Status and Prospects of Women in Science in Europe

Evidence of Specialty-Specific Gender Disparities in Resident Recruitment and Selection

BACKGROUND

Specialty-specific gender disparities are multifactorial, yet one area that is lacking from this discussion is the impact of recruitment and selection.

OBJECTIVE

Customized data reports were utilized to compare trends in the gender representation of applicants and residents within 11 surgical and medical specialties between 2013 and 2018.

METHODS

Applicant data was obtained from the Electronic Residency Application Service (ERAS) and resident data from the Accreditation Council for Graduate Medical Education (ACGME). Eleven specialties with the highest number of applications per applicant were included (dermatology, emergency medicine, general surgery, neurological surgery, obstetrics and gynecology [OB/GYN], orthopedic surgery, otolaryngology, plastic surgery, radiation oncology, radiology, urology). A Cochran-Armitage trend test assessed for changes in the proportion of females within the total applicant group and the corresponding matched resident group. A t test was utilized to compare the mean proportion of females for ERAS and ACGME data.

RESULTS

Otolaryngology, plastic surgery, radiation oncology, and urology had no significant changes over the study period. Dermatology, general surgery, and orthopedic surgery demonstrated increased gender diversity in applicants over time, while OB/GYN demonstrated decreased gender diversity. General surgery and neurological surgery showed increased gender diversity in resident representation over time. Emergency medicine and radiology had increased gender diversity, and OB/GYN had decreased gender diversity in matched residents compared to applicants.

CONCLUSIONS

Our findings provide baseline data, but also illustrate evident gaps in our understanding and attempts to improve gender diversity. A multifaceted approach to obtaining and assessing data from all stages of residency recruitment and selection is necessary to support these efforts.

Participation of women in science in the developed and developing worlds: inverted U of feminization of the scientific workforce, gender equity and retention

We consider various factors impacting the participation of women in science throughout the world, with a particular emphasis on developing countries. For the world as a whole, we find that when the percentage of women working in science in a country is plotted vs. the per capita GDP of the country (adjusted for purchasing power parity) the data fall on an inverted U-shaped ‘boomerang’ curve. Thus, as per capita wealth increases, the percentage of women in science first increases and then falls. This is in marked contrast to the (right-side-up) U-shaped curve that is well-established for the participation of women in the labor force as a whole, suggesting that there are factors in the culture of science that result in opposing trends to those observed in the general workforce. This also results in many developing countries having a much higher participation of women in the scientific workforce than is seen in economically developed countries. Contradicting previous reports to the contrary, we find a positive correlation between gender equality in science and the degree of overall gender equity in the country. Thus, we do not find evidence for the claim that greater gender equity results in the manifestation of innate gender differences in preferences for science. We find differing patterns of retention in science for women in developing and developed countries. We also briefly discuss other factors that make it difficult for women in developing countries to follow a scientific career, or to advance in their careers.