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Cartagena-Reyes MA, Gupta M, Roy JM, Solomon E, Yenokyan G, Fogam L, Nazario-Ferrer GI, Elnemer WG, Park S, Skolasky RL, Jain A. Gender diversity at spine surgery academic conferences: a 15-year investigation. Spine J 2024; 24:1369-1377. [PMID: 38081462 DOI: 10.1016/j.spinee.2023.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 11/09/2023] [Accepted: 11/27/2023] [Indexed: 01/01/2024]
Abstract
BACKGROUND CONTEXT Enhancing gender diversity at academic conferences is critical for advancing women's representation and career trajectories in spine surgery. PURPOSE To discover trends in women's representation at major spine conferences over a 15-year period. STUDY DESIGN/SETTING Conference records from the 2007-2021 annual meetings of the Congress of Neurological Surgeons, North American Spine Society, and Scoliosis Research Society (SRS). PATIENT SAMPLE Authors of spine-related presentations. OUTCOME MEASURES Authorship by gender. METHODS Retrospective bibliometric analysis with univariate and multivariate modeling to identify trends and predictors of gender diversity. RESULTS Among 8,948 presentations, 750 (8.4%) had female first authors and 618 (6.9%) had female senior authors. There was no change in rates of female first authorship (p=.41) or senior authorship (p=.88) over time. The strongest predictors of female first authorship were having a female senior author (OR 7.32, p<.001), and delivering presentations at SRS (OR 1.95, p=.001). Factors negatively associated with female first authorship included poster format (OR 0.82, p=.039) and conference location in the United States/Canada (OR 0.76, p=.045). Similar trends were encountered for senior authorship. Productivity per senior author was similar between genders (p=.160); whereas a gender gap in productivity per first author during 2007 to 2011 (p=.020) equalized by 2017 to 2021 (p=.300). Among the 10 most productive authors of each gender, male authors delivered more presentations, but all authors shared similar format, content, and location. CONCLUSIONS Women's representation in spine-related presentations did not increase at three major conferences over a 15-year period. Our findings regarding the positive effects of female mentorship, and international or virtual venues merit further investigation to address the gender gap. The upstream pipeline of recruiting women into academic spine surgery also needs to be addressed. LEVEL OF EVIDENCE: 3
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Affiliation(s)
- Miguel A Cartagena-Reyes
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA
| | - Mihir Gupta
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA
| | - Joanna M Roy
- Topiwala National Medical College, 1 Dr. AL Nair Road, Mumbai, Maharashtra 40008, India
| | - Eric Solomon
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA
| | - Gayane Yenokyan
- Johns Hopkins Biostatistics Center, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA
| | - Lora Fogam
- Windsor University School of Medicine, 455 California Ave, Windsor, Ontario N9B2Y9, Canada
| | | | - William G Elnemer
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA
| | - SangJun Park
- Department of Orthopedic Surgery, Korea University College of Medicine, 145 Anam-Ro, Seoul 02841, Republic of Korea
| | - Richard L Skolasky
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA
| | - Amit Jain
- Department of Orthopedic Surgery, Johns Hopkins University, 601 N Caroline St, JHOC 5230, Baltimore, MD 21287, USA.
