PUBBLICAZIONE/PUBLICATION

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  • Item type:Publication,
    Women in Surgery Open PDF 
    (American Medical Association (AMA), 2006-04-01)
    Gargiulo, Debra A.
    HYPOTHESIS: Women are deterred from a surgical career owing to a lack of role models rather than lifestyle considerations. DESIGN: Survey. SETTING: University teaching hospital. PARTICIPANTS: Surgery and obstetrics/gynecology attending physicians, residents, and medical students. INTERVENTION: Questionnaire. MAIN OUTCOME MEASURES: Potential deterrents to a surgical career. RESULTS: Men and women had a similar interest in a surgical career before their surgical rotation (64% vs 53%, P = .68). A similar percentage developed a mentor (40.0% vs 45.9%, P = .40). Women were far more likely to perceive sex discrimination (46.7% vs 20.4%, P = .002), most often from male attending physicians (33.3%) or residents (31.1%). Women were less likely to be deterred by diminishing rewards (4.4% vs 21.6%, P = .003) or workload considerations (28.9% vs 49.0%, P = .02). They were also less likely to cite family concerns as a deterrent (47.8% vs 66.7%, P = .02) and equally likely to be deterred by lifestyle during residency (83.3% vs 76.5%, P = .22). However, women were more likely to be deterred by perceptions of the "surgical personality" (40.0% vs 21.6%, P = .03) and the perception of surgery as an "old boys' club" (22.2% vs 3.9%, P = .002). CONCLUSIONS: Men and women are very similar in what they consider important in deciding on a surgical career. Women are not more likely to be deterred by lifestyle, workload issues, or lack of role models. However, the perceived surgical personality and surgical culture is a sex-specific deterrence to a career in surgery for women.
  • Item type:Publication,
    Advancing gender equality through the Athena SWAN Charter for Women in Science: An exploratory study of women's and men's perceptions Open PDF 
    (BioMed Central Ltd., 2017)
    Ovseiko, P.V.
    ;
    Chapple, A.
    ;
    Edmunds, L.D.
    ;
    Ziebland, S.
    Background: While in the United Kingdom, Ireland, and Australia, higher education and research institutions are widely engaged with the Athena SWAN Charter for Women in Science to advance gender equality, empirical research on this process and its impact is rare. This study combined two data sets (free- text comments from a survey and qualitative interviews) to explore the range of experiences and perceptions of participation in Athena SWAN in medical science departments of a research-intensive university in Oxford, United Kingdom. Methods: The study is based on the secondary analysis of data from two projects: 59 respondents to an anonymous online survey (42 women, 17 men) provided relevant free-text comments and, separately, 37 women participated in face-to-face narrative interviews. Free-text survey comments and narrative interviews were analysed thematically using constant comparison. Results: Both women and men said that participation in Athena SWAN had brought about important structural and cultural changes, including increased support for women's careers, greater appreciation of caring responsibilities, and efforts to challenge discrimination and bias. Many said that these positive changes would not have happened without linkage of Athena SWAN to government research funding, while others thought there were unintended consequences. Concerns about the programme design and implementation included a perception that Athena SWAN has limited ability to address longstanding and entrenched power and pay imbalances, persisting lack of work-life balance in academic medicine, questions about the sustainability of positive changes, belief that achieving the award could become an end in itself, resentment about perceived positive discrimination, and perceptions that further structural and cultural changes were needed in the university and wider society. Conclusions: The findings from this study suggest that Athena SWAN has a positive impact in advancing gender equality, but there may be limits to how much it can improve gender equality without wider institutional and societal changes. To address the fundamental causes of gender inequality would require cultural change and welfare state policies incentivising men to increase their participation in unpaid work in the family, which is beyond the scope of higher education and research policy. © 2017 The Author(s).
  • Item type:Publication,
    Gender Differences in Authorship of Family Medicine Publications, 2002-2017 Open PDF 
    (2021)
    Keller, Tilden
    ;
    Wilson, Megan
    ;
    Chung, Kevin
    ;
    Andrilla, C. Holly A.
    ;
    Evans, David V.
    BACKGROUND AND OBJECTIVES: Representation of women in medicine is increasing, including in academic family medicine. Despite this, women continue to hold a minority of senior faculty and leadership roles. This study examines the trends of women first and senior authorship between 2002 and 2017 in five family medicine journals: Family Medicine, Journal of Family Practice, Journal of the American Board of Family Medicine, Annals of Family Medicine, and American Family Physician. The study also examines gender congruence between first and senior authors and women's membership on editorial boards. METHODS: We collected and analyzed data on a total of 1,671 original articles published in the five family medicine journals in 2002, 2007, 2012, and 2017. We also examined the gender composition of the journals' editorial boards. RESULTS: Overall, women first authorship increased significantly from 32.6% in 2002 to 47.7% in 2017. There was no significant difference in women senior authorship or editorial board representation from 2002 to 2017. Both men and women senior authors partnered with women first authors significantly more over the 15 years. CONCLUSIONS: While there was a statistically significant increase in women first authors between 2002 and 2017, there is still a gap between women's authorship and editorial board representation and their representation within academic family medicine. These gaps could help to explain the continued lack of women represented within senior faculty positions.
