Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.
Department of Pediatrics, Drexel University College of Medicine, Philadelphia, Pennsylvania.
JAMA Netw Open. 2018 Jul 6;1(3):e180802. doi: 10.1001/jamanetworkopen.2018.0802.
Most pediatricians are women; however, women pediatricians are underrepresented in academic leadership positions such as department chairs and journal editors and among first authors of original research articles published in pediatric journals. Publication of all types of articles, particularly in high-impact specialty journals, is crucial to career building and academic success.
To examine the gender-related profile associated with authors of perspective-type articles in the 4 highest-impact general pediatric journals to determine whether women physicians were similarly underrepresented.
Cross-sectional study of perspective-type articles published between 2013 and 2017 in the 4 highest-impact general pediatric journals: Academic Pediatrics, JAMA Pediatrics, The Journal of Pediatrics, and Pediatrics.
The primary outcome measure was the number and percentage of first-author women physicians as compared with men physicians. Secondary outcome measures included number and percentage of all men and all women among last authors and coauthors associated with physician first authors.
A total of 425 perspective-type articles were identified, with physicians listed as the first author on 338 (79.5%). Women were underrepresented among physician first authors of known gender (140 of 336 [41.7%]), particularly among physician first authors of article categories described as scholarly (range, 15.4%-44.1%) vs categories described as narrative (range, 52.9%-65.6%) in nature. Women were also underrepresented among last authors and coauthors of articles attributed to both men and women physician first authors, although the underrepresentation of women among last authors and coauthors was more pronounced if a man physician was the first author.
Because perspective-type articles provide an opportunity for authors to express their opinions, provide insights that may influence their field, and enhance their academic resumes, there is a need for pediatric journal editors and leaders of medical societies who are associated with these journals to ensure the equitable inclusion of women in medicine. A hallmark of best practices for diversity and inclusion in academic medicine is transparency with regard to reporting of gender disparities in all areas of scholarship attribution and credit.
大多数儿科医生是女性；然而，在学术领导职位（如系主任和期刊编辑）以及儿科期刊原始研究文章的第一作者中，女性儿科医生的代表性不足。发表各种类型的文章，特别是在高影响力的专业期刊上，对于职业发展和学术成功至关重要。
检查与 4 种最具影响力的普通儿科期刊中观点类型文章的作者相关的性别相关特征，以确定女性医生是否同样代表性不足。
对 2013 年至 2017 年间在 4 种最具影响力的普通儿科期刊上发表的观点类型文章（学术儿科学、JAMA 儿科学、儿科学杂志和儿科学）进行的横断面研究。
主要结局指标是与男性医生相比，第一作者中女性医生的数量和百分比。次要结局指标包括最后作者和与医生第一作者相关的合著者中所有男性和所有女性的数量和百分比。
共确定了 425 篇观点类型文章，其中 338 篇（79.5%）的第一作者为医生。在已知性别的医生中，女性作为第一作者的比例较低（336 名中的 140 名[41.7%]），尤其是在被描述为学术性（范围，15.4%-44.1%）的文章类别中，而被描述为叙述性（范围，52.9%-65.6%）的文章类别中。在归因于男女医生第一作者的文章的最后作者和合著者中，女性的代表性也不足，尽管如果是男性医生作为第一作者，女性在最后作者和合著者中的代表性不足更为明显。
由于观点类型的文章为作者提供了表达意见、提供可能影响其领域的见解以及增强其学术简历的机会，因此需要儿科期刊编辑和与这些期刊相关的医学协会的领导者确保将女性公平纳入医学领域。学术医学多样性和包容性最佳实践的标志之一是在所有学术归因和信用领域报告性别差距方面的透明度。
