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Gender disparity among top North American medical schools and their affiliated radiology departments Open PDF
(Elsevier BV, 2025-01)
Ahmadi, Shukria
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Joarder, Ishraq
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Rotter, Lara K
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Hussain, Mehwish
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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.
Beyond the Scores: Gendered Interpretations of Emergency Medicine Resident Assessments of Interdependent Performances Open PDF
(Ubiquity Press, Ltd., 2025-08-21)
El Galad, Asil
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Sebok-Syer, Stefanie S.
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Panza, Michael
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Ng, Kristen
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Lingard, Lorelei
PURPOSE: In medicine, gender bias and gendered language within assessments of individual performance are well established. Recent shifts toward assessing interdependence (the ability to work supportively and collaboratively within teams) demand we understand how gender bias and gendered language influence assessments. In exploring how faculty assess residents' interdependent performances, this study evaluated how gender-presentation influences faculty raters' assessments of residents' interdependence in Emergency Medicine (EM). METHODS: Using a multiple-methods (an experimental within-subjects study with follow-up interviews), 18 EM faculty from Canada and the United States assessed scripted videos of identical clinical encounters acted by male- and female-presenting residents. Faculty assessed female residents via anonymous online surveys and, six months later, assessed male residents via follow-up interviews using the same clinical scenarios. After every clip, faculty completed entrustable professional activity (EPA) and Milestone ratings and provided narrative justifications. Statistical analyses were conducted using Wilcoxon signed-rank tests to assess gender differences in EPA and Milestone scores. Qualitative data were analyzed using thematic analysis to identify recurring, gendered patterns in narrative justifications. RESULTS: Quantitative results revealed no gender differences in Milestone and EPA scores, except for the resuscitation entrustment rating, where male residents were rated less favorably (z = -3.09, p = 0.002). Qualitative findings uncovered subtle gender differences. For the same clinical performances, male residents were frequently described as leaders, while female residents as collaborative. Furthermore, male residents' help-seeking was framed as proactive, whereas female residents' help-seeking was indicative of lacking knowledge. Finally, bias was not consistent across genders: male leadership expectations could negatively flavor assessments of male collaborative performances. CONCLUSION: EPA and Milestone scores showed marginal gender-based differences, while narrative justifications reflected clear gendered expectations about residents' interdependence. These findings highlight the need for equity-oriented assessment practices that interrogate both the numbers and the narratives. As team-based competencies like interdependence become central to clinical training, ensuring that assessments reflect fair, unbiased interpretations are essential to supporting all learners equitably.
Assessing and improving women representation in radiology leadership positions Open PDF
(Elsevier BV, 2025-01)
Sharma, Sonali
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Malik, Aleena
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Matschek, Jessica
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Zaki-Metias, Kaitlin M.
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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.
Examining Gender Differences in Faculty Promotion Among Canadian Dental Schools Open PDF
(Wiley, 2025-10-03)
Ramadan, Roba
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Williams, Lauren
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Siqueira, Michelle F.
ABSTRACT Objectives There is limited research on gender differences in academic dentistry and leadership within Canadian dental schools. This novel study aimed to assess gender trends among dental school faculty, deanship positions, and student convocation, as well as explore faculty perspectives on institutional attitudes toward gender equality in Canadian dental schools. Methods Data were gathered and analyzed from all 10 Canadian dental schools' public websites for the categories of academic faculty, deans, and student convocation. An anonymous survey was sent to faculty members (n = 518) through SurveyMonkey. Statistical analysis was performed through IBM SPSS 28.0 to determine if any statistically significant differences in gender occurred. Results An average of 12.3% more women graduated than men in 2019–2024, a trend not yet present within academic faculty. A statistically significant gender gap exists when comparing assistant, associate, and full professor positions (p = 0.019). In addition, the difference between men and women among individuals holding interim and permanent dean roles is statistically significant (p = < 0.001). Survey results indicate a positive outlook on gender inclusion within institutions; yet a large proportion of respondents ( > 50%) either agreed or were unsure on whether gender influenced their career progression and their ability to negotiate wages. Conclusion This study significantly contributes to the understanding of current gender trends and beliefs that exist in Canadian dental schools. While strides have been made to close the gender gap, there are instances in which these differences should not be ignored. Results emphasize a need for initiatives that support gender parity within the academic setting, such as mentorship opportunities for women, greater institutional support for parents, and better data repositories that make gender trend data more easily accessible. Further research could investigate gender trends within dental specialties/residencies and possible wage disparities that affect dental schools' faculty.