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Maskal SM, Chang JH, Essani V, Moe A, Al Marzooqi R, Remulla D, Jackson HT, Beffa LRA, Lum SS, Matthew Walsh R, Prabhu AS. Women speaker representation at SAGES annual meetings: a cross-sectional analysis. Surg Endosc 2024:10.1007/s00464-024-11034-z. [PMID: 39026006 DOI: 10.1007/s00464-024-11034-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2024] [Accepted: 06/30/2024] [Indexed: 07/20/2024]
Abstract
BACKGROUND Gender representation trends at the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Annual Meetings and the effect of the 2018 'We R SAGES' initiatives are unknown. We assessed gender trends in oral presentations at the SAGES Annual Meeting between 2012 and 2022 with a focus on assessing the impact of the 2018 initiatives. METHODS Abstracts selected for oral presentations from 2012 to 2022 were reviewed for presenter and first, second, and senior author gender. Gender was categorized as woman, man, or unknown using public professional profiles. Subsequent publications were identified using search engines. The primary outcome was the temporal trend of proportion of women in each role using interrupted time series analysis. Secondary outcomes included publication rates based on first and senior author genders in 2012-2018 versus 2019-2022. RESULTS 1605 abstracts were reviewed. The proportion of women increased linearly in all categories: presenter (2.4%/year, R2 = 0.91), first author (2.4%/year, R2 = 0.90), senior author (2%/year, R2 = 0.65), and overall (2.2%, R2 = 0.91), (p < 0.01 for all). Prior to 2018, the proportion of women increased annually for presenters (coefficient: 0.026, 95% CI [0.016, 0.037], p = 0.002) and first authors (coefficient: 0.026, 95% CI [0.016, 0.037], p = 0.002), but there was no significant increase after 2018 (p > 0.05). Female second author proportion increased annually prior to 2018 (coefficient: 0.012, 95% CI [0.003, 0.021], p = 0.042) and increased by 0.139 (95% CI [0.070, 0.208], p = 0.006) in 2018. Annual female senior author proportion did not significantly change after 2018 (p > 0.05). 1198 (75.2%) abstracts led to publications. Women were as likely as men to be first (79% vs 77%, p = 0.284) or senior author (79% vs 77%, p = 0.702) in abstracts culminating in publications. There was no difference in woman first author publication rate before and after 2018 (80% vs 79%, p = 1.000), but woman senior author publication rate increased after 2018 (71% vs 83%, p = 0.032). CONCLUSION There was an upward trend in women surgeons' presentations and associated publications in the SAGES Annual Meetings over the last decade.
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Affiliation(s)
- Sara M Maskal
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA.
| | - Jenny H Chang
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
| | - Varisha Essani
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Ava Moe
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Raha Al Marzooqi
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
| | - Daphne Remulla
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
| | - Hope T Jackson
- Department of Surgery, University of Michigan Medicine, Ann Arbor, MI, USA
| | - Lucas R A Beffa
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
| | - Sharon S Lum
- Department of Surgery, Loma Linda University School of Medicine, Loma Linda, CA, USA
| | - R Matthew Walsh
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
| | - Ajita S Prabhu
- Department of Surgery, Cleveland Clinic, 2049 E 100th St, Cleveland, OH, 44195, USA
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Gardezi M, Silber E, Levi J. Female leadership representation within otolaryngology specialty societies. Am J Otolaryngol 2024; 45:104270. [PMID: 38581775 DOI: 10.1016/j.amjoto.2024.104270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 03/24/2024] [Accepted: 03/26/2024] [Indexed: 04/08/2024]
Abstract
OBJECTIVES Determine if women have continued parity in leadership in otolaryngology specialty societies as compared to a paper by Choi and Miller in 2012. Additionally, we wanted insight into obstacles female leaders faced by surveying them directly to better understand their experiences with gender bias. METHODS Chi-squared test evaluation was done using the American Academy of Otolaryngology Head and Neck Surgery (AAOHNS) 2020 membership data and directly from various otolaryngology specialty societies. An anonymous survey to assess different experiences of leaders in various Otolaryngology specialty societies was sent to current and past leaders of specialty societies via email. Survey data was assessed using descriptive statistics and multivariate logistical analyses. STUDY DESIGN Cross-sectional study and survey study. RESULTS Female members comprised 19.3 % of practicing AAOHNS otolaryngologists. All societies had proportionate female leadership representation except for AAOA, which had greater representation. Compared to data from 10 years ago, female representation in all the societies' leadership has not changed significantly. Survey results demonstrated 64.9 % of respondents felt gender bias exists in Otolaryngology. 45.6 % of respondents personally experienced gender bias during their careers. Survey results showed males are less likely to experience gender bias. CONCLUSION There is stability in the proportion of women in otolaryngology leadership positions compared to a decade ago largely due to efforts of leaders in the field. However, women leaders note experiencing gender bias and time away from clinical duties are prospective areas where support can be given. LEVEL OF EVIDENCE: 3
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Affiliation(s)
- Mina Gardezi
- Boston University Chobanian & Avedisian School of Medicine, Boston, MA, United States of America; Otolaryngology Head and Neck Surgery, Boston Medical Center, Boston, MA, United States of America.
