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  • Item type:Publication,
    Male-dominated participation in the first two years of medical school: A mismatch between reality and perception Open PDF 
    (Informa UK Limited, 2026-02-26)
    Park, Connor C.
    ;
    Brendes, Keith D.
    ;
    Lundstrom, Karrie
    ;
    O’Neil, Kiley
    ;
    Jayaram, Maya A.
    Introduction: Although women now comprise most U.S. medical students, male physicians continue to dominate leadership roles, earn higher salaries, and hold more full professorships. These disparities suggest that cultural dynamics contributing to gender inequities may emerge early in medical training. This mixed-methods study investigated gender differences in perceived and actual participation in mandatory educational sessions during the first two years of medical school. Methods: First, a survey assessed student perceptions of gendered participation across mandatory first- and second-year educational sessions. Subsequently, these sessions were observed for eight weeks at a single institution. Observed sessions included full-class Didactic and Social/Ethical sessions (120 students) and smaller Clinical sessions (30 students). For each participation instance (asking or answering a question), the gender of the student and instructor was recorded. Students could opt out. Results: Survey responses indicated that most students perceived no gender-based differences in Social/Ethical or Clinical sessions. Female students, however, reported that men participated more frequently in Didactic sessions, while male students perceived no disparity (p = 0.001). Observational data showed male students accounted for 72.4% of 311 participation events (p < 0.001). Men contributed significantly more in Didactic (81.2%) and Social/Ethical sessions (67.1%; both p < 0.001), with no significant difference in Clinical sessions (54% male; p = 0.19). Male participation decreased in sessions led by female instructors compared with male (p = 0.036) or mixed-gender faculty (p = 0.023). Discussion: Despite objective gender disparities in participation, most first- and second-year students did not perceive differences. Notably, only female students perceived this discrepancy in their pre-observation surveys, and only in the context of didactic sessions. This imbalance may reinforce early professional norms favoring male visibility and engagement, perpetuating gender inequities in academic medicine. Addressing these dynamics is essential for fostering equitable learning environments and promoting diverse leadership in medicine.
  • 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,
    Program Director Gender and Female Representation in United States Anesthesiology Residency Programs: A Website Content Analysis Open PDF 
    (Informa UK Limited, 2026-07)
    Dankievitch, Korinne
    ;
    Malgieri, Christopher James
    ;
    Corman, Benjamin HP
    ;
    Hayward, Geoffrey
    ;
    Argo, Jonathan
    PURPOSE: Female program directors (PD) have been suggested to influence gender representation and recruitment; however, their impact within anesthesiology residency programs remains unclear. This study evaluated whether PD gender is associated with differences in female resident and faculty representation and anesthesiology residency program website content. METHODS: Anesthesiology residency programs participating in the 2024-2025 National Resident Matching Program (NRMP) Match were identified through the American Medical Association's Fellowship and Residency Electronic Interactive Database (FREIDA). Program websites were evaluated for 13 predefined criteria across three domains: leadership and strategic vision, representation, and resources. Program characteristics, including full-time faculty and residents, were extracted. Scores across domains were compared by program director gender. Data presented as mean (standard deviation) or percentage (%). RESULTS: A total of 160 programs were included in the analysis; 38% were led by female and 62% by male program directors. Women represented 35% of residents and full-time faculty across all programs. Programs led by female program directors was associated with lower female representation among residents (27.9% vs. 42.8%) and full-time faculty (27.4% vs. 44.4%, p<0.001) compared to male-led programs. The mean overall website content score was 6.45 ± 3.11, with no difference by program director gender (6.82 ± 3.04 vs. 6.21 ± 3.13, p=0.253). However, representation domain scores were higher in programs with female program directors (2.20 ± 0.95 vs.1.82 ± 1.06; p=0.042). CONCLUSION: Women represent more than one-third of anesthesiology program directors, residents, and full-time faculty, reflecting continued progress toward gender equity within the specialty. However, programs led by female program directors had lower female representation among residents and full-time faculty, despite stronger emphasis on visual and descriptive representation within website content. Together, these findings suggest that while leadership equity remains important, recruitment, representation, and workforce equity are shaped by broader structural and institutional factors beyond program director gender alone.