  • Item type:Publication,
    Promotion of Women Physicians in Academic Medicine: Glass Ceiling or Sticky Floor? Open PDF 
    (1995)
    Tesch, B.J.
    ;
    Wood, H.M.
    ;
    Helwig, A.L.
    ;
    Nattinger, A.B.
    To assess possible explanations for the finding that the percentage of women medical school faculty members holding associate or full professor rank remains well below the percentage of men. —Cross-sectional survey of physician faculty of US medical schools using the Association of American Medical Colleges (AAMC) database. —Surveyed were 153 women and 263 men first appointed between 1979 and 1981, matched for institutions of original faculty appointment. —Academic rank achieved, career preparation, academic resources at first appointment, familial responsibilities, and academic productivity. —After a mean of 11 years on a medical school faculty, 59% of women compared with 83% of men had achieved associate or full professor rank, and 5% of women compared with 23% of men had achieved full professor rank. Women and men reported similar preparation for an academic career, but women began their careers with fewer academic resources. The number of children was not associated with rank achieved. Women worked about 10% fewer hours per week and had authored fewer publications. After adjustment for productivity factors, women remained less likely to be associate or full professors (adjusted odds ratio [OR]=0.37; 95% confidence interval [CI], 0.21 to 0.66) or to achieve full professor rank (adjusted OR=0.27; 95% CI, 0.12 to 0.63). Based on the AAMC database, 50% of both women and men originally appointed as faculty members between 1979 and 1981 had left academic medicine by 1991. —Women physician medical school faculty are promoted more slowly than men. Gender differences in rank achieved are not explained by productivity or by differential attrition from academic medicine. (JAMA. 1995;273:1022-1025). © 1995, Jama, All rights reserved.
  • Item type:Publication,
    Gender differences in the journal publication productivity of south african academic authors Open PDF 
    (2006)
    Prozesky, H.
    Today one of the most contentious issues within the emerging field of Science and Technology Studies in South Africa relates to the position and participation of women scientists in academia. This paper presents the results of a secondary analysis of data contained in a national database of journal publications and their authors. The objective is to describe the nature and extent of gender differences in journal publication productivity among South African academics during the period 1990–2001. The paper also makes a methodological contribution by highlighting issues and making recommendations for further analyses of South African bibliometric databases. The data show that, on average during the period studied, men published almost twice as many articles in accredited journals as women, and that gender differences in both extremes of publication productivity determined this gap. Possible explanations for the observed differences are put forward in the form of a summary of the most important theoretical explanations for gender differences in publication productivity. An assessment is made of their potential relevance in the South African context, in order to identify priorities for future research on the issue of gender differences in publication productivity among South African academics. © 2006 Taylor & Francis Group, LLC. All right reserved.
  • Item type:Publication,
    A glass ceiling within academic general practice in Western Europe: Career-inhibiting and -facilitating factors for female general practitioners Open PDF 
    (2006)
    De Jong, G.M.
    ;
    Lagro-Janssen, A.L.M.
    WONCA 2004 in Orlando, Florida, provided the stage for a symposium on “Challenges for Women in Family Medicine”, organized by the WONCA Working Party on Women and Family Medicine. This international symposium provided a review of what women family physicians are doing to confront challenges in education, clinical practice, academia, organizations and leadership Citation[1]. Representing Europe, the results of a unique study on the latter subject were presented.
  • Item type:Publication,
    Women's underrepresentation in science: Sociocultural and biological considerations Open PDF 
    (American Psychological Association, 2009)
    Ceci, Stephen J.
    ;
    Williams, Wendy M.
    ;
    Barnett, Susan M.
    The underrepresentation of women at the top of math-intensive fields is controversial, with competing claims of biological and sociocultural causation. The authors develop a framework to delineate possible causal pathways and evaluate evidence for each. Biological evidence is contradictory and inconclusive. Although cross-cultural and cross-cohort differences suggest a powerful effect of sociocultural context, evidence for specific factors is inconsistent and contradictory. Factors unique to underrepresentation in math-intensive fields include the following: (a) Math-proficient women disproportionately prefer careers in non–math-intensive fields and are more likely to leave math-intensive careers as they advance; (b) more men than women score in the extreme math-proficient range on gatekeeper tests, such as the SAT Mathematics and the Graduate Record Examinations Quantitative Reasoning sections; (c) women with high math competence are disproportionately more likely to have high verbal competence, allowing greater choice of professions; and (d) in some math-intensive fields, women with children are penalized in promotion rates. The evidence indicates that women's preferences, potentially representing both free and constrained choices, constitute the most powerful explanatory factor; a secondary factor is performance on gatekeeper tests, most likely resulting from sociocultural rather than biological causes. (PsycInfo Database Record (c) 2022 APA, all rights reserved)