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外科协会奖项中的性别差距。

Gender gap in surgical societies awards.

作者信息

Jalloh Karimatu, Bader Amanda, Okorji Leslie M, Kelz Rachel, Tatarian Talar, Altieri Maria S

机构信息

Department of Surgery, University of Pennsylvania, 800 Walnut St 20th Floor, Philadelphia, PA, 19107, USA.

Thomas Jefferson Hospital, University of Pennsylvania, 3400 Civic Center Blvd 3rd floor, Philadelphia, PA, 19104, USA.

出版信息

Surg Endosc. 2025 Feb;39(2):1318-1322. doi: 10.1007/s00464-024-11440-3. Epub 2025 Jan 10.

Abstract

INTRODUCTION

Despite remarkable progress, gender inequality in medicine remains a significant issue. This disparity extends beyond clinical practices and educational programs; it is also evident in the recognition and awards received by surgeons. Underrepresentation of women in Surgical Society awards is a multi-layered issue that needs a holistic approach since these awards are used to hire, promote, and advance surgeons.

METHODS AND PROCEDURES

A retrospective observational study was performed between 1936 and 2023 on all recipients of awards from 22 surgical societies. The study examines the relationship between recipient gender and award year. Medians, and interquartile ranges (IQRs) were used for continuous data, and frequencies and percentages were used for categorical data. Chi-square and Wilcoxon rank sum tests were used to compare female and male recipients. Multiple logistic regression was used to estimate the probability that a female will receive an award.

RESULTS

A total of 2588 awards were given out between 1936 and 2023. Among the 2588 awards, 2024 went to male surgeons, and 564 to female surgeons. Since 1936, there have been 0-25 women awarded annually, with a proportion of female awardees between 0 and 0.5. Since 1936, the proportion of women awardees has increased significantly (p < 0.01). Since 2006, female award winners have increased by 0.7% (95% CI 0.007-0.008, p = 0.001) when controlling for surgical societies. A woman's odds of receiving an award from a surgical society have increased by only 3% per year since 2006 (OR 1.03, 95% CI 1.01-1.07, p = 0.004). Accordingly, female surgeon awards grew from 0.22 in 2006 to 0.35 in 2023.

CONCLUSION

Female surgeons' continuous underrepresentation in Surgical Society awards is a crucial issue. The selection process of surgical societies needs to be more intentional as female recipients have steadily increased in recent years. Closing this gender gap is not only a matter of fairness but also imperative for the field's progress.

摘要

引言

尽管取得了显著进展,但医学领域的性别不平等仍然是一个重大问题。这种差距不仅存在于临床实践和教育项目中;在外科医生获得的认可和奖项方面也很明显。女性在外科协会奖项中的代表性不足是一个多层次的问题,需要采取整体方法来解决,因为这些奖项被用于外科医生的招聘、晋升和职业发展。

方法和程序

对1936年至2023年间22个外科协会所有奖项获得者进行了一项回顾性观察研究。该研究考察了获奖者性别与获奖年份之间的关系。连续数据采用中位数和四分位数间距(IQR),分类数据采用频率和百分比。卡方检验和威尔科克森秩和检验用于比较女性和男性获奖者。多元逻辑回归用于估计女性获得奖项的概率。

结果

1936年至2023年间共颁发了2588个奖项。在这2588个奖项中,2024个授予了男性外科医生,564个授予了女性外科医生。自1936年以来,每年获得奖项的女性人数为0至25人,女性获奖者的比例在0至0.5之间。自1936年以来,女性获奖者的比例显著增加(p<0.01)。自2006年以来,在控制外科协会的情况下,女性获奖者增加了0.7%(95%CI 0.007-0.008,p=0.001)。自2006年以来,女性从外科协会获得奖项的几率每年仅增加3%(OR 1.03,95%CI 1.01-1.07,p=0.004)。相应地,女性外科医生获得的奖项从2006年的0.22增长到2023年的0.35。

结论

女性外科医生在外科协会奖项中持续代表性不足是一个关键问题。随着近年来女性获奖者稳步增加,外科协会的评选过程需要更具针对性。缩小这一性别差距不仅关乎公平,也是该领域进步的必然要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4483/11794393/39295d2f3df9/464_2024_11440_Fig1_HTML.jpg

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