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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,
    Female authorship in global research: a bibliometric study of high- and low-income country collaborations Open PDF 
    (Journal of Neurosurgery Publishing Group (JNSPG), 2025-03-01)
    Totis, Francesca
    ;
    Colella, Filippo Emanuele
    ;
    Safa, Adrian
    ;
    Stefini, Roberto
    ;
    Cannizzaro, Delia
    OBJECTIVE The aim of this study was to examine female authorship in research from collaborations between high-income countries (HICs) and lower-middle-income and low-income countries (LMICs/LICs) across two time periods: 2018–2020 and 2021–2023. METHODS A bibliometric analysis of neurosurgical research articles from the Scopus database, published between 2018 and 2023, was performed to investigate collaboration trends between HICs and LMICs/LICs. Only neurosurgical publications were included, and female authors were identified based on names traditionally associated with female gender identity, verified through online searches and tools such as Genderize.io. Articles with more than 25 authors, commentaries, letters, and news items were excluded to ensure a focus on original research. The selected articles spanned various neurosurgical specialties and were restricted to English-language journals with an impact factor greater than 1. The country affiliations of first, corresponding, and last authors were categorized using the 2018 World Bank classification to understand collaboration patterns across income levels. RESULTS The analysis revealed a steady increase in neurosurgical publications from 2018 to 2023, with a notable rise in the second triennium (2021–2023). Authors from HICs consistently held the majority of first, corresponding, and last authorship positions. Concerning first authorship, authors with affiliations from HICs increased from 66% in the first triennium to 75% in the second. Similarly, corresponding authors from HICs increased from 75% to 82% over the same period. Male authors dominated all key authorship roles, with 127 male-led first authorships compared with 46 female-led first authorships in the second triennium. This male predominance persisted in corresponding and last author roles as well. CONCLUSIONS Global neurosurgical research is growing but significant gender disparities persist, especially in LMICs/LICs, with female researchers underrepresented in key authorship roles, requiring targeted efforts to address systemic barriers and promote gender equity in academic leadership.
  • Item type:Publication,
    Gender disparities among speakers at major spine conferences Open PDF 
    (Elsevier BV, 2025-10)
    Lee, Yunsoo
    ;
    Issa, Tariq Z.
    ;
    Lambrechts, Mark J.
    ;
    Carey, Preston
    ;
    Becsey, Alexander
    PURPOSE: To examine 10-year trends in gender representation in speaking roles at major spine conferences. BACKGROUND CONTEXT: Medical conferences play an important role in career opportunities. There is little analysis on gender representation of major spine conferences despite several studies demonstrating gender disparities within spine surgery. STUDY DESIGN: Observational study. SAMPLE: A total of 20,181 abstract speakers across 10 years of academic conferences for 6 spine societies. OUTCOME MEASURES: Percent of female abstract presenters. MATERIALS AND METHODS: We collated the annual meeting programs of six major spine conferences (North American Spine Society (NASS), Scoliosis Research Society (SRS), International Meeting on Advanced Spine Techniques (IMAST), Global Spine Congress (GSC), American Association of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS) Spine Summit, and the Cervical Spine Research Society (CSRS)) dating from 2013 to 2022. Departmental websites, society webpages, or personal social media were identified for images or the use of gendered pronouns in order to determine speaker gender for each speaker type. All categorical variables were compared using Pearson chi-square analysis. RESULTS: Women constituted 1,816 (9.0%) of all 20,181 identified conference speakers. Female representation was highest at NASS (N=680, 12.2%) but lowest at CSRS (6.6%) and GSC (7.1%). Spine Summit (7.4%), IMAST (9.92%), and GSC (9.87%) demonstrated the largest annual percent increases in female representation. Institutions in Middle East and Africa (1.4%), and Central and South America (1.8%) supported the lowest percent of female speakers. Women were significantly less likely to be speakers or moderators/course faculty than to be podium abstract presenters (p<.001). The percent of women as invited speakers (10.4% vs 5.5%, p=.001) and moderators (11.4% vs 3.7%, p<.001) increased significantly over the study period, with annual increases of 8.8% and 20.8%, respectively, from 2013 to 2022 (p<.001). CONCLUSIONS: While academic spine societies have made significant progress in promoting gender representation, especially among invited speakers and session moderators, women continue to be underrepresented compared to the percent of women in orthopedic surgery and neurosurgery
  • Item type:Publication,
    Sticky Floor, Broken Ladder, and Glass Ceiling: Gender and Racial Trends Among Neurosurgery Residents
    (2021)
    Maqsood, Hamza
    ;
    Younus, Shifa
    ;
    Naveed, Sadiq
    ;
    Chaudhary, Amna Mohyud Din
    ;
    Khan, Muhammad T.
