Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.

<h4>Background</h4>Women are underrepresented at higher levels of promotion or leadership despite the increasing number of women physicians. In surgery, this has been compounded by historical underrepresentation. With a nation-wide focus on the importance of diversity, our aim was to pro...

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Autores principales:	Jennifer Hunter, Helen Crofts, Alysha Keehn, Sofie Schlagintweit, Jessica G Y Luc, Kelly A Lefaivre
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/323bf2e161e54e9cb0056e0b64341391
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spelling	oai:doaj.org-article:323bf2e161e54e9cb0056e0b643413912021-12-02T20:19:28ZGender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.1932-620310.1371/journal.pone.0256742https://doaj.org/article/323bf2e161e54e9cb0056e0b643413912021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256742https://doaj.org/toc/1932-6203<h4>Background</h4>Women are underrepresented at higher levels of promotion or leadership despite the increasing number of women physicians. In surgery, this has been compounded by historical underrepresentation. With a nation-wide focus on the importance of diversity, our aim was to provide a current snapshot of gender representation in Canadian universities.<h4>Methods</h4>This cross-sectional online website review assessed the current faculty listings for 17 university-affiliated academic surgical training departments across Canada in the 2019/2020 academic year. Gender diversity of academic surgical faculty was assessed across surgical disciplines. Additionally, gender diversity in career advancement, as described by published leadership roles, promotion and faculty appointment, was analyzed.<h4>Results</h4>Women surgeons are underrepresented across Canadian surgical specialties (totals: 2,689 men versus 531 women). There are significant differences in the gender representation of surgeons between specialties and between universities, regardless of specialty. Women surgeons had a much lower likelihood of being at the highest levels of promotion (OR: 0.269, 95% CI: 0.179-0.405). Men surgeons were statistically more likely to hold academic leadership positions than women (p = 0.0002). Women surgeons had a much lower likelihood of being at the highest levels of leadership (OR: 0.372, 95% CI: 0.216-0.641).<h4>Discussion</h4>This study demonstrates that women surgeons are significantly underrepresented at the highest levels of academic promotion and leadership in Canada. Our findings allow for a direct comparison between Canadian surgical subspecialties and universities. Individual institutions can use these data to critically appraise diversity policies already in place, assess their workforce and apply a metric from which change can be measured.Jennifer HunterHelen CroftsAlysha KeehnSofie SchlagintweitJessica G Y LucKelly A LefaivrePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256742 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jennifer Hunter Helen Crofts Alysha Keehn Sofie Schlagintweit Jessica G Y Luc Kelly A Lefaivre Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
description	<h4>Background</h4>Women are underrepresented at higher levels of promotion or leadership despite the increasing number of women physicians. In surgery, this has been compounded by historical underrepresentation. With a nation-wide focus on the importance of diversity, our aim was to provide a current snapshot of gender representation in Canadian universities.<h4>Methods</h4>This cross-sectional online website review assessed the current faculty listings for 17 university-affiliated academic surgical training departments across Canada in the 2019/2020 academic year. Gender diversity of academic surgical faculty was assessed across surgical disciplines. Additionally, gender diversity in career advancement, as described by published leadership roles, promotion and faculty appointment, was analyzed.<h4>Results</h4>Women surgeons are underrepresented across Canadian surgical specialties (totals: 2,689 men versus 531 women). There are significant differences in the gender representation of surgeons between specialties and between universities, regardless of specialty. Women surgeons had a much lower likelihood of being at the highest levels of promotion (OR: 0.269, 95% CI: 0.179-0.405). Men surgeons were statistically more likely to hold academic leadership positions than women (p = 0.0002). Women surgeons had a much lower likelihood of being at the highest levels of leadership (OR: 0.372, 95% CI: 0.216-0.641).<h4>Discussion</h4>This study demonstrates that women surgeons are significantly underrepresented at the highest levels of academic promotion and leadership in Canada. Our findings allow for a direct comparison between Canadian surgical subspecialties and universities. Individual institutions can use these data to critically appraise diversity policies already in place, assess their workforce and apply a metric from which change can be measured.
format	article
author	Jennifer Hunter Helen Crofts Alysha Keehn Sofie Schlagintweit Jessica G Y Luc Kelly A Lefaivre
author_facet	Jennifer Hunter Helen Crofts Alysha Keehn Sofie Schlagintweit Jessica G Y Luc Kelly A Lefaivre
author_sort	Jennifer Hunter
title	Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
title_short	Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
title_full	Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
title_fullStr	Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
title_full_unstemmed	Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.
title_sort	gender imbalance amongst promotion and leadership in academic surgical programs in canada: a cross-sectional investigation.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/323bf2e161e54e9cb0056e0b64341391
work_keys_str_mv	AT jenniferhunter genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation AT helencrofts genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation AT alyshakeehn genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation AT sofieschlagintweit genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation AT jessicagyluc genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation AT kellyalefaivre genderimbalanceamongstpromotionandleadershipinacademicsurgicalprogramsincanadaacrosssectionalinvestigation
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Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.

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