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The gender gap in academic anesthesiology and critical care medicine: a systematic review Open PDF
(Springer Science and Business Media LLC, 2024-12-20)
De Cassai, Alessandro
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Rubulotta, Francesca
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Zdravkovic, Marko
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Mustaj, Sindi
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Berger-Estilita, Joana
Abstract Purpose Gender disparities in academia are a growing concern, impacting various disciplines, including health care. We aimed to investigate gender-based differences in academic performance, leadership roles, and academic distinction within anesthesiology and critical care medicine. Source We conducted electronic searches for relevant articles published in PubMed, CENTRAL, Scopus, Web of Science, Embase, Education Resources Information Center, PsychINFO, and ProQuest from database inception until 23 June 2024. Three researchers conducted blinded assessments using predefined inclusion and exclusion criteria, with discrepancies resolved through discussion. We reported descriptive statistics for quantitative data from the included research articles. Principal findings Our initial screening identified 37,311 studies, 71 of which met the specified inclusion criteria and were therefore evaluated. Analysis of academic publishing trends revealed a gradual increase in the proportion of women as coauthors, first authors (in anesthesiology, the increase ranged from 7% to 17%, and in critical care medicine the increase was 4%), last authors, and corresponding authors. Despite these improvements, women remain underrepresented on the editorial boards of top journals. Although an increase in the representation of women as abstract presenters at conferences was noted, gender disparities persist in senior authorship roles. Conclusion Gender disparities are evident in academic leadership positions within anesthesiology and critical care medicine, with few women holding editor-in-chief positions and underrepresentation of women on editorial boards. We observed similar gaps in departmental and scientific society leadership roles. The distribution of awards, prizes, and grants remains skewed, indicating persistent gender imbalances in academic distinction. While progress has been made in certain areas, substantial gaps persist in scholarly publishing, leadership, and academic distinction.
Enhancing equity within the promotions dossier evaluation—Strategies to mitigate biases Open PDF
(Frontiers Media SA, 2026-01-09)
Joy, Tisha R.
Gender, racial, and ethnic disparities in career advancement in academic medicine continue to exist despite ongoing calls to diversify the physician workforce and leadership representation. Compared with white men, women and racially and ethnically underrepresented physicians are more likely to enter academic medicine, but less likely to achieve promotion. Cited barriers to academic advancement include ambiguous or inconsistent criteria for consideration for promotion and lack of standard processes for reviewing applications. The promotions committee therefore is an important rate-limiting step subject to biases that impact not just tenure, but also leadership opportunities and physician salaries. This perspective article explores areas where biases influence promotion criteria evaluation, including but not limited to accomplishments within teaching, research, and/or service, external recognition, candidate statements, and reference letters. The article then will propose strategies helpful to promotion committee members to help mitigate these biases and provide more equitable promotion evaluation.
Research Conducted in Women Was Deemed More Impactful but Less Publishable than the Same Research Conducted in Men Open PDF
(Mary Ann Liebert, Inc., publishers, 2021)
Murrar, Sohad
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Johnson, Paula A.
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Lee, You-Geon
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Carnes, Molly
Background: Female scientists, who are more likely than their male counterparts to study women and report findings by sex/gender, fare worse in the article peer review process. It is unknown whether the gender of research participants influences the recommendation to publish an article describing the study. Materials and Methods: Reviewers were randomly assigned to evaluate one of three versions of an article abstract describing a clinical study conducted in men, women, or individuals. Reviewers assessed the study's scientific rigor, its level of contribution to medical science, and whether they would recommend publishing the full article. Responses were analyzed with logistic regression controlling for reviewer background variables, including sex and experience level. Results: There was no significant difference in perceived research rigor by abstract condition; contribution to medical science was perceived to be greater for research conducted in women than men (odds ratio = 1.7; p = 0.030). Nevertheless, reviewers were almost twice as likely to recommend publication for research conducted in men than the same research conducted in women (predicted probability 0.606 vs. 0.322; p = 0.000). Conclusions: These results are consistent with abundant data from multiple sources showing a lower societal value placed on women than men. Because female investigators are more likely than male investigators to study women, our findings suggest a previously unrecognized bias that could contribute to gender asymmetries in the publication outcomes of peer review. This pro-male publication bias could be an additional barrier to leadership attainment for women in academic medicine and the advancement of women's health.
Who am I, and who are you, and who are we? A Scientometric Analysis of Gender and Geography in HCI
(2022)
McKay, D.
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Zhang, H.
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Buchanan, G.
Conference authorship, attendance and presentation is a key measure of quality in the HCI academic, yet we know conferences are not equally accessible for reasons that have nothing to do with quality. In this paper we examine two axes of diversity: gender, and geographic location (of both authors and conferences) and examine how they affect participation at major HCI conferences. Diversity in a group is associated with better outcomes from its work, and HCI has made numerous contributions to increasing representation in other communities. Reflecting on our own situation can produce recommendations for the planning of future HCI conferences, and identify challenges of representation that the HCI community should endeavor to address. © 2022 ACM.
