Gender Diversity in Radiation Oncology Board Certification

Knoll, Miriam A.; Jagsi, Reshma; Wallner, Paul E.

doi:10.1016/j.ijrobp.2019.11.025

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…For example, female radiation oncologists may be more likely to treat breast or gynecologic malignancies that frequently involve brachytherapy and 3DCRT planning procedures, both of which are less favorably reimbursed compared with the SBRT or IMRT planning modalities that are more common in the treatment of genitourinary malignancies. Indeed, a recent publication regarding the American Board of Radiology leadership reported clustering of female physicians around the subspecialties of breast and gynecological malignancies, 14 and there is little reason to suggest that this effect would not mimic broader trends. 14 Our hypothesis-generating work thus implores us to take a closer look at the role that subspecialty mentorship, dissemination of billing knowledge and support, the proclivity for treating patients of the same gender, and unconscious biases play in informing the procedural practices of both male and female radiation oncologists.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, a recent publication regarding the American Board of Radiology leadership reported clustering of female physicians around the subspecialties of breast and gynecological malignancies, 14 and there is little reason to suggest that this effect would not mimic broader trends. 14 Our hypothesis-generating work thus implores us to take a closer look at the role that subspecialty mentorship, dissemination of billing knowledge and support, the proclivity for treating patients of the same gender, and unconscious biases play in informing the procedural practices of both male and female radiation oncologists.…”

Section: Discussionmentioning

confidence: 99%

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Provider-Level Variation in Treatment Planning of Radiation Oncology Procedures in the United States

Valle

Chu

Yoon

et al. 2021

JCO Oncology Practice

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PURPOSE: Variation in the use of radiation oncology procedures and technologies is poorly characterized. We sought to identify associations between the treatment planning codes used to bill for radiotherapy procedures and the demographic characteristics of the radiation oncologists submitting them. METHODS: The Physician and Other Supplier Public Use File was linked to the Physician Compare database by using the physician National Provider Identifier for the year 2016. Analysis was stratified by practice setting, considering both the freestanding non–facility-based (NFB) setting and the facility-based (FB) setting. Multivariable logistic regression was used to determine provider characteristics (gender, practice rurality, and years since graduation) that predicted for the use of 3D-conformal RT (3DCRT) planning, intensity-modulated RT (IMRT) planning, and brachytherapy planning in the Medicare population. RESULTS: Three thousand twenty-nine physicians were linked for analysis. In both the FB and NFB settings together, male gender predicted for decreased likelihood of 3DCRT planning (OR, 0.70, 95% CI, 0.62 to 0.80, P < .001) and increased likelihood of IMRT planning (OR, 1.35, 95% CI, 1.19 to 1.54, P < .001). Brachytherapy planning was also more likely with increasing years since medical school graduation (OR, 1.03, 95% CI, 1.01 to 1.04, P < .001) in the combined FB and NFB settings. These significant associations persisted when examining the NFB and FB settings individually. In both settings overall, brachytherapy planning was more likely in male providers (OR, 1.75, 95% CI, 1.10 to 2.76, P = .02) and also more likely for providers practicing in metropolitan regions compared with those practicing in rural areas (OR, 3.01, 95% CI, 1.23 to 7.39, P = .02). CONCLUSION: Male gender predicts for utilization of IMRT planning, whereas female gender predicts for utilization of 3DCRT planning. Future research is warranted to better understand the role that provider gender and rurality play in the selection of radiation planning techniques for Medicare patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Provider-Level Variation in Treatment Planning of Radiation Oncology Procedures in the United States

Valle

Chu

Yoon

et al. 2021

JCO Oncology Practice

View full text Add to dashboard Cite

show abstract

“…While current representation of women on the ABR Board of Governors remains low (12%) [10], recent national efforts aimed at examining gender diversity within radiology and radiation oncology leadership is noteworthy. We are hopeful that this will drive positive developments that may generate more family-friendly policies [11][12][13]. We thank the ABR for transitioning examinations to a virtual environment in response to the COVID-19 pandemic, a commitment that will benefit trainees of all genders.…”

mentioning

confidence: 98%