Stack Taylor J, McCain Morgan N, O'Rourke Samuel P, Westcott Nina, Dickerson Theresa, Klatt-Cromwell Cristine, Thorp Brian D, Senior Brent A, Ebert Charles S, Kimple Adam J
Department of Otolaryngology-Head & Neck Surgery, The University of North Carolina-Chapel Hill, Chapel Hill, USA.
Am J Rhinol Allergy. 2025 Jul;39(4):266-270. doi: 10.1177/19458924251324238. Epub 2025 Mar 11.
BackgroundThe representation of women in otolaryngology has increased significantly over recent decades, yet discrepancies remain in certain subspecialties, including rhinology. Despite overall improvements in gender equity within otolaryngology, the specific demographic trends and scholarly productivity of fellowship-trained rhinologists have not been thoroughly examined.ObjectiveWe aimed to address this gap by examining demographic trends and academic productivity among rhinology fellowship graduates.MethodsThis cross-sectional study examined publicly available data to analyze fellowship-trained rhinologists in the United States, focusing on gender, career stage, practice setting, h-index, and academic rank. Statistical analyses included Fischer's exact test, Wilcoxon rank sum test, ANOVA, and .ResultsWe included 477 fellowship-trained rhinologists who trained at 31 fellowships. No gender differences in career stage or practice type were found. Despite an absolute increase in women per year (0 to 9, = 0.65), the percentage of women in rhinology fellowships has plateaued since 2002 ( = 0.001), averaging 21.1% (SD = 10.8%). Most fellowship-trained rhinologists were mid-career, with a median of 7 practice years; 55% worked in academics, mainly as assistant professors. Overall, women rhinologists had a slightly lower h-index than men (7 vs 9; = .01), but when stratified by academic rank, there was no difference in h-index between men and women.ConclusionThe percentage of women fellowship-trained rhinologists has not increased since 2002 ( = 0.001), remaining at a mean of 21.1%. Contrasting with other subspecialties, women and men rhinologists have similar h-indices by academic rank. However, there are still fewer women in rhinology overall than men.
背景
近几十年来，女性在耳鼻喉科领域的占比显著增加，但在包括鼻科学在内的某些亚专业中仍存在差异。尽管耳鼻喉科领域的性别平等总体有所改善，但接受过专科培训的鼻科医生的具体人口统计学趋势和学术产出尚未得到充分研究。
目的
我们旨在通过研究鼻科学专科毕业生的人口统计学趋势和学术产出，来填补这一空白。
方法
这项横断面研究分析了公开数据，以研究美国接受过专科培训的鼻科医生，重点关注性别、职业阶段、执业环境、h指数和学术职称。统计分析包括费舍尔精确检验、威尔科克森秩和检验、方差分析等。
结果
我们纳入了477名在31个专科培训项目中接受培训的鼻科医生。在职业阶段或执业类型方面未发现性别差异。尽管每年女性人数有绝对增加（从0人增加到9人，P = 0.65），但自2002年以来，鼻科学专科培训项目中女性的比例一直处于平稳状态（P = 0.001），平均为21.1%（标准差 = 10.8%）。大多数接受过专科培训的鼻科医生处于职业生涯中期，平均执业年限为7年；55%在学术界工作，主要担任助理教授。总体而言，女性鼻科医生的h指数略低于男性（分别为7和9；P = 0.01），但按学术职称分层后，男女之间的h指数没有差异。
结论
自2002年以来，接受专科培训的女性鼻科医生比例没有增加（P = 0.001），平均仍为21.1%。与其他亚专业不同，按学术职称来看，女性和男性鼻科医生的h指数相似。然而，总体上鼻科学领域的女性人数仍少于男性。
