Sylvester Comprehensive Cancer Center University of Miami Health System, Miami, Florida.
Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Int J Radiat Oncol Biol Phys. 2017 May 1;98(1):31-33. doi: 10.1016/j.ijrobp.2017.01.240. Epub 2017 Feb 8.
Our purpose was to assess comparative female representation trends for trainees and full-time faculty in the academic radiation oncology and hematology oncology workforce of the United States over 3 decades.
Simple linear regression models with year as the independent variable were used to determine changes in female percentage representation per year and associated 95% confidence intervals for trainees and full-time faculty in each specialty.
Peak representation was 48.4% (801/1654) in 2013 for hematology oncology trainees, 39.0% (585/1499) in 2014 for hematology oncology full-time faculty, 34.8% (202/581) in 2007 for radiation oncology trainees, and 27.7% (439/1584) in 2015 for radiation oncology full-time faculty. Representation significantly increased for trainees and full-time faculty in both specialties at approximately 1% per year for hematology oncology trainees and full-time faculty and 0.3% per year for radiation oncology trainees and full-time faculty. Compared with radiation oncology, the rates were 3.84 and 2.94 times greater for hematology oncology trainees and full-time faculty, respectively.
Despite increased female trainee and full-time faculty representation over time in the academic oncology physician workforce, radiation oncology is lagging behind hematology oncology, with trainees declining in recent years in radiation oncology; this suggests a de facto ceiling in female representation. Whether such issues as delayed or insufficient exposure, inadequate mentorship, or specialty competitiveness disparately affect female representation in radiation oncology compared to hematology oncology are underexplored and require continued investigation to ensure that the future oncologic physician workforce reflects the diversity of the population it serves.
我们旨在评估美国 30 多年来学术放射肿瘤学和血液肿瘤学从业人员中受训者和全职教师的女性代表比例的比较趋势。
使用简单线性回归模型，以年份为自变量，确定每个专业中受训者和全职教师每年的女性比例代表变化及其相关的 95%置信区间。
2013 年血液肿瘤学受训者的代表峰值为 48.4%（801/1654），2014 年血液肿瘤学全职教师为 39.0%（585/1499），2007 年放射肿瘤学受训者为 34.8%（202/581），2015 年放射肿瘤学全职教师为 27.7%（439/1584）。在这两个专业中，受训者和全职教师的代表人数每年都以大约 1%的速度增加，血液肿瘤学受训者和全职教师的代表人数增加了 1%，放射肿瘤学受训者和全职教师的代表人数增加了 0.3%。与放射肿瘤学相比，血液肿瘤学受训者和全职教师的比例分别高出 3.84 倍和 2.94 倍。
尽管学术肿瘤学医生队伍中的女性受训者和全职教师人数随着时间的推移有所增加，但放射肿瘤学落后于血液肿瘤学，近年来放射肿瘤学的受训者人数下降；这表明女性代表人数实际上存在上限。是否存在诸如暴露延迟或不足、指导不足或专业竞争力等问题，这些问题对放射肿瘤学女性代表的影响与血液肿瘤学不同，这些问题尚未得到充分探讨，需要进一步调查，以确保未来的肿瘤医生队伍反映出其所服务人群的多样性。
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