Gender gaps in North American research productivity: Examining faculty publication rates in Mexico, Canada, and the U.S.
(Sense Publishers, 2012)
Padilla-González, L.E.
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Metcalfe, A.S.
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Galaz-Fontes, J.F.
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Fisher, D.
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Snee, I.S.
Gender Disparity in Chest Radiology in North America Open PDF
(2021)
O'Neill, S.B.
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Maddu, K.
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Jalal, S.
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Yeo, S.
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Khurshid, K.
Purpose: In the current cultural climate, gender disparity is a topical and contentious issue. In academic medicine, there is an underrepresentation of female faculty in leadership positions with lower research output and fewer grant awards. We study the gender differences in faculty rank, leadership positions, and research output among chest radiologists in North America. Materials and Methods: A list of clinical faculty at radiology programs in North America was obtained using the FREIDA database and program websites. Demographic information and data pertaining to academic rank, peer-reviewed publications, and research productivity of each chest radiologist was obtained from Doximity and SCOPUS databases. Results: Four hundred ten (281 male:129 female) academic chest radiologists were included. Females were underrepresented at senior faculty level accounting for 18.8% (n = 21) of full, 29.2% (n = 21) of associate and 40.7% (n = 61) of assistant professors. 23.1% (n = 14) of department chiefs were women. Women were more likely to occupy a faculty position in chest radiology in Canada than in US (P < 0.05). The median H-index, and numbers of publications and citations were lower for females than male faculty (P < 0.05). Male faculty had more years of experience – median of 19 years, 16.5 years for females (P < 0.05). Conclusions: Gender disparity exists in chest radiology with similar male predominance in terms of senior faculty rank, leadership roles, and research productivity to other medical specialties. The observed deficiency of research and scholarly output among female chest radiologists and the paucity of aspirational female radiologists in senior academic/leadership positions are factors which perpetuate this gender disparity and contribute to persistence of the gender pay gap. © 2019 Elsevier Inc.
Assessing the gender gap in musculoskeletal radiology authorship across three continents: are really the “ladies first”? Open PDF
(2022)
Nischal, N.
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Iyengar, K. P.
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Vaishya, R.
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Haleem, S.
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Zaw pe, E.
AIM To assess gender-specific authorship trends in musculoskeletal (MSK) radiology in three major radiology journals, Skeletal Radiology (SR), Clinical Radiology (CR) and Indian Journal of Radiology and Imaging (IJRI). MATERIALS AND METHODS Retrospective analysis of articles pertaining to MSK radiology was done for the years 2000, 2010, and 2020 for SR and CR and for the years 2010 and 2020 for IJRI. The number and positions of female authors was noted. RESULTS Three hundred and twenty-five articles were reviewed after excluding the articles where the gender of one or more authors could not be conclusively determined. In SR, the percentage of female authors increased significantly from 4% in 2000 to 17% in 2010 (p<0.0001) and to 21.9% in 2020 (p<0.0001) with an increase in the percentage of first female authors from 0.8% in 2000 to 4.9% in 2010 and further to 5.4% in 2020. In CR, the percentage of female authors reduced from 13.8% in 2000 to 13.6% in 2010 (p=0.9798 and further reduced to 7% in 2020 (p=0.1592). In IJRI, the percentage of articles with no female authors went down from 36.4% (2010) to 26.7% (2020). CONCLUSION There is an upward trend in female authorship in MSK radiology related articles in SR and IJRI with continued under-representation in CR. The first and middle order female authors have shown a significant increase, although the number of last female authors remains very low. Analysis of such trends in academic journals from other subspecialities in medicine needs to be undertaken to confirm or refute the findings of this study.
Gender Representation Among Major Plastic Surgery Society Achievement Award Recipients Open PDF
(2024)
Ni, Tiffany
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Cebron, Urska
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Zuo, Kevin J.
