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Assessing Progress: An Integrated Review of LGBTQ+ Faculty Experiences in Higher Education 2010–2025 Open PDF
(Informa UK Limited, 2026-08-26)
Garcia, Ellen
;
Hassouneh, Dena
The objective of this review was to synthesize and assess the empirical research about experiences of LGBTQ+ faculty in higher education published between January 2010 and March 2025 to evaluate progress made in addressing research gaps identified in a seminal 2010 review. Researchers have made notable progress by conducting more studies and increasingly using critical theoretical frameworks to examine the experiences of LGBTQ+ faculty. Through our analysis we identified three core themes: (1) Influence of work climate on LGBTQ+ faculty experiences: How institutional environments influence LGBTQ+ faculty well-being and success; (2) Discrimination affects LGBTQ+ faculty work experiences: Persistent homophobia, heterosexism, sexism, and racism impact LGBTQ+ faculty; (3) LGBTQ+ faculty responses: LGBTQ+ faculty use strategies for resilience and advocacy to navigate their work climates. Our findings indicate a greater need for academia and its leaders to value and support research about experiences of LGBTQ+ faculty. We also found that despite DEI initiatives, institutional climates often remain a source of discrimination for LGBTQ+ faculty, suggesting these efforts are symbolic rather than effective. Amid rising anti-LGBTQ+ legislation and a backlash against DEI efforts, we underscore the need for organizational leaders to urgently implement meaningful, systemic change.
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
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Malgieri, Christopher James
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Corman, Benjamin HP
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Hayward, Geoffrey
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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.
Advancing gender equity in gynecology and obstetrics: perspectives from the German workforce Open PDF
(Springer Science and Business Media LLC, 2025-08-27)
Neuhold, Jasmin
;
von Versen-Höynck, Frauke
PURPOSE: Despite the high proportion of women in medical education and clinical training, female physicians remain underrepresented in leadership and academic positions in Gynecology and Obstetrics in Germany. This study investigates structural and cultural factors contributing to this disparity and highlights trends in workforce composition and recognition in the field. METHODS: We conducted a descriptive, cross-sectional analysis using publicly available data from the German Federal Statistical Office and the German Medical Association (2004-2024), as well as database from the German Society for Gynecology and Obstetrics (DGGG). RESULTS: In 2023, women comprised 73% of gynecologists in Germany. Female representation declined with advancing career stage. In 2024, 82% of resident physicians at German university hospitals were women, while they held 26% of department head positions in Gynecology and Obstetrics. Female membership in the DGGG reached 75%, with 40% on the executive board. In 2022, 65% of major awards went to men, while women received most poster and lecture prizes (61%) at the biannual conference. CONCLUSIONS: While gender diversity in the clinical workforce has improved, systemic inequities persist in academic and leadership domains. Addressing these requires structural reforms, increased transparency in recruitment and promotion processes, and targeted programs supporting women's professional advancement. Enhanced visibility, mentorship, and inclusive institutional policies are essential to ensure gender-equitable development in the specialty.
Women in Radiology: A perspective from Spain Open PDF
(Elsevier BV, 2024-03)
Cayón Somacarrera, S.
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Alonso Rodríguez, C.
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del Campo del Val, L.
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Oleaga Zufiría, L.
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Rodríguez Carnero, P.
