Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Fla.
Department of Surgery, The Johns Hopkins Hospital, Baltimore, Md.
J Vasc Surg. 2022 Mar;75(3):774-782. doi: 10.1016/j.jvs.2021.08.097. Epub 2021 Oct 1.
The implementation of integrated vascular surgery training programs was recently shown to be associated with an increase in women entering the field. However, whether this has precipitated a subsequent increase in the active participation of women in academic vascular societies remains unclear. We sought to examine the trends of academic inclusion of women vascular surgeons and surgical trainees over the past 15 years at the Southern Association for Vascular Surgery (SAVS).
Scientific programs for annual meetings of the SAVS, and program matriculation statistics from the Accreditation Council for Graduate Medical Education, were reviewed for the period of 2006 to 2020. Yearly rates and 3-year averages of conference and society participation and vascular surgery training program matriculation rates were calculated and compared with proportion testing. Spearman correlation testing was used to compare trends, with ρ ≥0.600 defined as a strong correlation.
Examining 3-year means, the average number of women authors per SAVS abstract increased from 0.78 to 1.42 over the course of the study period (P < .001), and the overall rate of women authors steadily increased from 12.8% to 21.5% (P < .001). Although this remains less than the proportion of women matriculating into vascular surgery programs in 2019 (29.3%; P = .007), the upward trend of women entering vascular surgery overall, and particularly vascular surgery fellowship, strongly correlates with the average number of women authors on abstracts at SAVS (ρ = 0.709 and ρ = 0.737, respectively). The percentage of women presenting authors increased from 9.7% to 28.4% (P = .004), but there was no increase in the percentage of women senior authors (10.1% to 9.6%; P = .92). In the 15-year period, only one abstract of 347 (0.3%) had full authorship by women vs 35.1% with full authorship by men (P < .001). Although the increase of women matriculating into vascular surgery programs over the study period did not correlate with the increase of women in senior leadership positions (ρ < 0.600), there was an increase in the number of women in committee chair positions (0.0% to 25.9%; P = .005), which correlated strongly with increasing society membership (ρ = 0.716). Additionally, there was an increase in women holding executive council positions from 0% to 10.0% (P = .08), although this was not statistically significant.
Participation of women authoring and presenting papers at the SAVS has increased over the past 15 years at a rate that strongly correlates with the increasing rate of women entering vascular surgery training programs. It is important that society leadership opportunities continue to parallel this trend as we seek to further improve diversity in vascular surgery.
最近的研究表明，综合性血管外科学培训计划的实施与女性进入该领域的人数增加有关。然而，这是否导致女性在学术血管学会中的积极参与随后增加仍不清楚。我们试图在过去 15 年里，在南方血管外科学会（SAVS）中，检查女性血管外科医生和外科培训师的学术参与趋势。
我们回顾了 SAVS 年会的科学项目以及研究生医学教育认证委员会的课程注册统计数据，时间范围为 2006 年至 2020 年。计算了会议和学会参与以及血管外科学培训计划注册率的年度和三年平均值，并进行了比例检验。使用 Spearman 相关检验比较趋势，ρ≥0.600 定义为强相关。
研究 3 年平均值，SAVS 摘要中女性作者的平均人数从研究期间的 0.78 增加到 1.42（P<0.001），女性作者的总体比例从 12.8%稳步增加到 21.5%（P<0.001）。尽管这仍低于 2019 年血管外科学计划中女性入学的比例（29.3%；P=0.007），但女性总体进入血管外科学，特别是血管外科学奖学金的上升趋势与 SAVS 摘要中女性作者的平均人数呈强相关（ρ=0.709 和 ρ=0.737）。女性演讲作者的比例从 9.7%增加到 28.4%（P=0.004），但女性资深作者的比例没有增加（从 10.1%增加到 9.6%；P=0.92）。在 15 年期间，只有 347 篇摘要中的 1 篇（0.3%）有女性的全部作者身份，而有 35.1%的摘要有男性的全部作者身份（P<0.001）。尽管女性进入血管外科学计划的人数在研究期间增加，但与女性在高级领导职位中的增加没有相关性（ρ<0.600），但委员会主席职位的女性人数有所增加（从 0%增加到 25.9%；P=0.005），这与学会成员的增加密切相关（ρ=0.716）。此外，女性担任执行委员会职务的比例从 0%增加到 10.0%（P=0.08），尽管这没有统计学意义。
在过去的 15 年里，SAVS 女性作者和演讲者发表论文的参与率有所增加，这与女性进入血管外科学培训计划的增长率呈强相关。随着我们努力进一步改善血管外科学的多样性，重要的是，社会领导机会继续与这一趋势保持一致。
