Cheng David, Promes Susan, Clem Kathleen, Shah Anand, Pietrobon Ricardo
Department of Emergency Medicine, University of Arkansas, Little Rock, AR, USA.
Acad Emerg Med. 2006 Aug;13(8):904-6. doi: 10.1197/j.aem.2006.01.025. Epub 2006 May 24.
Despite the influx of female physicians in academic medicine departments, there are a small number of women in faculty and departmental leadership positions in emergency medicine (EM). The objective of this study was to determine if the gender of the chairperson of an academic EM department is associated with the gender of the residency program director (RPD) and gender proportion of its faculty.
This was a retrospective analysis of 133 academic EM departments using the Society for Academic Emergency Medicine online residency catalog, program Web site, or e-mail. Main outcome measures were proportion of female EM faculty and gender of the RPD.
Data were available for 133 academic departments. Women chaired 7.5% (n = 10) of departments and comprised 22.3% of all faculty and 15.0% (n = 20) of RPD positions. EM departments that were chaired by women had a significantly higher percentage of female faculty compared with those led by men (31% vs. 22%; p = 0.01). Similarly, departments that were chaired by women had a significantly higher proportion of female RPDs compared with those chaired by men (50% vs. 12%; p < 0.01). Compared with departments chaired by men, the RPD was 5.0 times (95% confidence interval = 1.9 to 27.8; p < 0.01) more likely to be a woman if the chairperson was also a woman.
An academic EM department was more likely to have a higher proportion of female faculty and a female RPD when the department chairperson was female.
尽管学术医学部门的女医生数量不断增加，但急诊医学（EM）领域担任教职和部门领导职位的女性人数仍然较少。本研究的目的是确定学术急诊医学部门主席的性别是否与住院医师项目主任（RPD）的性别以及其教职员工的性别比例相关。
这是一项对133个学术急诊医学部门进行的回顾性分析，数据来源于学术急诊医学协会的在线住院医师目录、项目网站或电子邮件。主要观察指标为急诊医学女教员的比例和住院医师项目主任的性别。
获得了133个学术部门的数据。女性担任主席的部门占7.5%（n = 10），女性教员占所有教员的22.3%，担任住院医师项目主任职位的女性占15.0%（n = 20）。与男性领导的部门相比，女性担任主席的急诊医学部门女教员的比例显著更高（31%对22%；p = 0.01）。同样，与男性担任主席的部门相比，女性担任主席的部门女性住院医师项目主任的比例也显著更高（50%对12%；p < 0.01）。与男性担任主席的部门相比，如果主席也是女性，住院医师项目主任为女性的可能性高出5.0倍（9５%置信区间 = 1.9至27.8；p < 0.01）。
当急诊医学部门主席为女性时，该学术部门更有可能拥有更高比例的女教员和女性住院医师项目主任。
