Godier Anne, Nouette-Gaulain Karine, Cittanova Marie-Laure, Beloeil Hélène, Paugam-Burtz Catherine, Lukaszewicz Anne-Claire
Department of Anaesthesiology and Intensive Care, Hôpital Européen Georges-Pompidou, AP-HP, Paris, France; INSERM UMR-S1140, Paris Descartes University, Paris, France.
CHU Bordeaux, Service d'Anesthésie Réanimation Pellegrin, Hôpital Pellegrin, Place Amélie Raba Léon, 33000 Bordeaux, France; University Bordeaux, INSERM U12-11, Laboratoire de Maladies Rares : Génétique et Métabolisme (MRGM), 176, Rue Léo-Saignat, 33000 Bordeaux, France.
Anaesth Crit Care Pain Med. 2020 Aug;39(4):507-511. doi: 10.1016/j.accpm.2020.04.019. Epub 2020 Jul 7.
Gender imbalance in medicine is a topic of increasing interest. Gender matters, as there is increasing evidence that a gender diverse medical workforce translates into improved patient outcomes. The gender distribution in France among the Anaesthetists-Intensive Care (AIC) physicians has never been considered.
Gender distribution is described during the last two decades in France among the whole population of AIC physicians according to their age, professional activity, leading and academic position.
The proportion of female AIC physicians remained stable from 1999 to 2018, between 35 and 38%. Only 40% of residents choosing this specialty in 2018 were female. Female AIC physicians were under-represented in key medico-political and academic positions: in 2018, 0.7% of the 605 presidents of medical commissions from public hospitals and none of the medical university deans were female AIC physicians; 9% of AIC full Professors were female. In the French Society of Anaesthesia and Intensive Care (SFAR), 42% of the members of the Scientific Committee of our Society are women.
A gender imbalance is apparent in French AIC Medicine and worsens as physicians progress through their academic or leadership pathways. The French Society of Anaesthesia and Intensive Care campaigns for proportional representation at all levels of leadership, which translates into more gender equality in the committees of the society, including the Scientific Committee. A major policy shift is urgently required to support women, to tend toward gender parity to increase the performance of the French AIC workforce.
医学领域的性别失衡是一个日益受到关注的话题。性别至关重要，因为越来越多的证据表明，性别多元化的医疗队伍能带来更好的患者治疗效果。法国麻醉重症监护（AIC）医生中的性别分布情况从未得到过研究。
根据年龄、职业活动、领导职位和学术职位，描述过去二十年法国全体AIC医生中的性别分布情况。
1999年至2018年期间，女性AIC医生的比例保持稳定，在35%至38%之间。2018年选择该专业的住院医生中只有40%是女性。女性AIC医生在关键的医学政治和学术职位上代表性不足：2018年，公立医院605名医学委员会主席中只有0.7%是女性AIC医生，医学院院长中没有女性AIC医生；AIC正教授中9%是女性。在法国麻醉与重症监护协会（SFAR）中，协会科学委员会42%的成员是女性。
法国AIC医学领域存在明显的性别失衡，且随着医生在学术或领导道路上的晋升，这种失衡会加剧。法国麻醉与重症监护协会倡导在各级领导层面实现比例代表制，这意味着协会各委员会，包括科学委员会，将实现更大程度的性别平等。迫切需要进行重大政策转变以支持女性，趋向性别平等，从而提高法国AIC医疗队伍的绩效。
