Making medical leadership more diverse

Ruzycki, Shannon M.; Franceschet, Susan; Brown, Allison

doi:10.1136/bmj.n945

Cited by 15 publications

(12 citation statements)

References 47 publications

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“… 12 15 17 18 31–33 The gender disparity within global surgery academia deserves specific attention but is unfortunately not an exceptional phenomenon; structural misogyny has been found across a range of fields where such inequities have been studied. 34 35 Funding application processes, peer-review processes, the availability of research and leadership opportunities and academic career progression pathways need to be critically assessed and corrected for gender bias within HIC and LMIC institutions but also within HIC-LMIC research partnerships. 35 …”

Section: Discussionmentioning

confidence: 99%

Systematic analysis of authorship demographics in global surgery

et al. 2021

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BackgroundGlobal surgery has recently gained prominence as an academic discipline within global health. Authorship inequity has been a consistent feature of global health publications, with over-representation of authors from high-income countries (HICs), and disenfranchisement of researchers from low-income and middle-income countries (LMICs). In this study, we investigated authorship demographics within recently published global surgery literature.MethodsWe performed a systematic analysis of author characteristics, including gender, seniority and institutional affiliation, for global surgery studies published between 2016 and 2020 and indexed in the PubMed database. We compared the distribution of author gender and seniority across studies related to different topics; between authors affiliated with HICs and LMICs; and across studies with different authorship networks.Results1240 articles were included for analysis. Most authors were male (60%), affiliated only with HICs (51%) and of high seniority (55% were fully qualified specialist or generalist clinicians, Principal Investigators, or in senior leadership or management roles). The proportion of male authors increased with increasing seniority for last and middle authors. Studies related to Obstetrics and Gynaecology had similar numbers of male and female authors, whereas there were more male authors in studies related to surgery (69% male) and Anaesthesia and Critical care (65% male). Compared with HIC authors, LMIC authors had a lower proportion of female authors at every seniority grade. This gender gap among LMIC middle authors was reduced in studies where all authors were affiliated only with LMICs.ConclusionAuthorship disparities are evident within global surgery academia. Remedial actions to address the lack of authorship opportunities for LMIC authors and female authors are required.

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Section: Discussionmentioning

confidence: 99%

Systematic analysis of authorship demographics in global surgery

et al. 2021

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“…139,140 To attract and retain diverse trainees, clinician–scientist education must enact broad and deliberate changes to include EDI as a core tenet of evolving programs. 134…”

Section: Discussionmentioning

confidence: 99%

Curricula, Teaching Methods, and Success Metrics of Clinician–Scientist Training Programs: A Scoping Review

Li¹,

Wollny²,

Twilt³

et al. 2022

Academic Medicine

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“…Overall, our data suggest the need for strategies to recruit and retain physician leaders from racial minority groups, especially BIPOC women, who had lowest leadership attainment in our study. These strategies could include quotas,19 separate application streams,20 opt-in selection,21 evidence-based faculty development programmes22 and adoption of best practices in recruiting under-represented groups 23. Medical leadership training programmes should be examined for bias, exclusion and effectiveness in under-represented groups.…”

Section: Discussionmentioning

confidence: 99%

Diversity of physicians in leadership and academic positions in Alberta: a cross-sectional survey

Ruzycki

Roach

Ahmed

et al. 2022

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BackgroundEfforts to reduce barriers and disparities faced by marginalised physicians are limited by a lack of data on the current diversity of the Canadian physician workforce. We aimed to characterise the diversity of the Albertan physician workforce.MethodsThis cross-sectional survey, open to all Albertan physicians from 1 September 2020 to 6 October 2021, measured the proportion of physicians from traditionally under-represented groups, including those with diverse gender identities, disabilities and from racial minorities.ResultsThere were 1087 respondents (9.3% response rate); of whom 33.4% identified as cisgender men (n=363), 46.8% as cisgender women (n=509) and less than 3% as gender diverse. Fewer than 5% were members of the LGBTQI2S+community. Half were white (n=547), 4.6% were black (n=50) and fewer than 3% were Indigenous or Latinx. Over one-third reported a disability (n=368, 33.9%). There were 303 white cisgender women (27.9%), 189 white cisgender men (17.4%), 136 black, Indigenous or person of colour (BIPOC) cisgender men (12.5%) and 151 BIPOC cisgender women (13.9%). Compared with BIPOC physicians, white participants were over-represented in leadership positions (64.2% and 32.1%; p=0.06) and academic roles (78.7% and 66.9%; p<0.01). Cisgender women had less often applied for academic promotion than cisgender men (85.4% and 78.3%, respectively, p=0.01), and BIPOC physicians had been denied promotion more frequently (7.7% compared with 4.4%; p=0.47).ConclusionMany Albertan physicians may experience marginalisation through at least one protected characteristic. There were race-based and gender-based differences in experiences of medical leadership and academic promotion which may explain observed disparities in these positions. To increase diversity and representation in medicine, medical organisations should focus on inclusive cultures and environments. Universities should focus efforts on supporting BIPOC physicians, especially BIPOC cisgender women, in applying for promotion.

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Making medical leadership more diverse

Cited by 15 publications

References 47 publications

Systematic analysis of authorship demographics in global surgery

Systematic analysis of authorship demographics in global surgery

Curricula, Teaching Methods, and Success Metrics of Clinician–Scientist Training Programs: A Scoping Review

Diversity of physicians in leadership and academic positions in Alberta: a cross-sectional survey

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