Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Harvard Medical School, Boston, Massachusetts, USA.
World Neurosurg. 2021 Mar;147:80-88. doi: 10.1016/j.wneu.2020.12.069. Epub 2020 Dec 21.
To provide the status of women neurosurgeons (WNS) in academic faculty and/or leadership positions in neurosurgery in the United States.
Neurosurgery academic programs were defined as having an Accreditation Council for Graduate Medical Education (ACGME) neurosurgery residency program (NSRP). Using a Google search, gender, academic rank, postgraduate degrees, academic and clinical titles, and subspecialty were recorded for each neurosurgery faculty. Officer gender was recorded for the top 7 neurosurgery U.S. organizations, 7 subspecialty sections, and 50 state neurosurgical societies.
WNS were faculty at 77% (89/115) of ACGME NSRPs and constituted 10% of the workforce (186/1773). WNS residents were in 92% of ACGME NSRPs and constituted 19% of the workforce (293/1515). Two NSRPs (8%) had neither WNS faculty nor WNS residents. Of NSRPs without WNS faculty, 52% (13/25) had a faculty size >10. WNS accounted for 3% of NSRP chair positions. Academic rank of WNS faculty was lower than academic rank of men neurosurgeons faculty (P < 0.05). WNS faculty had a higher number of postgraduate degrees (P < 0.05). Pediatrics was the most common subspecialty (30%) among WNS. Over time, WNS held 1% of the leadership positions within the top 7 U.S. neurosurgery organizations and 7% within the 7 subspecialty sections. Over the past 20 years, 28% (14/50) of U.S. state neurosurgical societies had WNS serve as president.
In 2020, the gender gap for U.S. WNS faculty and residents still exists. By providing informed benchmarks, our study might help neurosurgery organizations, medical school leadership, hiring committees, editors, and conference speakers to plan their next steps.
提供美国学术教职和/或神经外科学领导职位中的女性神经外科医生（WNS）的现状。
神经外科学术计划被定义为具有研究生医学教育认证委员会（ACGME）神经外科学住院医师计划（NSRP）。使用 Google 搜索，记录了每位神经外科教师的性别、学术职称、研究生学位、学术和临床职称以及亚专业。记录了美国前 7 大神经外科学组织、7 个亚专业部门和 50 个州神经外科学会的最高官员的性别。
WNS 是 77%（89/115）的 ACGME NSRP 的教职员工，占劳动力的 10%（186/1773）。WNS 住院医师在 92%的 ACGME NSRP 中，占劳动力的 19%（293/1515）。有两个 NSRP（8%）既没有 WNS 教职员工，也没有 WNS 住院医师。在没有 WNS 教职员工的 NSRP 中，有 52%（13/25）的教职员工人数>10。WNS 占 NSRP 主席职位的 3%。WNS 教职员工的学术职称低于男性神经外科医生教职员工的学术职称（P<0.05）。WNS 教职员工拥有更多的研究生学位（P<0.05）。儿科是 WNS 中最常见的亚专业（30%）。随着时间的推移，WNS 在 7 个美国神经外科学组织和 7 个亚专业部门中担任 1%的领导职位。在过去的 20 年里，有 28%（14/50）的美国州神经外科学会有 WNS 担任主席。
2020 年，美国 WNS 教职员工和住院医师的性别差距仍然存在。通过提供信息基准，我们的研究可能有助于神经外科学组织、医学院领导、招聘委员会、编辑和会议演讲者规划下一步行动。