| | - Elizabeth Silber
- Otolaryngology Head and Neck Surgery, Boston Medical Center, Boston, MA, United States of America
| | - Jessica Levi
- Otolaryngology Head and Neck Surgery, Boston Medical Center, Boston, MA, United States of America
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Devi J, Butt AS, Rai L, Kumar J, Memon S. Gender disparities in gastroenterology and hepatology conferences: The journey towards equality. Indian J Gastroenterol 2024:10.1007/s12664-024-01591-5. [PMID: 38935228 DOI: 10.1007/s12664-024-01591-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 04/11/2024] [Indexed: 06/28/2024]
Abstract
BACKGROUND This study scrutinizes gender representation in invited faculty and conference committee leadership at key gastroenterology and hepatology conferences in Pakistan over five years, exploring the impact of the "glass ceiling" and "sticky floor" phenomena on gender diversity within academic medicine. METHODS This cross-sectional study was conducted between January and March of 2023. The three major national societies of gastroenterology and hepatology in Pakistan that had been established for more than 10 years and the scientific programs of their annual conferences, which were publicly accessible, were included and coded as Society 1, Society 2 and Society 3 to maintain anonymity. The scientific programs for the last five years (2018-2022) were retrieved. The roles of invited faculties were identified as invited speakers, moderators, chairs/panelists, presidents and chairs of organizing or scientific committees and the gender makeup of the faculty was compared. Regression analysis was used to evaluate the trends for female representation over time for each role. RESULTS Significant gender disparity was evident by an extremely lower cumulative proportion of female invited faculty compared to males (211 [11.9%] vs. 1567 [88.1%], p 0.001). The predominance of invited male faculty was observed across all societies as well as in various roles of invited faculty (p 0.01). A significant disparity has also been observed in leadership positions of all three societies (43 [95.5%] males vs. 2 [4.5%] females, p 0.001), while the trend of women's underrepresentation across all societies remained almost unchanged over time (slope = 0.08, R2 = - 0.078, p-value = 0.875). CONCLUSION Our study unveils striking gender disparities in women's representation as invited speakers and other roles at the annual scientific conferences of major gastroenterology and hepatology. Additionally, male dominance remains entrenched, notably in leadership positions, necessitating a proactive, multifaceted approach to rectify gender inequities.
