Tanya Stuti M, Nguyen Anne Xuan-Lan, Joly-Chevrier Maxine, Pur Daiana Roxana, Sharma Sanjay, Costello Fiona, Kherani Femida, Trinh Vincent Quoc-Huy, Hardy Isabelle, Lando Leonardo
From the Department of Ophthalmology and Visual Sciences, McGill University, Montréal, Que. (Tanya); the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Nguyen); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Joly-Chevrier); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Pur); the Department of Ophthalmology, Queen's University, Kingston, Ont. (Sharma); the Departments of Clinical Neurosciences and Surgery, Section of Ophthalmology, University of Calgary, Calgary, Alta. (Costello); the Department of Surgery, Section of Ophthalmology, University of Calgary, Calgary, Alta. (Kherani); the Department of Pathology, Université de Montréal, Montréal, Que. (Trinh); the Department of Ophthalmology, Université de Montréal, Montréal, Que. (Hardy); the Department of Ophthalmology and Visual Sciences, University of Toronto, Ont. (Lando); the Ocular Oncology and Visual Rehabilitation Service, Department of Ophthalmology, Barretos Cancer Hospital, Barretos, SP, Brazil (Lando).
Can J Surg. 2025 Jun 18;68(3):E253-E264. doi: 10.1503/cjs.015723. Print 2025 May-Jun.
Disparate gender representation among Canadian academic surgeons is documented; however, the association of academic rank with research productivity across all surgical specialties is not well understood. Our objective was to assess differences in gender representation by academic rank and research productivity metrics for surgical specialties in Canadian academic centres.
This retrospective, cross-sectional, comparative study used online public databases in 2021. Data sources included the Canadian Resident Matching Service program descriptions, College of Physicians and Surgeons databases, the Scopus platform, and professional websites. Gender distribution by academic rank, research productivity metrics, institution, and surgical specialty were tested for a 0.5 proportion rate. We used a generalized logistic regression model adjusting for confounders to assess gender association with ordinally ranked academic rank. We defined significance by < 0.05 with reported 95% confidence intervals.
We assessed 10 surgical specialties across 17 Canadian academic institutions. Women surgeons were underrepresented in 16 out of 17 centres ( < 0.001), comprising the majority in only obstetrics-gynecology ( < 0.001). Women were also less represented as assistant (37%), associate (27%), and full professors (18%) ( < 0.001), with lower mean -index (6.4, < 0.001), years active in research (11.5, < 0.001), number of publications (18, < 0.001), and -quotient (0.42, < 0.001). Multivariate analysis showed that men were more likely to be represented in senior professorship regardless of research productivity, institution, and specialty determinants (odds ratio 1.30-1.33, = 0.001-0.024).
Women surgeons were underrepresented across all academic ranks, were less likely to achieve senior professorship, and had lower research productivity metrics.
加拿大外科领域学术人员中存在性别比例差异的情况已有记录；然而，在所有外科专业中，学术职级与研究产出之间的关联尚未得到充分理解。我们的目标是评估加拿大各学术中心外科专业在学术职级和研究产出指标方面的性别比例差异。
这项回顾性、横断面比较研究于2021年使用在线公共数据库。数据来源包括加拿大住院医师匹配服务项目描述、医师和外科医生学院数据库、Scopus平台以及专业网站。对按学术职级、研究产出指标、机构和外科专业划分的性别分布进行了0.5比例率检验。我们使用了一个针对混杂因素进行调整的广义逻辑回归模型，以评估性别与有序排列的学术职级之间的关联。我们将显著性定义为P<0.05，并报告95%置信区间。
我们评估了加拿大17所学术机构中的10个外科专业。在17个中心中的16个，女外科医生的占比不足（P<0.001），仅在妇产科中占多数（P<0.001）。女性在助理教授（37%）、副教授（27%）和正教授（18%）中的占比也较低（P<），平均h指数（6.4，P<0.001）、从事研究的年限（11.5，P<0.001）、发表论文数量（18，P<0.001）和i10指数（0.42，P<0.001）也较低。多变量分析表明，无论研究产出、机构和专业因素如何，男性在高级教授职位中的占比更高（优势比1.30 - 1.33，P = 0.001 - 0.024）。
女外科医生在所有学术职级中的占比均不足，获得高级教授职位的可能性较小，且研究产出指标较低。
