Awad Mohannad A, Gaither Thomas W, Osterberg E Charles, Yang Glen, Greene Kirsten L, Weiss Dana A, Anger Jennifer T, Breyer Benjamin N
Department of Urology, University of California - San Francisco, San Francisco, California, USA.
Can J Urol. 2017 Oct;24(5):9011-9016.
The gender demographics within urology are changing as more women are entering the workforce. Since research productivity strongly influence career advancement, we aim to characterize gender differences in scholarly productivity and promotions in a cohort of graduated academic urologists.
Urologists who graduated between 2002 and 2008 from 34 residency programs affiliated with the top 50 urology hospitals as ranked in 2009 by U.S. News & World Report were followed longitudinally. Only urologists affiliated with an academic teaching hospital were included for analysis.
A total of 543 residents graduated, 459 (84.5%) males and 84 (15.5%) females. Of these, 173 entered academia, 137 (79.2%) males and 36 (20.8%) females. Women had fewer publications compared to men (mean 19.3 versus 61.7, p = 0.001). Fewer women compared to men were promoted from assistant professor 11 (30.6%) versus 83 (60.6%), p = 0.005. Fewer women achieved associate professor 10 (27.8%) versus 67 (48.9%), p = 0.005 or professor ranks 1 (2.8%) versus 16 (11.7%), p = 0.005 respectively compared to men. In a multivariate logistic regression analysis, after controlling for the number of total publications and number of years since graduation, gender was not predictive of achieving promotion, OR = 0.81 (95% CI 0.31-2.13), p = 0.673.
Women are underrepresented in senior faculty roles in urology. Scholarly productivity seems to play a major role in academic promotion within urology. With increasing women in academic urology, further studies are needed to explore predictors of promotion and how women can achieve higher leadership roles in the field.
随着越来越多的女性进入泌尿外科领域，该领域的性别构成正在发生变化。由于研究产出对职业发展有很大影响，我们旨在描述一批毕业的学术泌尿外科医生在学术产出和晋升方面的性别差异。
对2002年至2008年期间从美国新闻与世界报道2009年排名前50的泌尿外科医院附属的34个住院医师培训项目毕业的泌尿外科医生进行纵向跟踪。仅纳入附属学术教学医院的泌尿外科医生进行分析。
共有543名住院医师毕业，其中男性459名（84.5%），女性84名（15.5%）。其中，173人进入学术界，男性137人（79.2%），女性36人（20.8%）。与男性相比，女性发表的论文较少（平均19.3篇对61.7篇，p = 0.001）。从助理教授晋升的女性比男性少（11人，30.6%对83人，60.6%，p = 0.005）。与男性相比，达到副教授级别的女性较少（10人，27.8%对67人，48.9%，p = 0.005），达到教授级别的女性分别为1人（2.8%）对16人（11.7%），p = 0.005。在多因素逻辑回归分析中，在控制总发表论文数量和毕业年限后，性别不能预测晋升情况，OR = 0.81（95%CI 0.31 - 2.13），p = 0.673。
女性在泌尿外科高级教职岗位中的代表性不足。学术产出似乎在泌尿外科的学术晋升中起主要作用。随着学术泌尿外科领域女性人数的增加，需要进一步研究以探索晋升的预测因素以及女性如何在该领域获得更高的领导职位。
