From the Department of Neurology (D.S.), University of Oklahoma, Oklahoma City; Department of Neurology (A.M.B.), Columbia University Medical Center, New York, NY; Department of Physical Medicine and Rehabilitation (J.A.P., J.K.S.), Harvard Medical School; Spaulding Rehabilitation Hospital (J.A.P., J.K.S.), Boston, MA; Department of Anesthesiology and Critical Care Medicine (T.L.D.), Johns Hopkins University, Baltimore, MD; American College of Cardiology (R.P.), Washington, DC; Massachusetts General Hospital (R.P.), Boston; Department of Surgery (S.P.), Harvard Medical School, Massachusetts General Hospital, Boston; Department of Anesthesiology (H.W.H.), University of Utah, Salt Lake City; Department of Anesthesiology (R.C.), University of California San Diego; Department of Dermatology (A.R.L.), Boston University School of Medicine, MA; and Brigham and Women's Hospital (J.K.S.), Boston, MA. Dr. Bank is now at the Department of Neurology, Lenox Hill Hospital/Northwell Health, Hofstra Zucker School of Medicine, New York.
Neurology. 2020 Dec 1;95(22):e3045-e3059. doi: 10.1212/WNL.0000000000011058. Epub 2020 Oct 27.
To determine whether women have been equitably represented among plenary speakers at the American Academy of Neurology (AAN) Annual Meeting by counting and categorizing speakers and comparing outcomes to AAN membership and US neurology workforce data.
Lists of plenary speakers between 1958 and 2019 (62 years) were obtained from the AAN. The primary outcome measures were numbers and proportions of men and women in aggregate and among physicians.
We identified 635 plenary speakers, including 148 (23.3%) women. Specifically, women made up 14.6% (19 of 130) of presidential and 25.5% (129 of 505) of nonpresidential plenary session speakers. The inclusion of women plenary speakers was meaningfully higher ( = 0.33; difference 14.9%; 95% confidence interval 4.2%-26.7%) for nonphysicians (27 of 74 [36.5%]) than physicians (121 of 561 [21.6%]). Although at zero levels for Annual Meetings held between 1958 and 1990 and at mostly low but varying levels thereafter, the representation of women and women physicians has been at or above their proportions in the AAN membership and US neurology workforce since 2017. Comparison of representation by plenary session name revealed an unequal distribution of women, with women physicians concentrated in the Sidney Carter Award in Child Neurology presidential session.
Historically and recently, women and women physicians were underrepresented among AAN plenary speakers. As the AAN has taken active steps to address equity, women have been included in more representative proportions overall. However, notable gaps remain, especially in specific prestigious plenary sessions, and further research is needed to determine causality.
通过统计和分类发言者，并将结果与美国神经病学学会（AAN）的会员数据和美国神经科医生劳动力数据进行比较，来确定女性在 AAN 年会上的全体演讲者中是否得到了公平的代表。
从 AAN 获得了 1958 年至 2019 年（62 年）的全体演讲者名单。主要的结果测量是男性和女性的总人数和医生中的人数和比例。
我们确定了 635 名全体演讲者，其中 148 名（23.3%）是女性。具体来说，女性在主席演讲者中占 14.6%（130 名中的 19 名），在非主席演讲者中占 25.5%（505 名中的 129 名）。非医生（74 名中的 27 名，36.5%）的女性全体演讲者的比例明显高于医生（561 名中的 121 名，21.6%）。虽然在 1958 年至 1990 年举行的年会上为零水平，此后也大多处于较低水平，但自 2017 年以来，女性和女性医生的代表人数一直与其在 AAN 会员和美国神经科医生劳动力中的比例持平或更高。通过全体会议名称的代表性比较发现，女性的分布不均，女性医生主要集中在 Sidney Carter 儿童神经病学主席会议上。
从历史上和最近的情况来看，女性和女性医生在 AAN 全体演讲者中代表性不足。随着 AAN 采取积极措施解决公平问题，女性的代表性总体上有所增加。然而，仍存在明显的差距，特别是在特定的著名全体会议上，需要进一步研究以确定因果关系。