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Affiliation(s)
- Jalpa Devi
- Division of Gastroenterology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
| | - Amna Subhan Butt
- Section of Gastroenterology, Department of Medicine, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
| | - Lajpat Rai
- Department of Gastroenterology, Jinnah Postgraduate Medical Center, Karachi, Sindh, Pakistan
| | - Jatin Kumar
- Liaquat University of Medical and Health Sciences, Hyderabad, Sindh, Pakistan
| | - Sadik Memon
- Gastroenterology, Asian Institute of Medical & Health Sciences, Hyderabad, Sindh, Pakistan
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Chang JH, Essani V, Moussally M, Hossain MS, Gentle CK, Ortega C, Simon R, AlHilli Z, Walsh RM. Gender representation in the Central Surgical Association: A call to action. Surgery 2024; 175:841-846. [PMID: 37735032 DOI: 10.1016/j.surg.2023.07.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 05/31/2023] [Accepted: 07/08/2023] [Indexed: 09/23/2023]
Abstract
BACKGROUND Organizations such as the Central Surgical Association are important for promulgating advances in general surgery, but diversity and inclusion profoundly affect what is presented and discussed. The objective of this study was to evaluate gender representation trends at the Central Surgical Association and its annual meetings over the past 13 years. METHODS Publicly available Central Surgical Association meeting proceedings from 2010 to 2022 were reviewed for society leaders, new members, invited speakers and moderators, and contributors to scientific sessions (first authors, senior authors). Gender identity was assessed through professional online platforms. The 2017 and 2021 meetings were conjoined with the Midwest Surgical Association. Incomplete data were obtained from 2013 and 2020-2022. RESULTS A total of 2,158 individuals were reviewed, 554 (25.7%) of which were women. The overall trend of the absolute proportion of women participation increased by 1.8% per year (R2 = 0.7, P < .01). For leadership roles, 42/205 (20%) were women, with a 2.4% per year increase (R2 = 0.45, P = .02). For speaker roles, 82/384 (21.4%) were women, with a 2.2% increase per year (R2 = 0.6, P < .01). For scientific contributions, 253 first (35.9%) and 136 (19.3%) senior authors of 704 were women, with 1.5% (R2 = 0.4, P = .02) and 1.3% (R2 = 0.4, P = .03) increase per year, respectively. CONCLUSION There has been a positive trend in women's involvement at Central Surgical Association meetings for leaders, speakers, and scientific authors. Diversity allows variate experiences to contribute to surgical advancements; thus, measures by the Central Surgical Association to ensure adequate representation should continue.
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Affiliation(s)
- Jenny H Chang
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH.
| | - Varisha Essani
- Case Western Reserve University, School of Medicine, Cleveland, OH
| | - Moustafa Moussally
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - Mir Shanaz Hossain
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - Corey K Gentle
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - Camila Ortega
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - Robert Simon
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - Zahraa AlHilli
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH
| | - R Matthew Walsh
- Department of General Surgery, Cleveland Clinic, Digestive Diseases and Surgery Institution, OH. https://twitter.com/MattWalshMD
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Brooks NE, Maskal S, Essani V, Chang JH, Hernandez Dominguez O, French JC, Lipman JM. Female Representation at the Association of Program Directors in Surgery Annual Meeting: Moving Towards Gender Equality. JOURNAL OF SURGICAL EDUCATION 2023; 80:1592-1601. [PMID: 37442699 DOI: 10.1016/j.jsurg.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 05/11/2023] [Accepted: 06/11/2023] [Indexed: 07/15/2023]
Abstract
OBJECTIVE This study aims to evaluate the state and changes over time of female representation in Association of Program Directors in Surgery (APDS) leadership and annual meeting presenters and session leaders. DESIGN, SETTING, AND PARTICIPANTS APDS conference programs from 2013 to 2022 were reviewed to identify society leadership and meeting presenters and session leaders. Verified online profiles were used to gather professional role and reported gender. Descriptive statistics and t-tests compared female representation in the first half (2013-2017, prior) and second half of data (2018-2022, current). RESULTS Leadership of APDS was an average 22% women, increasing from 13% in 2013 to 37% in 2022, and significantly increased from prior to current period (p = 0.0004). Conference presenters and session leaders were 42% women overall, increasing from 30% in 2013 to 52% in 2022. An average 33% staff surgeons, 54% trainees, 64% education scientists, and 51% medical student participants were female. Staff were 44% female in 2022 from 24% in 2013, significantly increased from prior to current period (p = 0.021). Comparing prior and current period cohorts, female presenters for paper sessions increased from 38% to 55% (p = 0.011), moderators from 15% to 39% (p = 0.046), and last author listed on presentation sessions from 18% to 32% (p = 0.010), while panelists, workshop directors, and presenters at all sessions increased without statistical significance. Female poster presenters decreased over time. CONCLUSIONS Female representation at APDS meetings has increased over time. Women are well represented compared to the 2022 member population of 36% women. While positions typically held by more senior members, such as leadership, panelists, moderators, and last authors remain lower than other roles, increases over time are encouraging. APDS female representation compares favorably to many other surgical societies. Translation of successful practices regarding gender representation utilized by APDS to other surgical organizations could expedite progress toward gender parity in the field.