Abstract Introduction There are gender inequalities in all fields, including radiology. Although the situation is improving, the presence of radiologists in leadership positions continues to be a minority. The objective of this article is to analyse the situation of women in the spanish radiology, comparing it with Europe and the United States. Materials and methods We selected the years 2000-2022 as reference period to make a comparison with feminization data throughout history. In addition, relevant specific data from the just begun 2023 were also included. The variables in which we investigated feminization were the following: medical students, medical graduates, radiology residents and specialists, section chiefs, department chairs, radiology residency programme directors, radiology university professors, presidents of the main radiological entities and societies in Spain, Europe and the United States, recipients of the main awards given by these radiological societies and chief editors of their journals. In order to perform this analysis we conducted an in-depth bibliographic research, we contacted the radiological societies of Spain, Europe and the USA and we carried out a survey in the main Spanish radiology departments. Results The female presence in radiology decreases as we rise to leadership positions, a situation that is patent in Spain, Europe and the US, comparison that will be analysed in depth throughout the article. In Spanish hospitals in 2021 there were 58.1% female radiology residents, 55% female radiologists, 42.9% female section chiefs and 24.4% female department chairs. In SERAM’s history there have been 10% female presidents, 22% female gold medallists and 5% female editors-in-chief. If we analyse data from 2000 to 2023, female presidents reach 32% and female gold medallists 31%. Conclusions Although gender inequality is declining, in radiology women continue to be underrepresented in leadership positions. Work must be done in order to build a diverse and inclusive profession that reflects demographic reality. Resumen Introducción Existen desigualdades por razón de género en todos los ámbitos, incluyendo en la radiología. Aunque la situación está mejorando, la presencia de radiólogas en puestos de liderazgo continúa siendo minoritaria. El objetivo de este artículo es analizar la situación de la mujer en la radiología española, comparándola con Europa y EE.UU. Materiales y métodos Seleccionamos como franja de referencia los años 2000–2022 para hacer una comparación con datos de feminización a lo largo de la historia. Además también se incluyeron datos puntuales relevantes del recién comenzado 2023. Las variables en las que investigamos la feminización fueron las siguientes: estudiantes de medicina, médicos graduados, residentes y especialistas en radiodiagnóstico, jefes de sección, jefes de servicio, tutores de residentes de radiodiagnóstico, radiólogos profesores universitarios, presidentes de las principales entidades y sociedades radiológicas de España, Europa y EE.UU, receptores de los principales galardones de dichas sociedades radiológicas y editores jefe de sus revistas. Para ello realizamos una amplia búsqueda bibliográfica, contactamos con las sociedades radiológicas de España, Europa y EE.UU y realizamos una encuesta a los principales servicios de radiodiagnóstico de España. Resultados La presencia femenina en radiología va disminuyendo a medida que ascendemos a puestos de liderazgo, situación que se constata tanto en España como en Europa y EE.UU, comparativa que analizaremos en profundidad a lo largo del artículo. En los hospitales españoles en el año 2021 había un 58,1% de mujeres residentes de radiodiagnóstico, 55% de radiólogas, 42,9% de jefas de sección y 24,4% de jefas de servicio. En la historia de la SERAM ha habido un 10% de mujeres presidentas, un 22% de mujeres medallas de oro y un 5% de editoras jefe. Analizando los datos del año 2000 al 2023 el porcentaje de presidentas alcanza el 32% y las mujeres medallas de oro el 31%. Conclusiones Aunque la desigualdad de género está disminuyendo, en radiología las mujeres continúan estando infrarrepresentadas en puestos de liderazgo. Es preciso trabajar para crear una profesión diversa e inclusiva que refleje la realidad demográfica.
Educational strategies for integrating gender perspectives in health professions training: a systematic review to advance diversity, equity, and inclusion Open PDF
(Springer Science and Business Media LLC, 2026-03-07)
López, Karina
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Cabanas, Ana María
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Pinazo, Fabian
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Zambrano, Nathalia
BACKGROUND: Preparing health professionals to deliver equitable, culturally competent care requires integrating gender perspectives throughout medical training. While essential for addressing health disparities affecting women, men, and gender-diverse populations, implementation approaches vary widely across institutions and regions. Evidence on effective strategies remains fragmented. This systematic review synthesizes educational interventions for gender-sensitive training, evaluates outcomes on student competencies, and examines global research patterns to identify equity gaps in the scholarship itself. METHODS: Following PRISMA 2020 guidelines, we conducted a prospectively registered systematic review (PROSPERO CRD420251132158). We systematically searched PubMed, Web of Science, and Scopus for studies published between 2015 and 2025 that evaluated educational strategies for integrating gender perspectives in health professions training. Two independent reviewers performed screening, data extraction, and quality appraisal using a generic risk-of-bias tool. Thematic synthesis identified core educational strategy domains and their effectiveness. We complemented this with bibliometric mapping (co-citation, co-authorship, co-word analysis) to examine geographic distribution of research, international collaboration patterns, and conceptual evolution in the field. RESULTS: Twenty-four studies met inclusion criteria from 133 records. Six educational strategy domains emerged from thematic synthesis: curricular design, active learning methodologies, faculty development, assessment systems, digital technologies, and interdisciplinary collaboration. Interventions consistently improved clinical knowledge of gender-diverse health needs, recognition and reduction of implicit bias, ethical sensitivity, and gender-affirming communication skills. Bibliometric analysis revealed striking geographic concentration: 72.2% of research originates from European institutions (38% from Germany alone), with minimal international collaboration (12.5) and virtually no Global South representation. This pattern highlights persistent inequities in whose perspectives shape DEI frameworks in medical education. CONCLUSIONS: Integrating gender perspectives into health professions education represents an evidence-based strategy for advancing DEI principles and preparing providers to deliver equitable, culturally competent care. Effective implementation requires dedicated institutional commitment through three key mechanisms: dedicated change agents who champion gender equity, formal structural integration rather than ad-hoc interventions, and systematic faculty development programs. However, the geographic concentration of research in high-income Western contexts raises critical questions about equity in DEI scholarship itself. Achieving gender equity in healthcare globally requires parallel commitments: integrating gender-sensitive curricula in all institutions while ensuring that diverse global voices, especially from the Global South, meaningfully shape DEI discourse and frameworks. TRIAL REGISTRATION: PROSPERO CRD420251132158.
