Liang Jane W, Chang Marcello, Stein Sharon L, Salles Arghavan
From the Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Stanford University School of Medicine, Stanford, CA.
Ann Surg Open. 2024 Sep 26;5(4):e491. doi: 10.1097/AS9.0000000000000491. eCollection 2024 Dec.
We examined article submission data from the Annals of Surgery to assess gender bias in publishing.
Medicine has long been a male-dominated practice, particularly in surgical fields. A key criterion for promotion in academic medicine is the publication record. Thus, it is critical to understand the extent to which there are gendered disparities in access to publishing which may contribute to differences in career advancement, especially given the exacerbation of these disparities in the early part of the COVID-19 pandemic.
Working with Annals of Surgery submission data (2005-2023), we assigned author genders using genderize.io. Primary outcomes were final decision on the article (acceptance or rejection) and time to decision. Differences were examined between first-author gender, last-author gender, and first-author/last-author gender pairs using regression and chi-squared analyses.
Men submit more articles than women. This gap widened until the number of submissions peaked in 2020, after which submissions from men appeared to decrease at a faster rate than those from women. Acceptance rates and time to decision have generally declined over time, but articles by women experienced, on average, higher acceptance rates and longer time to decision during recent years compared with those by men.
Our data from a single journal suggest that the widening gender gap in submissions that existed before the pandemic may be narrowing, and overall research productivity of academic surgeons may be declining. Further work is needed to examine the long-term productivity and career trajectories of academic surgeons by gender accounting for the ongoing pandemic.
我们研究了《外科年鉴》的文章投稿数据，以评估出版过程中的性别偏见。
长期以来，医学领域一直以男性为主导，尤其是在外科领域。学术医学晋升的一个关键标准是发表记录。因此，了解在发表机会方面存在的性别差异程度至关重要，这种差异可能导致职业发展的差异，特别是考虑到在新冠疫情早期这些差异加剧的情况。
利用《外科年鉴》的投稿数据（2005 - 2023年），我们通过genderize.io确定作者性别。主要结果是文章的最终决定（接受或拒绝）以及做出决定的时间。使用回归分析和卡方分析检查第一作者性别、最后作者性别以及第一作者/最后作者性别组合之间的差异。
男性提交的文章比女性多。这种差距在2020年投稿数量达到峰值之前不断扩大，之后男性的投稿数量下降速度似乎比女性更快。接受率和做出决定的时间总体上随时间下降，但近年来女性撰写的文章平均接受率更高，做出决定的时间也比男性更长。
我们来自单一期刊的数据表明，疫情前投稿中不断扩大的性别差距可能正在缩小，学术外科医生的整体研究生产力可能正在下降。需要进一步开展工作，通过考虑持续的疫情情况，按性别研究学术外科医生的长期生产力和职业轨迹。
