bibliometric study of surgical publications indexed in MEDLINE (January 1, 2015, to December 31, 2024), articles were drawn from 30 high-impact journals across 15 subspecialties. Natural language processing tools inferred author gender and country of affiliation. After excluding entries with missing or unclassifiable data, 112,841 articles were analyzed. The main outcome was proportion of female first and last authors by specialty, region, article type, and journal. Secondary measures included temporal trends, Gender Parity Index (GPI), and results of χ2 and trend analyses. Results: Of 112,727 articles, 32,909 (29.2%) had female first authors, and 22,505 (19.9%) had female last authors. Female first authorship increased from 26.1% in 2015 to 34.1% in 2024, and female last authorship increased from 17.8% to 22.8% (both P < .001). Obstetrics/gynecology (59.8%), pediatric surgery (42.5%), and transplant surgery (39.4%) had the highest female first authorship, whereas cardiothoracic surgery (17.6%) and neurosurgery (18.9%) had the lowest. Representation also varied by country (Australia 32.1% vs Japan 10.1%) and article type (editorials 34.6% vs technical reports 14.3%). Differences by specialty, region, and article type were significant (P < .001). Conclusion: Despite modest progress, substantial gender disparities remain, especially in senior roles, technical specialties, and high-prestige article types. Targeted initiatives are needed to promote equity in surgical research and leadership worldwide.
Gender inequity in leadership positions in spinal societies worldwide Open PDF
(Springer Science and Business Media LLC, 2026-05-14)
Rawall, Saurabh
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Taylor, Sean
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Peterson, Asa
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Shrother, Ellyn
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Rajaram, Sakthivel
PURPOSE: Orthopaedics and Neurosurgery rank as the worst with regards to the percentage of female residents. This trend carries on in spinal subspeciality training. The gap in gender equity increases significantly in academic leadership positions, including department chairs and full-time faculty, as well as speakers and faculty at conferences. The purpose of our study was to analyze the percentage of female representation in the leadership of spinal societies globally. METHODS: We evaluated the current leadership teams of national and international spine societies and recorded the percentage of females. RESULTS: We studied gender data of 73 spinal societies worldwide. 36 out of these had no female representation. Overall, 148 out of 1977 (7.5%) leadership positions were occupied by females. European Spine societies had the best gender ratio (16.9%), followed by North America (7.2%). Asia Pacific region had the worst gender ratio (1.2%). Middle East/Africa region and South America performed marginally better with 2.8% and 3.1%, respectively. CONCLUSION: Diversity improves innovation and quality of patient care. Female spinal surgeon leaders serve as role models and mentors. More needs to be done by our spinal societies to address gender disparity. Our article will provide data on an important aspect of gender disparity in spine surgery so that corrective measures can be initiated. There is an enormous gender disparity in leadership positions in spine societies worldwide. This phenomenon was observed across all regions, with Middle East/Africa and Asia Pacific regions recording the largest gender discrepancy.
Bias in Student Evaluations of Surgical Attendings: Role of Gender, Race, Age and Experience Open PDF
(Elsevier BV, 2026-06)
Theis, Claudia
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Jacob, Anusha S.
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Kapadia, Muneera Rehana
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Pascarella, Luigi
Introduction Student evaluations influence faculty promotion but may reflect implicit bias. We assessed whether surgeon gender, race, age, and experience were associated with differences in student evaluations at a large academic medical center. Materials and methods This retrospective cohort study included 149 surgical attendings evaluated by medical students at the University of North Carolina between 2016 and 2020. Quantitative evaluation items were rated on 5-point Likert scales and analyzed using surgeon-level summary comparisons (Wilcoxon rank-sum and Kruskal–Wallis tests), evaluation-level multivariable logistic regression, and generalized estimating equations (GEEs) to account for clustering of multiple evaluations per attending. Qualitative free-text comments were analyzed using a validated natural language processing framework and summarized on a 5-point sentiment scale. Results A total of 149 surgical attendings were evaluated, including 39 women (26.2%) and 110 men (73.8%). The racial and ethnic distribution was 102 White (68.5%), 28 Asian (18.8%), 13 Black (8.7%), and 6 Latino (4.0%). In total, 2475 quantitative evaluations were analyzed, of which 1542 (62.3%) included narrative comments. The median time in practice was 14 y (Q1-Q3: 9-22), and the median time at the University of North Carolina was 11 y (Q1-Q3: 7-19.5). Median composite quantitative evaluation scores were lower for women than for men (4.42 [4.32-4.61] versus 4.61 [4.40-4.82] on a 5-point scale; P = 0.002). In GEE models accounting for clustering of evaluations within attendings and adjusting for age, race/ethnicity, and years in practice, women remained independently associated with lower evaluation scores (β = −0.206; 95% confidence interval: −0.294 to −0.118; P < 0.001). Composite evaluation scores did not differ significantly across racial or ethnic groups (Kruskal–Wallis P = 0.40), and race was not a significant predictor in adjusted models (GEE P = 0.13). Attendings aged ≥50 y had lower unadjusted evaluation scores than younger colleagues (P = 0.03); however, age was not independently associated with evaluation scores after clustering adjustment (GEE P = 0.14). Qualitative sentiment scores were uniformly high (median 4.0 [Q1-Q3: 4.0-4.5]) and did not differ by gender, race, or age. Conclusions Women surgeons received lower quantitative scores than their male colleagues, despite similarly positive qualitative feedback. Age differences were observed in unadjusted analyses but were attenuated after accounting for clustering, whereas no significant differences were observed by race or years in practice. Although absolute score differences were modest, these findings suggest that commonly used student evaluation metrics may reflect gender-related bias and should be interpreted cautiously in academic surgical assessment.
Twenty years of silence: shining a light on gender disparities in academic medical leadership in India Open PDF
(BMJ, 2026-03-03)
Gulati, Kamal
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Davies, Julie
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Kumar, Sachin
INTRODUCTION: Under-representation of women in senior academic medicine positions fails to mirror the over-representation of women entering medical schools. More women medical professors are needed as leadership role models to facilitate gender equity in the curriculum, research and medical services for national well-being. We seek to understand this gender gap in India by highlighting gender disparities in a premier Indian medical school and by advocating multi-level interventions in academic medicine. METHODS: We statistically analysed documentary data of all faculty ranks from 2004-2005 to 2022-2023 at the All India Institute of Medical Sciences, New Delhi to illustrate women faculty's representation in different disciplines (clinical, paraclinical and surgical) and leadership positions. First, we used trend analysis to project the time to gender parity across ranks. We then adopted cross-tabulation analysis to calculate the relative odds of women faculty holding academic ranks and leadership positions compared with their male counterparts. RESULTS: The findings revealed significant gender inequities across all faculty ranks. The total percentage of women faculty in 2004-2005 was 24.2% compared with 27.5% in 2022-2023. Leadership positions also showed significant gender disparity (χ2=18.20, p<0.0001115) as women occupied 16% of senior roles in the last two decades. The overall trend indicated a decline in the proportion of women in senior academic medical leadership roles over time. CONCLUSIONS: This study highlights persistent gender disparities over 20 years for women faculty's career trajectories in academic medicine. We propose six multilevel recommendations for gender parity in academic medical leadership in India.

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