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Affiliation(s)
- Nicole E Brooks
- Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
| | - Sara Maskal
- Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
| | - Varisha Essani
- Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Jenny H Chang
- Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
| | | | - Judith C French
- Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
| | - Jeremy M Lipman
- Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
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Yi G, Payandeh J, Mavedatnia D, Neocleous P, Davidson J, Siu J, Zirkle M, Strychowsky JE, Graham ME, Chan Y. Gender representation in leadership & research: a 13-year review of the Annual Canadian Society of Otolaryngology Meetings. J Otolaryngol Head Neck Surg 2023; 52:38. [PMID: 37170245 PMCID: PMC10173511 DOI: 10.1186/s40463-023-00635-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 03/01/2023] [Indexed: 05/13/2023] Open
Abstract
BACKGROUND The gender disparity in surgical disciplines, specifically in speakers across North American medical and surgical specialty conferences, has been highlighted in recent literature. Improving gender diversity at society meetings and panels may provide many benefits. Our aim was to determine the state of gender diversity amongst presenters and speakers at the annual Canadian Society of Otolaryngology-Head and Neck Surgery (CSO) meetings. METHODS Scientific programs for the CSO annual meetings from 2008 to 2020 were obtained from the national society website. Participant name, role, gender, location, and subspecialty topic were recorded for all roles other than poster presenter. Gender (male or female) was determined using an online search. The total number of opportunity spots and proportion of women was then calculated. Gender differences were analyzed using chi-square test and logistic regression with odds ratios. Four categories were analyzed: Society Leadership, Invited Speaker Opportunities, Workshop Composition (male-only panels or "manels", female-only panels, or with at least one female speaker), and Oral Paper Presenters (first authors). RESULTS There were 1874 leadership opportunity spots from 2008 to 2020, of which 18.6% were filled by women. Among elected leadership positions in the society, only 92 unique women filled 738 leadership opportunity spots. 13.2% of workshop chairs, 20.8% of panelists and 22.7% of paper session chairs were female. There was an overall increase in the proportion of leadership positions held by women, from 13.9% of leadership spots in 2008 to 30.1% in 2020. Of the 368 workshops, 61.1% were led by men only, 36.4% by at least 1 female surgeon, and 2.5% by women only. "Manels" have comprised at least 37.5% of workshops each year. CONCLUSIONS The proportion of women in speaking roles at the annual CSO meetings has generally increased over time, particularly among panelists, leading to fewer male-only speaking panels. However, there has been a slower rate of growth in the proportion of unique women in speaker roles. There remains an opportunity to increase gender/sex diversity at the major Canadian otolaryngology meeting.
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Affiliation(s)
- Grace Yi
- Department of Otolaryngology-Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, St. Michael's Hospital, 30 Bond Street, Unit 8CC-121, Toronto, ON, M5B 1W8, Canada
| | | | | | - Penelope Neocleous
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Jacob Davidson
- Division of Pediatric Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Jennifer Siu
- Department of Otolaryngology-Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, St. Michael's Hospital, 30 Bond Street, Unit 8CC-121, Toronto, ON, M5B 1W8, Canada
| | - Molly Zirkle
- Department of Otolaryngology-Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, St. Michael's Hospital, 30 Bond Street, Unit 8CC-121, Toronto, ON, M5B 1W8, Canada
| | - Julie E Strychowsky
- Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - M Elise Graham
- Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Yvonne Chan
- Department of Otolaryngology-Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, St. Michael's Hospital, 30 Bond Street, Unit 8CC-121, Toronto, ON, M5B 1W8, Canada.
