Khatib Ali, Ahmed Rayan, Niaz Saleha, Chatha Aakar, Hakim Ilham, Amornteerasawas Orapin, Qureshi Saniyah, Dong Carol, Raza Syed Shuja, Tiwana Maida, Ahmed Faizan, Khosa Faisal
Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Department of Medicine, Nawaz Sharif Medical College, Gujarat, Pakistan.
J Gen Intern Med. 2025 Feb;40(2):354-360. doi: 10.1007/s11606-024-08998-y. Epub 2024 Oct 16.
Despite more women entering medicine, substantial gender disparities remain in various medical disciplines. This study explores the extent of these disparities in Canadian academic internal medicine, particularly in academic ranks, leadership positions, and research productivity.
Cross-sectional.
Faculty physicians within internal medicine and subspecialties.
Data on faculty physicians with Medical Doctorate (MD), Doctor of Osteopathic Medicine (DO), or Bachelor of Medicine, Bachelor of Surgery (MBBS) degrees were compiled from 17 internal medicine programs listed in the Canadian Resident Matching Service (CaRMS). Research metrics were obtained using Elsevier's Scopus, and analyses were performed with Stata v14.2.
Among 5099 physician faculty members in internal medicine, 34% were women, and 66% were men. Among the faculty members holding leadership positions, 68% were men, and 32% were women. There was a significant difference in h-index between men and women physician faculty members (p ≤ 0.001), with men having a higher research output. Across all academic ranks, men faculty had higher median h-index values: Assistant Professor (12 vs. 9), Associate Professor (20 vs. 16), and Professor (40 vs. 30). Women were underrepresented in the procedural specialties, while only a few internal medicine subspecialties, such as palliative medicine and geriatrics, had a women predominance.
Our study underscores existing gender disparity within academic internal medicine in Canada, aligning with global trends. Women remain disproportionately underrepresented in academic ranks, leadership positions, and research productivity. Addressing these disparities necessitates a systemic and multifaceted approach, encompassing policy reforms, mentorship, and fostering an inclusive work environment.
尽管有更多女性进入医学领域，但在各个医学学科中，性别差距仍然很大。本研究探讨了加拿大学术性内科领域中这些差距的程度，特别是在学术职级、领导职位和研究产出方面。
横断面研究。
内科及亚专业的教职医生。
从加拿大住院医师匹配服务（CaRMS）列出的17个内科项目中收集了拥有医学博士（MD）、整骨疗法博士（DO）或医学学士、外科学士（MBBS）学位的教职医生的数据。使用爱思唯尔的Scopus获取研究指标，并使用Stata v14.2进行分析。
在内科的5099名医师教职人员中，34%为女性，66%为男性。在担任领导职位的教职人员中，68%为男性，32%为女性。男女医师教职人员之间的h指数存在显著差异（p≤0.001），男性的研究产出更高。在所有学术职级中，男性教职人员的h指数中位数更高：助理教授（12对9）、副教授（20对16）和教授（40对30）。女性在程序性亚专业中的代表性不足，而只有少数内科亚专业，如姑息医学和老年医学，以女性为主。
我们的研究强调了加拿大学术性内科领域中现有的性别差距，这与全球趋势一致。女性在学术职级、领导职位和研究产出方面的代表性仍然严重不足。解决这些差距需要一种系统的多方面方法，包括政策改革、指导和营造包容的工作环境。
