Silver Julie K, Slocum Chloe S, Bank Anna M, Bhatnagar Saurabha, Blauwet Cheri A, Poorman Julie A, Villablanca Amparo, Parangi Sareh
Department of Physical Medicine and Rehabilitation, Harvard Medical School, 300 1st Avenue, Charlestown, MA 02025; Spaulding Rehabilitation Hospital, Boston, MA; Massachusetts General Hospital, Boston, MA; Brigham and Women's Hospital, Boston, MA(∗).
Harvard Medical School, Boston, MA; Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA; Massachusetts General Hospital, Boston, MA(†).
PM R. 2017 Aug;9(8):804-815. doi: 10.1016/j.pmrj.2017.06.001. Epub 2017 Jun 9.
Membership in medical societies is associated with a number of benefits to members that may include professional education, opportunities to present research, scientific and/or leadership training, networking, and others. In this perspective article, the authors address the value that medical specialty society membership and inclusion have in the development of an academic physician's career and how underrepresentation of women may pose barriers to their career advancement. Because society membership itself is not likely sufficient to support the advancement of academic physicians, this report focuses on one key component of advancement that also can be used as a measure of inclusion in society activities-the representation of women physicians among recipients of recognition awards. Previous reports demonstrated underrepresentation of women physicians among recognition award recipients from 2 physical medicine and rehabilitation specialty organizations, including examples of zero or near-zero results. This report investigated whether zero or near-zero representation of women physicians among recognition award recipients from medical specialty societies extended beyond the field of physical medicine and rehabilitation. Examples of the underrepresentation of women physicians, as compared with their presence in the respective field, was found across a range of additional specialties, including dermatology, neurology, anesthesiology, orthopedic surgery, head and neck surgery, and plastic surgery. The authors propose a call for action across the entire spectrum of medical specialty societies to: (1) examine gender diversity and inclusion data through the lens of the organization's mission, values, and culture; (2) transparently report the results to members and other stakeholders including medical schools and academic medical centers; (3) investigate potential causes of less than proportionate representation of women; (4) implement strategies designed to improve inclusion; (5) track outcomes as a means to measure progress and inform future strategies; and (6) publish the results to engage community members in conversation about the equitable representation of women.
加入医学协会会给会员带来诸多益处，可能包括专业教育、展示研究成果的机会、科学和/或领导力培训、社交网络拓展等。在这篇观点文章中，作者探讨了医学专科协会会员身份及包容性在学术医生职业发展中的价值，以及女性代表性不足如何可能对她们的职业晋升构成障碍。由于协会会员身份本身可能不足以支持学术医生的职业晋升，本报告聚焦于晋升的一个关键组成部分，它也可作为衡量在协会活动中包容性的指标——获得认可奖项的医生中女性医生的代表性。此前的报告表明，在两个物理医学与康复专科组织的认可奖项获得者中，女性医生的代表性不足，包括零或接近零的结果示例。本报告调查了医学专科协会认可奖项获得者中女性医生零或接近零的代表性情况是否超出了物理医学与康复领域。与各自领域中女性医生的占比相比，在一系列其他专科中也发现了女性医生代表性不足的例子，包括皮肤科、神经科、麻醉科、整形外科、头颈外科和整形外科。作者呼吁整个医学专科协会领域采取行动：（1）从组织的使命、价值观和文化角度审视性别多样性和包容性数据；（2）向会员及其他利益相关者（包括医学院和学术医疗中心）透明地报告结果；（3）调查女性代表性不足的潜在原因；（4）实施旨在提高包容性的策略；（5）跟踪结果，以此衡量进展并为未来策略提供信息；（6）公布结果，促使社区成员就女性的公平代表性展开讨论。