    Introduction Diversity and equity in academic medicine are critically important in improving healthcare standards and patient-related outcomes. Gender and racial disparities are some major challenges faced by the health system. This article reviews the gender and racial trends among residents of neurosurgery in the United States (US). Methods We retrospectively analyzed the data extracted from the Accreditation Council for Graduate Medical Education (ACGME)'s annual Data Resource Books from 2007 to 2019. ACGME cataloged gender as men and women and race/ethnicity was categorized as White/non-Hispanic, Asian or Pacific Island, Hispanic, Black/non-Hispanic, Native American/Alaskan, others, and unknown. Counts, proportions, relative, and absolute percentage changes were calculated to highlight trends in resident appointments over time and across the specialty of neurosurgery. Results The number of female residents increased steadily from 10.6% in 2007 to 19.3% in 2019; with an absolute increase of 8.74%, a relative increase of 63.9%, and a simultaneous decrease in male residents. When averaged across the nine-year study period, 51% of the study sample was White (non-Hispanic), followed by Asian/Pacific Islanders at 15.2%. The representation of Hispanics was 4.3%, Black/African Americans were 4.5%, Native Americans/Alaskans were 0.2%, and others were 8% of the total study population. Conclusion Our study concludes that gender and racial disparity persist within the neurosurgery residency training programs in the US. Concrete efforts at all academic levels are needed to provide greater support for the females and for the careers of underrepresented minority (URM) trainees to ensure their increased representation in neurosurgery.
  • Item type:Publication,
    Trends in Female Authorship Over 5-Year Publication History in Neurovascular Surgery Open PDF 
    (2024)
    Jelmoni, Alice J. M.
    ;
    Mascaro, Luca
    ;
    Mariola, Carlotta
    ;
    Conde, Marian Mora
    ;
    Uralov, Daniel
    Nel 2023, la disuguaglianza di genere è ancora un problema con cui ogni neurochirurgo donna deve ancora confrontarsi. Le tendenze degli ultimi 10 anni indicano che il numero di neurochirurghi donne è in costante crescita. Tuttavia, le donne rimangono una minoranza in questo campo dove solo il 19% dei professionisti sono donne. 1 , 2 Anche se il numero delle donne in campo neurochirurgico è in costante aumento, siamo ancora lontani da una distribuzione equa. Negli Stati Uniti, le donne rappresentano solo il 6% dei neurochirurghi certificati dall’American Board of Neurological Surgery e l’8% dei neurochirurghi in formazione. Nel 2017, circa il 51% degli studenti di medicina negli Stati Uniti erano donne. 3 Alla fine del 2020, la Società Turca di Neurochirurgia ha dichiarato che il 5,5% degli specialisti in neurochirurgia registrati in Turchia sono donne. 4 Allo stesso modo, la Japan Neurological Society ha dichiarato che solo il 5,6% dei membri sono donne. 5 In Europa, secondo i dati raccolti nei primi anni 2000, la percentuale media di donne che lavorano come medici è pari al 40%, 1 , 2 ma la neurochirurgia non riflette questa tendenza. Non sono disponibili dati sull'attuale e accurata distribuzione di genere degli specializzandi e degli specialisti in neurochirurgia in ciascun paese europeo, se non da parte dei membri delle società ufficiali. 6 , 7 In Italia, sorprendentemente, il 36% dei neurochirurghi sono donne, 2 attualmente la percentuale più alta di neurochirurghi donne in Europa. È importante sottolineare che il tasso di donne residenti è del 55%, 8 anche se le società italiana ed europea nel 2022 riconoscono, rispettivamente, un tasso di iscrizione femminile del 25% e del 23%, a conferma che la percentuale di donne coinvolte in posizioni accademiche è ancora inferiore a quello degli uomini. La rappresentanza delle donne nei comitati editoriali sembra essere ancora più bassa per la chirurgia della colonna vertebrale rispetto ad altre discipline, un aspetto che dovrebbe essere migliorato anche in futuro. 