Representation of Women as Neurological Surgery Society Award Recipients

Johnson, Gabrielle W.; Almgren-Bell, Alison; Skidmore, Alexander; Raval, Dhvanii K.; Blow, Gretchen; Mackey, Kimberly A.; Groves, Mari L.; Lee, Hedwig; Strahle, Jennifer

doi:10.1227/neuopn.0000000000000008

Cited by 1 publication

(1 citation statement)

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“…For the purposes of this study, we assumed male-presenting/female-presenting to determine gender based on name and/or bibliography photograph, as this protocol is recognized by the current literature. 15,16 Residents with gender-ambiguous presentations were excluded from data analysis. Number of residency publications and h-indices were normalized by dividing the respective number of publications by PGY year.…”

Section: Methods Data Collectionmentioning

confidence: 99%

Gender-Based Disparities in Academic Productivity Arise During Neurosurgery Residency: A Systematic Review

et al. 2023

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BACKGROUND: Although female neurosurgery residents are increasing, women remain underrepresented in academic leadership. OBJECTIVES: To assess academic productivity differences between male and female neurosurgery residents. METHODS: We used the Accreditation Council for Graduate Medical Education records to obtain 2021–2022 recognized neurosurgery residency programs. Gender was dichotomized into male/female by male-presenting/female-presenting status. Extracted variables included degrees/fellowships from institutional websites, number of preresidency and total publications from PubMed, and h-indices from Scopus. Extraction occurred from March to July 2022. Residency publication number and h-indices were normalized by postgraduate year. Linear regression analyses were conducted to assess factors associated with numbers of in-residency publications. P < .05 was considered statistically significant. RESULTS: Of 117 accredited programs, 99 had extractable data. Information from 1406 residents (21.6% female) was successfully collected. 19 687 and 3261 publications were evaluated for male residents and female residents, respectively. Male and female residents' median preresidency publication numbers did not significantly differ (M:3.00 [IQR 1.00-8.50] vs F:3.00 [IQR 1.00-7.00], P = .09), nor did their h-indices. However, male residents had significantly higher median residency publications than female residents (M:1.40 [IQR 0.57-3.00] vs F:1.00 [IQR 0.50-2.00], P < .001). On multivariable linear regression, male residents (odds ratio [OR] 2.05, 95% CI 1.68-2.50, P < .001) and residents with more preresidency publications (OR 1.17, 95% CI 1.16-1.18, P < .001) had higher likelihood of publishing more during residency, controlling for other covariates. CONCLUSION: Without publicly available, self-identified gender designation for each resident, we were limited to review/designate gender based on male-presenting/female-presenting status from gender conventions of names/appearance. Although not an ideal measurement, this helped show that during neurosurgical residency, male residents publish significantly more than female counterparts. Given similar preresidency h-indices and publication records, this is unlikely explained by differences in academic aptitude. In-residency gender barriers to academic productivity must be acknowledged and addressed to improve female representation within academic neurosurgery.

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Section: Methods Data Collectionmentioning

confidence: 99%