Investigating Gender Disparities in Internal Medicine Residency Awards

Hannon, Michelle; Duffey, Katherine; Bharel, Sonia; Redfield, Rachel; Greidinger, Alison; Stewart, Emily; Diemer, Gretchen

doi:10.1016/j.amjmed.2020.11.003

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…This pattern supports prior work of others that found women more often won prizes awarded for reasons such as education, support, teaching, and public service compared to research or leadership awards. 4,11 Of the 2 award categories with the lowest representation of women winners, the proportions were 0 and 7%. Other authors have noted that "low stakes" awards tend to be more equitable, but more prestigious awards tend to go to men across scientific and medical societies.…”

Section: Discussionmentioning

confidence: 99%

Gender Equity in Membership, Leadership, and Award Recognition in the Wilderness Medical Society

Schlein

Pollock

Polukoff

et al. 2022

Wilderness & Environmental Medicine

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Introduction-Despite near gender parity for women entering medical careers, women remain underrepresented in medical societies. This study evaluated the gender distribution associated with Wilderness Medical Society (WMS) activities.Methods-A retrospective review was performed on the gender breakdown of the following WMS members: a single-day 2020 snapshot, conference attendees 2012 through 2020, conference presenters from winter 2017 through winter 2021, and leadership and awards data from 1984 through 2021. Genderize.io was used to generate probability-based gender categorizations (male/female) based on first names or pronoun associations.Results-Gender was assigned in 91% (4043/4461) of 2020 WMS members, 92% (6179/6720) of 2012-2020 conference attendees, and 100% of remaining categories. Women represented 28% (1143/ 4043) of members, 27% (1679/6179) of conference attendees, 31% (143/465) of all conference presenters, 20% (62/303) of mainstage presenters, 23% (17/75) of all board members, 38% (14/37) of committee chairs, and 10% (2/20) of board presidents. Women received 18% (42/228) of recognition awards and 31% (15/48) of research grants issued.Conclusions-Although women comprise a minority of WMS participants, gender distribution was similar across categories for membership, conference presenters, total board positions, and research grant awards. Relative underrepresentation was seen in the highest leadership levels, in recognition awards, and in mainstage presenters. Ongoing auditing may help to identify and address sources of bias and/or barriers to participation. Although it is only one of many components of equity, identifying successes and future opportunities for gender balance can strengthen the base of the WMS, promote growth, and ensure a strong leadership pipeline.

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Section: Discussionmentioning

confidence: 99%

Gender Equity in Membership, Leadership, and Award Recognition in the Wilderness Medical Society

Schlein

Pollock

Polukoff

et al. 2022

Wilderness & Environmental Medicine

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“…10,11 Several studies have identified an association of sex, race and parental status with the likelihood of academic recognition. [12][13][14][15][16][17][18] Selection committees for awards and promotions can also be affected by implicit bias and fallible judgement. 19,20 Trainee disclosure of mental illness and burnout has also been associated with lower evaluations, yet reluctance to disclose may further limit the ability of residency programmes to support individuals.…”

Section: Introductionmentioning

confidence: 99%

“…Residency programmes have the responsibility to support a trainee's growth as a clinician, yet resident assessment is affected by many external factors 10,11 . Several studies have identified an association of sex, race and parental status with the likelihood of academic recognition 12–18 . Selection committees for awards and promotions can also be affected by implicit bias and fallible judgement 19,20 .…”

Section: Introductionmentioning

confidence: 99%

On‐call absences and academic recognition: A retrospective cohort analysis

2023

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BackgroundResident call schedules require careful planning and are vulnerable to unanticipated absences from unpredictable factors. We tested whether unplanned absences from resident call schedules were associated with the likelihood of subsequent academic recognition.MethodsWe examined unplanned absences from call shifts for internal medicine residents at the University of Toronto from 2014 to 2022 (8 years). We identified institutional awards granted at the end of the academic year as an indicator of academic recognition. We defined the resident‐year as the unit‐of‐analysis that started in July and ended in June of the subsequent year. Secondary analyses examined the association between unplanned absences and the likelihood of academic recognition in later years.ResultsWe identified 1668 resident‐years of training in internal medicine. In total, 579 (35%) had an unplanned absence, and the remaining 1089 (65%) had no unplanned absence. Baseline characteristics were similar between the two groups of residents. In total, 301 awards were received for academic recognition. The likelihood of receiving an award at the end of the year was 31% lower for residents who had any unplanned absence compared with those who had no absence (adjusted odds ratio = 0.69, 95% confidence interval 0.51–0.93, p = 0.015). The likelihood of receiving an award was further decreased for residents with multiple unplanned absences compared with those with none (odds ratio 0.54, 95% confidence interval 0.33–0.83, p = 0.008). An absence during the first year of residency was not significantly associated with the likelihood of academic recognition in later years of training (odds ratio 0.62, 95% confidence interval 0.36–1.04, p = 0.081).ConclusionsThe results of this analysis suggest unplanned absences from scheduled call shifts may be associated with a decreased likelihood of academic recognition for internal medicine residents. This association could reflect countless confounders or the prevailing culture of medicine.

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