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Stefaniuk, Stephanie
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Snell, Laura
Purpose: Professional achievement awards are an important factor in recruitment, promotion, and faculty review within academic institutions. Studies have shown that subconscious, gender-based assumptions of individuals and their work in traditionally male-dominated fields lead to more positive evaluations of men than women, a phenomenon present among scientific and medical award committees. This study examined gender representation among recipients of major North American plastic surgery society awards over the last 50 years. Methods: Recipient lists of major achievement awards bestowed by ten American and Canadian plastic surgery societies between 1970 and 2020 were accessed online or by direct contact with the society. Awardee gender, institution affiliation, graduation year, fellowship status, and additional major awards received were recorded. Comparisons were made between gender representation among society presidents, board membership, general society memberships, attending physicians, and plastic surgery residency enrolment. Results: Thirty-two major awards given by ten plastic surgery societies were included. Six hundred and twenty-five awards were conferred, of which 47 recipients were female (7.5%). Of the 121 individuals that received multiple major awards, 8 were female. Two-thirds of female awardees (72%) were clinical plastic surgeons and the remainder were scientists. Over the past 50 years, there has been a gradual increase in the proportion of female award winners. Conclusions: Despite a gradual increase in the proportion of female awardees in major plastic surgery societies, female plastic surgeons remain underrepresented among awardees, with less than 10% of major awards conferred to females.
Author-Reviewer Homophily in Peer Review
(bioRxiv, 2019)
Murray, Dakota
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Siler, Kyle
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Larivière, Vincent
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Chan, Wei Mun
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Collings, Andrew M.
The fairness of scholarly peer review has been challenged by evidence of disparities in publication outcomes based on author demographic characteristics. To assess this, we conducted an exploratory analysis of peer review outcomes of 23,876 initial submissions and 7,192 full submissions that were submitted to the biosciences journal eLife between 2012 and 2017. Women and authors from nations outside of North America and Europe were underrepresented both as gatekeepers (editors and peer reviewers) and authors. We found evidence of a homophilic relationship between the demographics of the gatekeepers and authors and the outcome of peer review; that is, there were higher rates of acceptance in the case of gender and country homophily. The acceptance rate for manuscripts with male last authors was seven percent, or 3.5 percentage points, greater than for female last authors (95% CI = [0.5, 6.4]); this gender inequity was greatest, at nine percent or about 4.8 percentage points (95% CI = [0.3, 9.1]), when the team of reviewers was all male; this difference was smaller and not significantly different for mixed-gender reviewer teams. Homogeny between countries of the gatekeeper and the corresponding author was also associated with higher acceptance rates for many countries. To test for the persistence of these effects after controlling for potentially confounding variables, we conducted a logistic regression including document and author metadata. Disparities in acceptance rates associated with gender and country of affiliation and the homophilic associations remained. We conclude with a discussion of mechanisms that could contribute to this effect, directions for future research, and policy implications. Code and anonymized data have been made available at https://github.com/murrayds/elife-analysis Author summary Peer review, the primary method by which scientific work is evaluated, is ideally a fair and equitable process in which scientific work is judged solely on its own merit. However, the integrity of peer review has been called into question based on evidence that outcomes often differ between male and female authors, and for authors in different countries. We investigated such disparities at the biosciences journal eLife by analyzing the demographics of authors and gatekeepers (editors and peer reviewers), and peer review outcomes of all submissions between 2012 and 2017. Outcomes were more favorable for male authors and those affiliated with institutions in North America and Europe; these groups were also over-represented among gatekeepers. There was evidence that peer review outcomes were influenced by homophily —a preference of gatekeepers for manuscripts from authors with shared characteristics. We discuss mechanisms that could contribute to this effect, directions for future research, and policy implications.
The foundation and consequences of gender bias in grant peer review processes Open PDF
(2018)
Morgan, Rosemary
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Hawkins, Kate
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Lundine, Jamie
KEY POINTS Gender bias within the research grant review process worldwide is a manifestation of historical and systemic gender bias within academic institutions and beyond. For many reasons, women are underrepresented in academic leadership; their research is less frequently cited than that of men; and they may enjoy less credit for their published work than their male coauthors. Efforts to overhaul processes of research grant peer review must go hand in hand with larger projects that aim to shift traditional gender norms in academia through institutional policies that recognize gender bias and act to counter it.

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