Ong Vera, Harary Maya, Mozaffari Khashayar, Mekonnen Mahlet, Hwang Leslie, Patel Shravan, Mahgerefteh Natalie, Nayeri Diba, Chandla Anubhav, Duong Courtney, Yang Isaac, Aghi Manish K
John A. Burns School of Medicine, University of Hawaii, Honolulu , Hawaii , USA.
Department of Neurological Surgery, University of California, Los Angeles , California , USA.
Neurosurgery. 2023 Nov 1;93(5):971-978. doi: 10.1227/neu.0000000000002547. Epub 2023 Jun 7.
Although female neurosurgery residents are increasing, women remain underrepresented in academic leadership.
To assess academic productivity differences between male and female neurosurgery residents.
We used the Accreditation Council for Graduate Medical Education records to obtain 2021-2022 recognized neurosurgery residency programs. Gender was dichotomized into male/female by male-presenting/female-presenting status. Extracted variables included degrees/fellowships from institutional websites, number of preresidency and total publications from PubMed, and h -indices from Scopus. Extraction occurred from March to July 2022. Residency publication number and h- indices were normalized by postgraduate year. Linear regression analyses were conducted to assess factors associated with numbers of in-residency publications. P < .05 was considered statistically significant.
Of 117 accredited programs, 99 had extractable data. Information from 1406 residents (21.6% female) was successfully collected. 19 687 and 3261 publications were evaluated for male residents and female residents, respectively. Male and female residents' median preresidency publication numbers did not significantly differ (M:3.00 [IQR 1.00-8.50] vs F:3.00 [IQR 1.00-7.00], P = .09), nor did their h -indices. However, male residents had significantly higher median residency publications than female residents (M:1.40 [IQR 0.57-3.00] vs F:1.00 [IQR 0.50-2.00], P < .001). On multivariable linear regression, male residents (odds ratio [OR] 2.05, 95% CI 1.68-2.50, P < .001) and residents with more preresidency publications (OR 1.17, 95% CI 1.16-1.18, P < .001) had higher likelihood of publishing more during residency, controlling for other covariates.
Without publicly available, self-identified gender designation for each resident, we were limited to review/designate gender based on male-presenting/female-presenting status from gender conventions of names/appearance. Although not an ideal measurement, this helped show that during neurosurgical residency, male residents publish significantly more than female counterparts. Given similar preresidency h- indices and publication records, this is unlikely explained by differences in academic aptitude. In-residency gender barriers to academic productivity must be acknowledged and addressed to improve female representation within academic neurosurgery.
尽管女性神经外科住院医师的数量在增加，但在学术领导岗位上女性的占比仍然较低。
评估男性和女性神经外科住院医师在学术产出方面的差异。
我们利用毕业后医学教育认证委员会的记录获取了2021 - 2022年认可的神经外科住院医师培训项目。根据呈现男性/女性的状态将性别分为男性/女性。提取的变量包括机构网站上的学位/奖学金、住院前的出版物数量以及来自PubMed的总出版物数量，以及来自Scopus的h指数。数据提取时间为2022年3月至7月。住院医师的出版物数量和h指数按研究生年级进行了标准化。进行线性回归分析以评估与住院期间出版物数量相关的因素。P < 0.05被认为具有统计学意义。
在117个认证项目中，99个有可提取的数据。成功收集了1406名住院医师（21.6%为女性）的信息。分别对男性住院医师和女性住院医师的19687篇和3261篇出版物进行了评估。男性和女性住院医师住院前出版物数量的中位数没有显著差异（男性：3.00 [四分位间距1.00 - 8.50] 对女性：3.00 [四分位间距1.00 - 7.00]，P = 0.09），他们的h指数也没有显著差异。然而，男性住院医师住院期间出版物的中位数显著高于女性住院医师（男性：1.40 [四分位间距0.57 - 3.00] 对女性：1.00 [四分位间距0.50 - 2.00]，P < 0.001）。在多变量线性回归中，男性住院医师（优势比[OR] 2.05，95%置信区间1.68 - 2.50，P < 0.001）和住院前出版物较多的住院医师（OR 1.17，95%置信区间1.16 - 1.18，P < 0.001）在控制其他协变量的情况下，在住院期间发表更多文章的可能性更高。
由于没有公开可用的、每位住院医师自行确定的性别标识，我们只能根据姓名/外貌的性别惯例所呈现的男性/女性状态来审查/指定性别。虽然这不是一个理想的衡量标准，但这有助于表明在神经外科住院医师培训期间，男性住院医师的发表量显著多于女性同行。鉴于住院前相似的h指数和出版记录，这不太可能是由学术能力的差异所解释。必须认识并解决住院期间学术产出方面的性别障碍，以提高女性在学术神经外科中的占比。