Female and low- and middle-income authorship trends in high-impact ENT journals (2011-2020) Open PDF
(2023)
Jashek-Ahmed, Farizeh
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Daudu, Davina
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Heer, Baveena
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Ali, Hawa
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Wiedermann, Joshua
INTRODUCTION: Despite a recent drive to increase diversity, the global academic workforce is skewed in favor of authors from high-income countries, and women are under-represented in the published medical literature. OBJECTIVES: To explore the trends in authorship of three high-impact otolaryngology journals over a ten-year period (2011-2020). METHODS: Journals selected: JAMA Otolaryngology-Head and Neck Surgery, The Laryngoscope and Rhinology. Articles were reviewed from four issues per journal per year, and data was collected on: time of publication; subspeciality; number of authors; sex of first and last authors; country of practice of first author and country where each study was conducted. Trends were examined though univariate and multivariate logistic regression models. RESULTS: 2998 articles were included. 93.9% of first authors and 94.2% of studies were from high-income countries.Women were first authors in 31.5% (n = 912) and senior authors in 18.4% (n = 524) of articles. Female first authorship significantly increased between 2011 and 2020 however female senior authorship remained the same. There have been no significant changes in the proportion of published articles from low-and middle-income countries (LMIC) over time (p = .65). Amongst the LMIC articles, 72% came from Brazil, Turkey or China and there were no published papers from countries with a low-income economy (gross national income per capita of $1085 or less). CONCLUSIONS: Although female first authorship has increased in the last decade, there has been minimal other demographic change in authorship over this time. High-impact otolaryngology journals poorly represent academia in low-and-middle income countries. There is a need for increased advocacy promoting gender and geographical research equity in academic medicine. LEVEL OF EVIDENCE: III.
Ending Gender Inequality in Cardiovascular Clinical Trial Leadership: JACC Review Topic of the Week Open PDF
(2021)
Van Spall, Harriette G. C.
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Lala, Anuradha
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Deering, Thomas F.
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Casadei, Barbara
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Zannad, Faiez
Women are under-represented as leaders of cardiovascular randomized controlled trials, representing 1 in 10 lead authors of cardiovascular trials published in high-impact journals. Although the proportion of cardiovascular specialists who are women has increased in recent years, the proportion of cardiovascular clinical trialists who are women has not. This gap, underpinned by systemic sexism, has not been adequately addressed. The benefits of diverse randomized controlled trial leadership extend to patients and professionals. In this position statement, we present strategies adopted by some organizations to end gender inequality in research leadership. We offer an actionable roadmap for early-career researchers, scientists, academic institutions, professional societies, trial sponsors, and journals to follow, with the goal of harnessing the strength of women and under-represented groups as research leaders and facilitating a just culture in the cardiovascular clinical trial enterprise.
Gender Parity Analysis of the Editorial Boards of Influential Dermatology Journals: Cross-Sectional Study Open PDF
(2024)
Szeto, Mindy D.
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Sivesind, Torunn E.
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Kim, Lori S.
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O'Connell, Katie A.
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Sprague, Kathryn A.
This study underscores the persistent underrepresentation of women in academic dermatology leadership positions by examining the gender composition of editorial boards across top dermatology journals, emphasizing the urgent need for proactive strategies to promote diversity, equity, and inclusion.
Gender Representation in Authorship of Academic Dermatology Publications During the COVID-19 Pandemic: Cross-Sectional Study Open PDF
(2024)
Szeto, Mindy D.
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Laughter, Melissa R.
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Maymone, Mayra B. C.
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Patel, Payal M.
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Sivesind, Torunn E.
Analyses of women dermatology literature authorship from 2018 to 2022 reveal a slight increase in total female authors, female first authors, and female senior authors with no substantial immediate impact of COVID-19 on current trends, encouraging future examination of long-term effects and ongoing promotion of systemic initiatives to support gender equity.
Informal science learning experiences for gender equity, inclusion and belonging in STEM through a feminist intersectional lens Open PDF
(2023)
Reznik, G
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Massarani, L
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Barton, AC
In this paper, the authors seek to analyze the perceptions, motivations and experiences of young women in science, technology, engineering and mathematics (STEM) education projects aiming to incentivize gender equity, based on the theoretical framework of feminist studies on science and intersectionality, as well as academic literature on equity and inclusion in science communication. The following question was considered: How does experience in these projects influence young women's perceptions of belonging in the STEM fields? Working from a qualitative, content analysis approach, the authors conducted 73 questionnaires, 20 interviews, and 4 focus groups with 25 young women who participated in 4 projects developed in public schools in low-income settings in Rio de Janeiro, Brazil. The authors categorized the experience of these young women in their individual dimension-regarding motivations, interests, science identity and future career prospects; family dimension-encouragement and recognition from family members and parents' beliefs and expectations; educational dimension-recognition by the school community, improvement in school performance, and intervention in school spaces; project dimension-representativeness of gender, race, class, and location, development of self-esteem and self-confidence, building of a sense of belonging, and active learning methodologies; and social dimension-domestic work in their daily lives and experiences of discrimination based on gender, race, class and location. The authors argue that such projects become "counter-spaces" in which marginalized young women find spaces of resistance and possibility, based on the unique position they occupy and, through feeling included and belonging, can claim their rightful presence from an intersectional perspective.
Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity Open PDF
(2023)
Allan, JM
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Brooks, AK
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Crusto, C
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Feld, LD
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Oxentenko, AS
Abundant disparities for women in medicine contribute to many women physicians considering leaving medicine. There is a strong financial and ethical case for leaders in academic medicine to focus on strategies to improve retention. This article focuses on five immediate actions that leaders can take to enhance gender equity and improve career satisfaction for all members of the workplace.

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