Department of Radiology and Biomedical Imaging, University of California, 505 Parnassus Ave., M-391, San Francisco, CA 94143-0628.
Department of Radiology and Biomedical Imaging, University of California, 505 Parnassus Ave., M-391, San Francisco, CA 94143-0628.
Acad Radiol. 2020 Dec;27(12):1767-1773. doi: 10.1016/j.acra.2020.01.036. Epub 2020 Feb 26.
Women in academic medicine, and radiology specifically, are underrepresented in departmental leadership roles and achieve fewer professional metrics of success. We have observed, however, that women are more broadly represented in medical education leadership. The purpose of this study was to determine if women in academic radiology are overrepresented in educational scholarship and educational leadership compared to general research scholarship and leadership positions, and to determine if there is any difference in the distribution of women in these roles compared to internal medicine.
We performed a PubMed search of education articles in radiology and internal medicine over the last 5 years, and the gender of the authors was determined. Data on gender for authorship of general research topics, departmental leaders, and society leadership was obtained via literature and internet searches and the data was aggregated. Representation ratios (RR of 1.0 = parity) were obtained via risk ratio calculation to compare education versus general scholarship, and the distribution of leadership roles within and between these fields.
Women make up 28.5% of academic radiologists and 40.1% of academic internists. A higher proportion of education articles were first authored by women than would be expected in both fields with an RR of 1.46 (p < 0.001) in radiology and 1.23 (p < 0.001) in internal medicine. This overrepresentation was significant compared to general research scholarship in both fields (p < 0.001). In both fields, women were overrepresented in the position of Medical Student Director (RR of 1.47 and 1.22, respectively). For Program Directors, women were overrepresented in radiology (RR of 1.12) and underrepresented in internal medicine (RR of 0.69-0.75). Women in radiology were overrepresented in education society leadership (RR = 1.63) compared to general society leadership (0.98, p = 0.001).
We found that women in radiology are overrepresented in authorship of education articles, and in departmental and society education leadership roles. This trend was also seen in internal medicine, suggesting that women are more broadly represented in medical education.
在学术医学领域，尤其是放射学领域，女性在部门领导职位中代表性不足，取得的专业成功指标也较少。然而，我们观察到，女性在医学教育领导领域的代表性更为广泛。本研究的目的是确定在学术放射学领域，女性在教育奖学金和教育领导力方面的代表性是否高于一般研究奖学金和领导职位，以及与内科相比，这些角色中女性的分布是否存在差异。
我们在放射学和内科领域进行了过去 5 年的 PubMed 教育文章搜索，并确定了作者的性别。通过文献和互联网搜索获得了一般研究主题、部门领导和学会领导的作者性别数据，并进行了汇总。通过风险比计算获得了代表率（RR 为 1.0 表示均等），以比较教育与一般学术研究，并比较这些领域内和之间的领导角色分布。
女性占学术放射科医生的 28.5%，占学术内科医生的 40.1%。在这两个领域中，发表的教育文章中女性作为第一作者的比例均高于预期，放射学的 RR 为 1.46（p < 0.001），内科的 RR 为 1.23（p < 0.001）。与两个领域的一般研究学术相比，这种代表性过高（p < 0.001）。在这两个领域中，女性在医学生导师的职位中都存在代表性过高的情况（RR 分别为 1.47 和 1.22）。对于项目主任，女性在放射学中代表性过高（RR 为 1.12），在内科中代表性过低（RR 为 0.69-0.75）。放射学女性在教育学会领导方面的代表性过高（RR=1.63），而在一般学会领导方面的代表性过低（RR=0.98，p=0.001）。
我们发现，放射学女性在教育文章的作者、部门和学会教育领导角色中代表性过高。这一趋势在内科也存在，表明女性在医学教育领域的代表性更为广泛。