More than a decade with ‘gender on the agenda’: have we made progress? Open PDF
(Elsevier BV, 2026-04)
Colvin, Lesley
;
Kemp, Harriet
As female clinical academics and members of the British Journal of Anaesthesia (BJA), we recognise the importance of gender equity, which remains an issue in academic medicine, despite the increase in the proportion of women in medical schools throughout the world. This inequity is most apparent at senior leadership levels, with the number of female professors in anaesthesia remaining in single digits in the UK, and at about 25% of full professors in the USA. A strong publication record is an important promotion metric in academia. In a 2013 analysis, only 39% of first and senior authors published in the BJA were women, whereas in our recent analysis, this proportion improved to 54%. The benefits of having increased representation of women as leaders are unequivocal, requiring active strategies to accelerate any progress that has been made. Initiatives such as the current BJA Special Issue on Women in Anaesthesia Research are key elements in this process.
Women in surgical academic Careers: What is needed to get there? Open PDF
(Elsevier BV, 2026-02)
Bosman, A.
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Schreurs, W.H.
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Smidt, M.L.
Despite comprising the majority of medical students, women remain significantly underrepresented in senior academic surgical positions. In the Netherlands, only 15.6 % of surgical professors are female. This article examines cultural and structural barriers, including unequal access to networks, underrepresentation on editorial boards, academic “housework,” implicit bias, and unequal caregiving responsibilities, that hinder women's advancement in academic surgery. Targeted interventions such as mentorships, flexible work policies, salary transparency, and gender-conscious recruitment (e.g., Eindhoven University of Technology's preferential hiring strategy) have shown promise in promoting equity without compromising academic output. The “critical mass” threshold of 28 % female representation emerges as a tipping point for cultural change. Achieving gender equity in academic surgery requires both systemic reform and cultural transformation to ensure equal opportunity, career sustainability, and inclusive institutional environments.
Developing a Gender Equity, Diversity, and Inclusivity (GEDI)-responsive curriculum framework for Philippine higher education: a qualitative case study of faculty perspectives Open PDF
(Frontiers Media SA, 2026-01-07)
Castulo, Nilo Jayoma
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De Vera, Jayson Luciano
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Buenaventura, Ma. Laarni
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Sebial, Starr Clyde Lumanta
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Aquino, John Michael Del Rosario
Introduction Gender Equity, Diversity, and Inclusivity (GEDI) have become essential components of higher education reform; however, their integration into Philippine higher education curricula remains inconsistent. Thus, this study explored GEDI faculty members’ perspectives on integrating GEDI concepts into higher education. It proposes a responsive curriculum framework aligned with national mandates and global sustainable development goals. Methodology A descriptive qualitative case study was conducted involving 19 faculty members from various higher education institutions in the Philippines. Data were gathered through online Key Informant Interviews (KIIs) and relevant document reviews. Thematic analysis using Atlas.ti 25 guided the coding and interpretation processes, complemented by member checking, reflexivity through the COREQ checklist, and triangulation to strengthen the analytical rigor. Results The findings revealed that faculty members perceived GEDI integration as largely symbolic, with vague mentions in syllabi but insufficient curricular outcomes. Key gaps included (1) uneven implementation across disciplines (stronger in Social Sciences/Education vs. STEM), (2) non-standardized GEDI strategies, (3) faculty resistance and inadequate training, (4) marginalization of underrepresented identities in content, and (5) weak policy enforcement. A four-layer GEDI-Responsive Curriculum Framework ( macro, meso, micro, nano ) was proposed to embed intersectionality, contextual relevance, and accountability across all educational levels. This research bridges policy-practice gaps by aligning with the local and international higher education curriculum and emphasizing intersectionality, localized reforms, and measurable competencies (e.g., empathy, critical gender consciousness). The findings of the study are context-specific to selected Philippine regions, and broader applicability requires further validation. Underrepresented contexts (e.g., Indigenous Peoples and disability-specific programs) were minimally covered. Future research should broaden geographic coverage and pilot systematic feedback systems to evaluate the applicability and sustainability of the framework across diverse higher education contexts.