9 , 10 Dai dati sopra citati emerge che, a livello globale, le posizioni di leadership e i titoli accademici sono ancora quasi esclusivamente appannaggio del genere maschile. Consentire ai neurochirurghi donne di impegnarsi nella ricerca e garantire parità di accesso rispetto ai colleghi uomini alle posizioni senior nella leadership del progetto può essere il punto di partenza per raggiungere l’uguaglianza di genere in neurochirurgia. Le autrici donne si stanno affermando sempre più nella letteratura scientifica, a conferma che esistono notevoli tentativi di espandere la componente femminile riguardo a discipline che fino a qualche anno fa erano considerate strettamente maschili. 10 Recentemente è stato dimostrato che la patologia neurochirurgica vascolare presenta il maggior contributo di autrici rispetto alle altre sottospecialità della chirurgia neurologica (neuro-oncologia, spinale, funzionale). 9 , 11 , 12 La ricerca, il finanziamento delle sovvenzioni e le posizioni accademiche dipendono dalla continua attività di pubblicazione scientifica. Aumentare il ruolo di primo piano delle donne neurochirurghi nelle pubblicazioni scientifiche potrebbe col tempo promuovere l’equità nella distribuzione delle posizioni accademiche nel mondo della neurochirurgia. 13 L'obiettivo di questa analisi bibliometrica è quello di ottenere una visione oggettiva sul coinvolgimento delle donne nella letteratura riguardante il campo neurovascolare identificando il numero di articoli in cui il primo autore è donna e di differenziare i risultati per paese e rivista e analizzare l'andamento nel corso gli anni.
  • Item type:Publication,
    Increases in female academic productivity and female mentorship highlight sustained progress in previously identified neurosurgical gender disparities Open PDF 
    (2021)
    Taha, Birra
    ;
    Sadda, Praneeth
    ;
    Winston, Graham
    ;
    Odigie, Eseosa
    ;
    Londono, Cristina
    OBJECTIVE: A meta-analysis was performed to understand disparities in the representation of female authorship within the neurosurgical literature and implications for career advancement of women in neurosurgery. METHODS: Author names for articles published in 16 of the top neurosurgical journals from 2002 to 2019 were obtained from MEDLINE. The gender of each author was determined using automated prediction methods. Publication trends were compared over time and across subdisciplines. Female authorship was also compared to the proportionate composition of women in the field over time. RESULTS: The metadata obtained from 16 major neurosurgical journals yielded 66,546 research articles. Gender was successfully determined for 96% (127,809/133,578) of first and senior authors, while the remainder (3.9%) were unable to be determined through prediction methods. Across all years, 13.3% (8826) of articles had female first authorship and 9.1% (6073) had female senior authorship. Female first authorship increased significantly over time from 5.8% in 2002 to 17.2% in 2019 (p < 0.001). Female senior authorship also increased significantly over time, from 5.5% in 2002 to 12.0% in 2019 (p < 0.001). The journals with the highest proportions of female first authors and senior authors were the Journal of Neurosurgery: Pediatrics (33.5%) and the Asian Journal of Neurosurgery (23.8%), respectively. Operative Neurosurgery had the lowest fraction of female first (12.4%) and senior (4.7%) authors. There was a significant difference between the year-by-year proportion of female neurosurgical trainees and the year-by-year proportion of female neurosurgical first (p < 0.001) and senior (p < 0.001) authors. Articles were also more likely to have a female first author if the senior author of the article was female (OR 2.69, CI 2.52-2.86; p < 0.001). From 1944 to 2019, the Journal of Neurosurgery showed a steady increase in female first and senior authorship, with a plateau beginning in the 1990s. CONCLUSIONS: Large meta-analysis techniques have the potential to effectively leverage large amounts of bibliometric data to quantify the representation of female authorship in the neurosurgical literature. The proportion of female authors in major neurosurgical journals has steadily increased. However, the rate of increase in female senior authorship has lagged behind the rate of increase in first authorship, indicating a disparity in academic advancement in women in neurosurgery.