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Bias and discrimination in surgery: Where are we and what can we do about it? J Pediatr Surg 2022; 57:1315-1320. [PMID: 35307193 DOI: 10.1016/j.jpedsurg.2022.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 02/07/2022] [Accepted: 02/15/2022] [Indexed: 11/24/2022]
Abstract
Bias is an inclination or preconceived outlook that favors toward or against an idea, person, or group. It manifests in implicit and explicit ways throughout all aspects and institutions of society. These cognitive shortcuts are often based on stereotypes and can lead to prejudice and discrimination in medicine as they mediate interactions with patients, between providers, and at the institutional level. It is important to understand the drivers and consequences of bias in order to overcome barriers to representation, equity, and inclusion. This paper provides definitions of bias; discusses its manifestations across academic medicine at the institutional and individual levels; and concludes by examining techniques to reduce bias and measure progress. Equity for patients, families, and members of the broader surgical community cannot be achieved without reducing bias and discrimination. We call for action to increase intentional efforts that reduce the influences of bias in healthcare, research, and education, particularly in the field of pediatric surgery.
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Wrenn SM, Gartland RM, Kuo LE, Cho NL. The glass podium: Gender representation within the American Association of Endocrine Surgeons (AAES) from 2010 to 2019. Surgery 2021; 171:252-258. [PMID: 34598776 DOI: 10.1016/j.surg.2021.07.039] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 07/07/2021] [Accepted: 07/15/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Despite increasing numbers of women in surgery, female underrepresentation in surgical societies remains an ongoing issue. We sought to determine the gender composition of presenters at the American Association of Endocrine Surgery annual meetings. METHODS Utilizing previous meeting data, we collected gender information for presenters from 2010 to 2019, including first/senior author combinations. Awards winners and invited lecturers were also reviewed. We performed binomial testing to analyze proportions of male to female presenters, with significance set at P < .05. Temporal trends were analyzed via linear regression. RESULTS Fifty-six percent of American Association of Endocrine Surgery fellows and 36% of members are female. Of 354 podium and 477 poster presentations, women were listed less often as first (42.7%, P = .007) and senior (30.6%, P < .0001) podium authors and less often as first (42.8%, P = .002) and senior (29.8%, P < .0001) poster authors. The most common combination of first/senior authors was male-male (43.1%), followed by female-male (26.8%), female-female (16.1%), and male-female (14.0%). Less than 15% of invited lecturers were women, and women represented a minority in nearly all award categories. We observed a positive trend in female first authorship over time (slope = 0.766, 95% confidence interval, 0.70%-2.23%, P = .26) but no change in female senior authorship over time (slope = 0.03348, 95% confidence interval, 1.086%-1.153%, P = .95). CONCLUSION Women are underrepresented as American Association of Endocrine Surgery presenters and less likely to receive awards or deliver invited lectures. Although female first authorship increased over time, women continued to lag behind men as senior authors and mentors to trainees and junior faculty. Opportunities to improve speaker and awardee representation should be explored.
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Affiliation(s)
- Sean M Wrenn
- Department of Surgery, Massachusetts General Hospital, Boston, MA; Department of Surgery, Brigham and Women's Hospital, Boston, MA; Department of Surgery, Rush University Medical Center, Chicago, IL
| | - Rajshri M Gartland
- Department of Surgery, Massachusetts General Hospital, Boston, MA; Department of Surgery, Brigham and Women's Hospital, Boston, MA
| | - Lindsay E Kuo
- Department of Surgery, Temple University Hospital, Philadelphia, PA
| | - Nancy L Cho
- Department of Surgery, Brigham and Women's Hospital, Boston, MA.
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Chen H. From the Editor - in - Chief: Featured papers in the September Issue. Am J Surg 2021; 222:461. [PMID: 34392934 DOI: 10.1016/j.amjsurg.2021.07.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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