Fostering trustworthy dialogue on race, ethnicity and gender in a mentoring and leadership program for academic medicine faculty Open PDF
(Springer Science and Business Media LLC, 2025-12-30)
Pololi, Linda
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Brimhall-Vargas, Mark
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Mojto, Alison Milofsky
Background Inequity and marginalization of faculty historically underrepresented in academic medicine persist. As medical schools seek to increase the diversity and success of all their faculty, there is a need for effective change activities to address racism and sexism in medicine. We present an evaluation of an exercise aimed at enhancing cross-cultural awareness and valuing of diversity that was embedded in a faculty mentoring and leadership program in academic medicine. Most cross-cultural training fails to include opportunity to practice these difficult conversations in a diverse group. Methods Participants were 80 MD and PhD multidisciplinary medical school faculty who participated in five implementations of the yearlong C-Change Mentoring and Leadership Institute between 2018 and 2023. 43% of faculty were from underrepresented racial and ethnic groups, 60% were female, 65% were physicians and 35% had a PhD degree. We conducted a qualitative analysis of written and oral faculty responses to a collection of verbatim quotations of underrepresented minority and female faculty that described experiences of being discriminated against in the workplace. Thematic analysis of written and oral data was inductive, allowing themes to emerge from the data. Results Themes that emerged in the data from these facilitated conversations were: increased awareness of racism, recognition of lack of knowledge; connection, shared experience, and empathy; blame, judgment, dismissiveness, and deflection; focus on solutions/paths for change; the nature of prejudice; and reflection on their role in the system. The themes in participant responses illustrated the developmental stages of identity awareness in White and underrepresented minority persons. Participating faculty were able to productively engage in difficult conversations across race, ethnicity and gender. Conclusions The facilitated exercise engendered reflection, dialogue and learning about racism, sexism and identity development. Such exercises can open spaces of possibility for change at the individual level as well as the creation of inclusive cultures necessary for systemic change to occur.
Gender representation trends in cardiothoracic surgery journal editorial boards Open PDF
(Elsevier BV, 2024-12)
Higaki, Adrian Acuna
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Papageorge, Marianna V.
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Waldron, Christina
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Huggins, Lenique
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Brinker, Morgan
Objective We aimed to characterize chronologic trends of gender composition of the editorial boards of major cardiothoracic surgery journals in the current era. Methods A cross-sectional analysis was performed of gender representation in editorial board members of 2 North American cardiothoracic surgery journals from 2008 to 2023. Member names and roles were collected from available monthly issues. Validated software programming was used to classify gender. The annual proportion of women representation was compared to the thoracic surgery workforce. Results During the study period, 558 individuals (3641 names) were identified, 14.3% of whom were women. The total number of editorial board women increased for both journals. The proportion of women also increased from 2.5% (3 out of 118) in 2008 to 17.8% (71 out of 399) in 2023 (P < .001), exceeding the percentage of women in the thoracic surgery workforce, which increased from 3.8% in 2007 to 8.3% in 2021 (P < .001). The average duration of participation was longer for men than for women (53.8 vs 44.5 months; P = .01). Women in editorial board senior roles also increased from 3.3% (1 out of 30) in 2008 to 28.6% (42 out of 147) in 2023 (P < .001), almost triple the increase in nondesignated roles from 2.3% (2 out of 88) in 2008 to 11.5% (29 out of 252) in 2023 (P < .001). Conclusions In recent years, the appointment of women to the editorial boards of high-impact cardiothoracic surgery journals and senior roles have proportionally exceeded the overall representation of women in cardiothoracic surgery. These findings indicate progress in inclusive efforts and offer insight toward reducing academic gender disparities.

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