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Predicting When Women Will Achieve Equitable Representation in Four Specialties: The WHEN Study - 04/05/22

Doi : 10.1016/j.amjmed.2022.01.031 
Kinan Bachour, MD, MBA a, Shayne E. Dodge, BS b, Stephen Kearing, MA b, Pamela S. Douglas, MD c, Sandra Wong, MD, MS d, Megan Coylewright, MD, MPH e,
a Geisel School of Medicine at Dartmouth, Hanover, NH 
b Heart and Vascular Center, Section of Cardiovascular Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH 
c Division of Cardiovascular Medicine, Duke University Medical Center, and Duke Clinical Research Institute, Durham, NC 
d Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 
e Division of Cardiovascular Medicine, The Erlanger Heart and Lung Institute, Chattanooga, TN 

Requests for reprints should be addressed to Megan Coylewright, MD, MPH, The Erlanger Heart and Lung Institute, 979 East 3rd Street, C-520, Chattanooga, TN 37403.The Erlanger Heart and Lung Institute979 East 3rd Street, C-520ChattanoogaTN37403

Abstract

Background

For 2 decades, women have made up nearly half of medical school graduates, yet this has not translated to equity in promotion. We compare historical trends in the academic career pipeline among 4 specialties by sex.

Methods

Using the Association of American Medical Colleges database, faculty sex and rank were examined in oncology, gastroenterology, cardiovascular medicine, and general surgery for the years 2000 and 2020.

Results

Cardiovascular medicine, gastroenterology, and general surgery all had similar lower representation of women faculty in 2000 (17%, 17%, and 15%, respectively) compared with oncology (26%). Cardiovascular medicine and general surgery have seen smaller increases in representation over the last 20 years compared with gastroenterology and oncology. Oncology and gastroenterology are projected to reach sex parity in 2024 and 2029, followed by general surgery in 2054. At the current rate, cardiovascular medicine will not reach sex parity until 2070.

Conclusion

Oncology and gastroenterology, compared with cardiovascular medicine and general surgery, have seen larger gains in representation of women over the past 2 decades, including at Professor rank. Disparities persist in specific fields; lessons may be learned from other specialties in which women are more likely to be promoted to leadership positions.

El texto completo de este artículo está disponible en PDF.

Keywords : Cardiology, Gastroenterology, Gender equity, General surgery, Leadership, Oncology


Esquema


 Funding: None.
 Conflicts of Interest: MC serves on the steering committee for CHAMPION AF and has received research funding from both Boston Scientific and Edwards LifeSciences. The remaining authors have no conflicts of interest to disclose.
 Authorship: All authors had access to the data and a role in writing the manuscript. KB: Conceptualization, methodology, formal analysis, investigation, data curation, writing – original draft, visualization; SED: Validation, investigation, data curation, writing – review & editing, visualization, project administration; SK: Methodology, formal analysis, writing – review & editing; PSD: Conceptualization, methodology, writing – review & editing; SW: Conceptualization, methodology, writing – review & editing; MC: Conceptualization, methodology, resources, writing – review & editing, supervision.


© 2022  Publicado por Elsevier Masson SAS.
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