Das Deepanjana, Geynisman-Tan Julia, Mueller Margaret, Kenton Kimberly
Division of Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Division of Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
J Minim Invasive Gynecol. 2022 Aug;29(8):952-960. doi: 10.1016/j.jmig.2022.03.013. Epub 2022 Apr 2.
To describe the proportion of female faculty in departmental administrative and educational leadership roles in Obstetrics and Gynecology departments.
Cross-sectional observational study (II-3).
Accredited Obstetrics and Gynecology residency programs.
A total of 288 accredited residency programs were identified from 2019 to 2020 with 1237 individuals in leadership positions.
Similar to a 2012 to 2013 survey by Hofler et al, residency program websites and corresponding fellowships (Maternal Fetal Medicine, Female Pelvic Medicine and Reconstructive Surgery, Reproductive Endocrinology and Infertility, and Gynecologic Oncology), departmental websites, and divisional websites were queried for those in administrative and educational leadership positions. Information regarding gender (as determined by the surrogates of name and photographic gender expression), medical and academic degrees, academic rank, and subspecialty certification was abstracted.
Within administrative leadership roles, women comprised 29% of chairs, 46% of vice chairs, and 47% of division directors, all significantly lower than men in administrative leadership (p <.001). In educational leadership, women made up 71% of medical school clerkship directors, 58% of residency directors, and 50% fellowship directors. Women were more likely to hold educational leadership positions (56% vs 40%; p <.001), although men were more likely to hold administrative leadership positions (68% vs 52%; p <.001). Among subspecialties, there was greatest gender equity within Female Pelvic Medicine and Reconstructive Surgery. Female leaders were more likely to have received additional academic degrees (e.g. MBA, MPH) than their male counterparts (19% vs 13%; p = .002).
Women continue to be underrepresented in administrative leadership positions. Compared with 2012 to 2013, there is only a 9% increase in proportion of women chairing and 10% vice chairing Obstetrics and Gynecology departments; however, the increase is more substantial in other positions, such as division directors (17%). Our findings demonstrate ongoing gender disparity in the highest levels of departmental leadership and the need to further improve on diversity and gender equity within leadership roles.
描述妇产科部门行政和教育领导岗位中女性教员的比例。
横断面观察性研究（II - 3）。
经认可的妇产科住院医师培训项目。
2019年至2020年共识别出288个经认可的住院医师培训项目，其中1237人担任领导职务。
与霍夫勒等人2012年至2013年的调查类似，查询住院医师培训项目网站及相应的专科 fellowship（母胎医学、女性盆底医学与重建外科、生殖内分泌与不孕症、妇科肿瘤学）、科室网站和部门网站，以获取行政和教育领导岗位人员的信息。提取有关性别（由姓名和照片中的性别表现替代确定）、医学和学术学位、学术职称以及亚专科认证的信息。
在行政领导岗位中，女性担任科室主任的比例为29%，副主任为46%，科室主任为47%，均显著低于男性行政领导（p <.001）。在教育领导岗位中，女性占医学院临床实习主任的71%，住院医师培训主任的58%，专科 fellowship主任的50%。女性更有可能担任教育领导岗位（56%对40%；p <.001），尽管男性更有可能担任行政领导岗位（68%对52%；p <.001）。在各亚专科中，女性盆底医学与重建外科的性别平等程度最高。女性领导者比男性同行更有可能获得额外的学术学位（如工商管理硕士、公共卫生硕士）（19%对13%；p =.002）。
女性在行政领导岗位中的代表性仍然不足。与2012年至2013年相比，担任妇产科科室主任的女性比例仅增加了9%，副主任增加了10%；然而，在其他岗位，如科室主任（17%），增加幅度更大。我们的研究结果表明，在科室最高层领导中仍存在性别差异，需要进一步改善领导岗位中的多样性和性别平等。