  • Item type:Publication,
    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.
    ;
    Lo, Yunee
    ;
    Jesch, Anna K.
    ;
    Laluzerne, Matthew J.
    ;
    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.
  • Item type:Publication,
    Women Emergency Physicians and Gender Disparities from Entry to Advancement Open PDF 
    (Elsevier BV, 2026-07)
    Sethuraman, Kinjal N.
    ;
    Lall, Michelle D.
    ;
    Gorman, Emily F.
    ;
    Zeidan, Amy J.
    ;
    Agrawal, Pooja
    STUDY OBJECTIVE: We sought to summarize the last 20 years of published research on gender experience and disparities in the emergency medicine workforce. METHODS: We conducted a scoping review by searching MEDLINE ALL, Embase, Cochrane Central Register of Controlled Trials, and Scopus from 2003 to 2024, to identify original research investigating gender experience and disparities among physicians in emergency medicine in North America. We abstracted study design, sample characteristics, and outcomes. We analyzed data using an ad hoc iterative thematic analysis of the content areas as well as a synthesis of the key findings and research limitations. RESULTS: We identified 5,740 candidate publications and, after exclusions, included 191 (99% observational studies). We identified 15 themes: (1) workforce, (2) childbearing, (3) attrition, (4) evaluations, (5) bias and discrimination, (6) wellness, (7) professional development groups and mentorship, (8) authorship, (9) editorial board membership, (10) research grants, (11) national speakers, (12) awards, (13) leadership roles, (14) academic rank and promotion, (15) financial compensation and one subtheme (pediatric emergency medicine). We mapped these themes to 5 domains: (1) Recruitment and Retention, (2) Culture and Environment, (3) Academic Scholarship, (4) Recognition and Promotion, and (5) Clinical Care and Decisionmaking. There were 3 to 33 publications per theme. The quality of evidence was variable. We found fewer disparities, and improvement over time in the percentage of women academic faculty, women authorship, national speaking, and educational awards. We found consistent evidence of gender disparities disadvantaging women emergency physicians in financial compensation, editorial board membership, executive leadership roles, academic rank, and experiences of gender bias, with little change over time. CONCLUSION: Although some areas remain understudied, our central findings confirm that gender-based disparities continue to exist among emergency physicians. Future efforts should be redirected toward the development and assessment of interventions that combat these disparities.
  • Item type:Publication,
    Gender gap in returns to publications Open PDF 
    (Springer Science and Business Media LLC, 2026-06-14)
    Spiewanowski, Piotr
    ;
    Stetsyuk, Ivan
    ;
    Talavera, Oleksandr
    Gender equity in science depends not only on who participates in research, but also on how their work is rewarded. We examine gender gaps in monetary returns to research productivity, pay, and credit attribution using a novel dataset linking salary and publication records for professors at U.S. public universities. While our main contribution shows that there is no robust evidence of a significant gender gap in monetary returns to publications, we uncover substantial heterogeneity across disciplines and authorship structures. Women in medical and health sciences experience a negative gap in returns of 10.7% relative to men for equivalent research output. The unconditional gender pay gap averages 15.4%, with variation across disciplines, ranging from 5.5% in agricultural sciences to 20.9% in social sciences. It declines to 4.9% after controls. Finally, women earn higher returns to solo-authored work but lower returns to larger co-author networks than men.
  • Item type:Publication,
    Sex Bias in Graduate Admissions: Data from Berkeley Open PDF 
    (American Association for the Advancement of Science (AAAS), 1975-02-07)
    Bickel, P. J.
    ;
    Hammel, E. A.
    ;
    O'Connell, J. W.
