Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor, MI.
Institute of Health Policy and Innovation, University of Michigan, Ann Arbor, MI.
Ann Surg. 2019 Mar;269(3):582-588. doi: 10.1097/SLA.0000000000002667.
To quantify gender composition of 10 high-impact general surgery journals, delineate how board composition has changed over time, and evaluate qualification metrics by gender.
Underrepresentation of women on editorial boards may contribute to the gender-based achievement gap in surgery.
We performed a cross-sectional analysis of the editorial board gender composition among 10 high-impact general surgery journals in 1997, 2007, and 2017. Univariate and multivariate regression analyses were used to assess differences in editors' H-indices, academic rank, and number of advanced degrees. Differences in editor turnover and multiple board positions were evaluated for each time interval.
Over 20 years, the proportion of women on editorial boards increased from 5% to 19%. After controlling for time since board certification, no differences between men and women's number of advanced degrees, H-indices, or academic rank remained significant. Women and men were equally likely to hold multiple board positions (1997 P = 0.74; 2007 P = 0.42; 2017 P = 0.69), but men's editorial board tenure was longer across each time interval (1997-2007 P = 0.003; 2007-2017 P < 0.001; 1997-2017 P = 0.01).
Women surgeons have a small but growing presence on surgical editorial boards, and gender-based qualification differences are likely attributable to practice length. Men's longer tenure on editorial boards may drive some of the observed disparity by limiting new appointment opportunities. Strategies such as imposing term limits or instituting merit-based performance reviews may help editorial boards capture the field's changing demographics.
量化 10 本高影响力普通外科杂志的性别构成，描述董事会组成随时间的变化，并按性别评估资格指标。
编辑委员会中女性代表性不足可能导致外科手术中存在基于性别的成就差距。
我们对 1997 年、2007 年和 2017 年 10 本高影响力普通外科杂志的编辑委员会性别构成进行了横断面分析。采用单变量和多变量回归分析评估编辑的 H 指数、学术职称和高级学位数量的差异。评估每个时间间隔编辑人员更替和多个董事会职位的差异。
在 20 年的时间里，女性在编辑委员会中的比例从 5%增加到 19%。在控制了董事会认证后的时间后，男性和女性的高级学位数量、H 指数或学术职称之间没有差异仍然具有统计学意义。女性和男性担任多个董事会职位的可能性相同（1997 年 P = 0.74；2007 年 P = 0.42；2017 年 P = 0.69），但男性在每个时间间隔的编辑委员会任期都更长（1997-2007 年 P = 0.003；2007-2017 年 P < 0.001；1997-2017 年 P = 0.01）。
女性外科医生在外科编辑委员会中的存在虽然很小，但呈增长趋势，基于性别的资格差异可能归因于实践时间。男性在编辑委员会中任期较长可能会通过限制新的任命机会来推动一些观察到的差异。实施任期限制或实施基于绩效的审查等策略可能有助于编辑委员会抓住该领域不断变化的人口结构。
