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What Emergency Medicine Rewards: Is There Implicit Gender Bias in National Awards? - 25/11/19

Doi : 10.1016/j.annemergmed.2019.04.022 
Sara M. Krzyzaniak, MD a, , Michael Gottlieb, MD b, Melissa Parsons, MD c, Nicole Rocca, MD d, Teresa M. Chan, MD e
a Department of Emergency Medicine, University of Illinois College of Medicine Peoria, OSF Healthcare Saint Francis Medical Center, Peoria, IL 
b Department of Emergency Medicine, Rush University Medical Center, Chicago, IL 
c Department of Emergency Medicine, University of Florida College of Medicine–Jacksonville, Jacksonville, FL 
d Department of Emergency Medicine, Queens University, Kingston, Ontario, Canada 
e Department of Medicine, Division of Emergency Medicine, McMaster University, Hamilton, Ontario, Canada 

Corresponding Author.

Abstract

Study objective

Multiple studies have demonstrated a gender gap in the percentage of women recognized in national awards, but to our knowledge this gap has not been studied within emergency medicine. This study is designed to evaluate the presence of a gender gap in female representation in awards from national emergency medicine organizations in the United States and Canada.

Methods

The awards from 5 national organizations during the past 5 years were reviewed. We developed a data extraction tool to identify and categorize the awards and recipients. Data were grouped according to gender distribution and assessed with respect to emergency medicine organization, year of award, category of award, and career phase specified by award.

Results

The overall percentage of female awardees across all 5 organizations from 2014 to 2018 was 28%. Only 16% of all named awards were named after women, and female awardees were more likely to be recognized early in their career for advocacy and work pertaining to the advancement of women, whereas men were favored for awards recognizing mentorship and organizational contributions.

Conclusion

Emergency medicine is unique among other specialties in that the percentage of women represented in national awards (28%) closely mirrors the overall representation of women in emergency medicine (27.6% in the United States, 31% in Canada). This is in contrast to the documented leadership gap in academic medicine and emergency medicine, which may reflect a lag time between receiving national awards and earning academic and professional promotion. Although some organizations had significantly lower representation of female awardees, the overall trends indicate that women have closed the gender gap in award representation. This may signal a forthcoming change in other domains with established gaps in emergency medicine; specifically, in leadership and pay.

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 Please see page 754 for the Editor’s Capsule Summary of this article.
 Supervising editor: Melissa L. McCarthy, ScD, MS. Specific detailed information about possible conflict of interest for individual editors is available at editors.
 Author contributions: All authors were responsible for study concept and design, and acquisition and interpretation of the data. All authors were responsible for drafting the article and critical revision for important intellectual content. MG and TC were responsible for statistical expertise. All authors take responsibility for the paper as a whole.
 All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. Dr. Chan reports receiving funding for unrelated research from the Physician Services Incorporated foundation.
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 A podcast for this article is available at www.annemergmed.com.


© 2019  American College of Emergency Physicians. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 74 - N° 6

P. 753-758 - décembre 2019 Retour au numéro
Article précédent Article précédent
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