    Examination of aggregate data on graduate admissions to the University of California, Berkeley, for fall 1973 shows a clear but misleading pattern of bias against female applicants. Examination of the disaggregated data reveals few decision-making units that show statistically significant departures from expected frequencies of female admissions, and about as many units appear to favor women as to favor men. If the data are properly pooled, taking into account the autonomy of departmental decision making, thus correcting for the tendency of women to apply to graduate departments that are more difficult for applicants of either sex to enter, there is a small but statistically significant bias in favor of women. The graduate departments that are easier to enter tend to be those that require more mathematics in the undergraduate preparatory curriculum. The bias in the aggregated data stems not from any pattern of discrimination on the part of admissions committees, which seem quite fair on the whole, but apparently from prior screening at earlier levels of the educational system. Women are shunted by their socialization and education toward fields of graduate study that are generally more crowded, less productive of completed degrees, and less well funded, and that frequently offer poorer professional employment prospects.
  • Item type:Publication,
    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
    ;
    Rivier, Cyprien A.
    ;
    Acosta, Julian N.
    ;
    Koo, Andrew
    ;
    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.
  • Item type:Publication,
    Monitoring the gender gap in the coverage of biology professors on Wikipedia Open PDF 
    (The Royal Society, 2026-05-27)
    Alvarez-Ponce, David
    ;
    Iyengar, Niveda
    Women are under-represented in science, technology, engineering and mathematics (STEM) fields, especially in senior positions. One known reason is the limited visibility of female scientists, which discourages young women from entering STEM fields, thus perpetuating the gender gap. A number of studies have shown that women, including those in academia, are less likely to have a Wikipedia biography than their male counterparts, and that, when they have a biography, it tends to be underdeveloped. Since Wikipedia informs a large portion of society on a daily basis-especially young people-who is covered on the platform, and who is excluded from it, matters. Therefore, a number of projects have been created to increase women's coverage on Wikipedia. Using a recently generated census of 2104 female and 3721 male tenured and tenure-eligible faculty members affiliated with the biology departments of all United States R1 universities, we examined the extent to which biology faculty are covered on Wikipedia. Women in the census were significantly less likely to be featured on the platform than their male peers until 2018. However, the trend reversed in 2022, and women were 25% more likely than men to have a Wikipedia biography in 2024. In addition, women's biographies tend to be longer than those of men. Our results highlight the importance and effectiveness of projects aimed at improving women's coverage on Wikipedia.
  • Item type:Publication,
    Gender Differences in National Institutes of Health Funding for Family Medicine Faculty Open PDF 
    (American Board of Family Medicine (ABFM), 2026-01)
    Qazi, Shurjeel Uddin
    ;
    Cawse-Lucas, Jeanne
    ;
    Hussain, Mehwish
    ;
    Khurshid, Kiran
    ;
    Khosa, Faisal
    INTRODUCTION: The present study investigated the current trends of gender disparity in the National Institutes of Health (NIH) funding patterns for research within Family Medicine. METHODS: Funding data was collected from the online NIH Research Portfolio Online Reporting Tools Expenditure and Results (RePORTER) system for fiscal years 2017-2020, and information regarding each Principal Investigator (PI) was retrieved from the Scopus database and departmental websites. Mann-Whitney U and Kruskal Wallis tests were performed on collected data for statistical comparison of continuous variables. RESULTS: We analyzed 730 grants in our analysis. Amongst them, 398 (54.5%) were awarded to women PIs and 332 (45.5%) to men PIs. The mean NIH grant amount awarded to men PIs (518,862±490,793.32) was significantly higher than the mean grant amount awarded to women PIs (450,195±428,405.62) (p = 0.04). The strongest correlation between NIH funding and academic output was observed for the number of publications of men PIs. When the gender of PI and co-PI were analyzed together, there was no significant difference in the number of grants or mean grant amount. Stratification by academic degree revealed no significant difference between both genders for the mean NIH grant amount. CONCLUSION: Despite the increasing representation of women within the discipline of family medicine, men continue to receive higher average NIH grant amounts compared to women. The differences are multifactorial and may include differences in academic productivity or grant committees' heuristics. Overall, the results were promising with little evidence of significant gender disequilibrium within NIH-funding for researchers in FM.