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Ivory tower in MD/PhD programmes: sticky floor, broken ladder and glass ceiling

Publication type
journal article
Publication date
2024
Author(s)
Lail, Achint
Ding, Jeffrey
Leyva, Brayden K.
Jalal, Sabeena
Nakae, Sunny
more
Language
English
Keywords

Career Mobility

Clinical Leadership

Effectiveness

Efficiency

Leadership

Management

View point(s)
PhD Level
Geographical area

USA

Abstract
OBJECTIVE: Achieving gender equity in academic medicine is not only a matter of social justice but also necessary in promoting an innovative and productive academic community. The purpose of this study was to assess gender distribution in dual MD/PhD academic programme faculty members across North America. METHODS: Academic metrics were analysed to quantify the relative career success of academic faculty members in MD/PhD programmes. Measured parameters included academic and leadership ranks along with nominal research factors such as peer-reviewed research publications, H-index, citation number and years of active research. RESULTS: Χ² analysis revealed a statistically significant (p<0.0001, χ²=114.5) difference in the gender distribution of faculty and leadership across North American MD/PhD programmes. Men held 74.2% of full professor positions, 64% of associate professor positions, 59.4% of assistant professor positions and 62.8% of lecturer positions. Moreover, men occupied a larger share of faculty leadership roles with a statistically significant disparity across all ranks (p<0.001, χ²=20.4). A higher proportion of men held positions as department chairs (79.6%), vice chairs (69.1%) and programme leads (69.4%). CONCLUSION: Gender disparity was prevalent in the MD/PhD programmes throughout North America with women achieving a lower degree of professional stature than men. Ultimately, steps must be taken to support women faculty to afford them better opportunities for academic and professional advancement.
Journal
BMJ leader
ISSN
2398-631X
DOI
10.1136/leader-2024-001003
Pagination
leader-2024-001003
URL
http://www.ncbi.nlm.nih.gov/pubmed/39103197
https://resolver.ebsco.com/c/t3cw6d/result?genre=article&aulast=Lail&issn=2398-631X&title=BMJ%20Leader&atitle=Ivory%20tower%20in%20MD%2FPhD%20programmes%3A%20sticky%20floor%2C%20broken%20ladder%20and%20glass%20ceiling&volume=9&issue=3&spage=242&epage=246&date=2025-09-25&doi=10.1136%2Fleader-2024-001003&sid=LibKey
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