  • Item type:Publication,
    Gender differences in scientific productivity and visibility in core neurosurgery journals: Citations and social media metrics
    (2018)
    Sotudeh, H.
    ;
    Dehdarirad, T.
    ;
    Freer, J.
    Social media has provided new opportunities for both female and male academics to disseminate their research results, and presence on the Internet is found to increase the visibility of scholars. Thus, this study examined whether there were differences in terms of scientific productivity or the visibility (both in terms of citations and social media metrics) of female and male scholars in the field of neurosurgery. To do this, 11,127 articles and reviews from 2012 to 2014 were extracted from the Thomson Reuters Web of Science database. This accounted for 14,944 unique authors. To study the visibility of neurosurgery scholars in terms of social media metrics, the following altmetric indicators were used: Mendeley readers, the post count of news, tweets, blogs, LinkedIn, and Facebook. The methodology and procedures employed included descriptive statistics, chi-square test, two-sample proportion test, and analysis of covariance. The results demonstrated that the number of female scholars was significantly lower compared to their male counterparts. Additionally, female neurosurgery scientists were found to be slightly less prolific in terms of scientific productivity. However, women were slightly more visible with regard to citations, readership, and tweets. Finally, both genders were similarly successful in terms of receivingmentions from blogs, news, Facebook, or LinkedIn. © The Author(s) 2018.
  • Item type:Publication,
    Gender disparities in academic rank achievement in neurosurgery: A critical assessment Open PDF 
    (American Association of Neurological Surgeons, 2020)
    Dossani, R.H.
    ;
    Terrell, D.
    ;
    Kosty, J.A.
    ;
    Ross, R.C.
    ;
    Demand, A.
    OBJECTIVE The objective of this study was to evaluate whether there are disparities in academic rank and promotion between men and women neurosurgeons. METHODS The profiles of faculty members from 50 academic neurosurgery programs were reviewed to identify years in practice, number of PubMed-indexed publications, Doctor of Philosophy (PhD) attainment, and academic rank. The number of publications at each academic rank was compared between men and women after controlling for years in practice by using a negative binomial regression model. The relationship between gender and each academic rank was also determined after controlling for clustering at the institutional level, years in practice, and number of publications. RESULTS Of 841 faculty members identified, 761 (90%) were men (p = 0.0001). Women represented 12% of the assistant and associate professors but only 4% of the full professors. Men and women did not differ in terms of the percentage holding a PhD, years in practice, or number of publications at any academic rank. After controlling for years in practice and clustering at the facility level, the authors found that men were twice as likely as women to be named full professor (OR 2.2, 95% CI 1.09-4.44, p = 0.03). However, when institution, years in practice attainment, h-index, and number of publications were considered, men and women were equally likely to attain full professorship (OR 0.9, 95% CI 0.42-1.93). CONCLUSIONS Data analysis of the top neurosurgery programs suggests that although there are fewer women than men holding positions in academic neurosurgery, faculty rank attainment does not seem to be influenced by gender. © AANS 2020.
  • 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,
    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.