Trends in Female Authorship in High Impact Surgical Journals Between 2008 and 2018.


Journal

Annals of surgery
ISSN: 1528-1140
Titre abrégé: Ann Surg
Pays: United States
ID NLM: 0372354

Informations de publication

Date de publication:
01 01 2022
Historique:
pubmed: 27 6 2020
medline: 21 1 2022
entrez: 27 6 2020
Statut: ppublish

Résumé

This study evaluates the distribution of authorship by sex over the last 10 years among the top 25 surgical journals. Despite an increase in women entering surgical residency, there remains a sex disparity in surgical leadership. Scholarly activity is the foundation for academic promotion. However, few studies have evaluated productivity by sex in surgical literature. Original research in the 25 highest-impact general surgery/subspecialty journals were included (1/2008-5/2018). Journals with <70% identified author sex were excluded. Articles were categorized by sex of first, last, and overall authorship. We examined changes in proportions of female first, last, and overall authorship over time, and analyzed the correlation between these measurements and journal impact factor. There were 71,867 articles from 19 journals included. Sex was successfully predicted for 87.3% of authors (79.1%-92.5%). There were significant increases in the overall percentage of female authors (β = 0.55, P < 0.001), female first authors (β = 0.97, P < 0.001), and female last authors (β = 0.53, P < 0.001) over the study period. Notably, all cardiothoracic subspecialty journals did not significantly increase the proportion of female last authors over the study period. There were no correlations between journal impact factor and percentage of overall female authors (rs = 0.39, P = 0.09), female first authors (rs = 0.29, P = 0.22), or female last author (rs = 0.35, P = 0.13). This study identifies continued but slow improvement in female authorship of high-impact surgical journals during the contemporary era. However, the improvement was more apparent in the first compared to senior author positions.

Sections du résumé

OBJECTIVE
This study evaluates the distribution of authorship by sex over the last 10 years among the top 25 surgical journals.
SUMMARY OF BACKGROUND DATA
Despite an increase in women entering surgical residency, there remains a sex disparity in surgical leadership. Scholarly activity is the foundation for academic promotion. However, few studies have evaluated productivity by sex in surgical literature.
METHODS
Original research in the 25 highest-impact general surgery/subspecialty journals were included (1/2008-5/2018). Journals with <70% identified author sex were excluded. Articles were categorized by sex of first, last, and overall authorship. We examined changes in proportions of female first, last, and overall authorship over time, and analyzed the correlation between these measurements and journal impact factor.
RESULTS
There were 71,867 articles from 19 journals included. Sex was successfully predicted for 87.3% of authors (79.1%-92.5%). There were significant increases in the overall percentage of female authors (β = 0.55, P < 0.001), female first authors (β = 0.97, P < 0.001), and female last authors (β = 0.53, P < 0.001) over the study period. Notably, all cardiothoracic subspecialty journals did not significantly increase the proportion of female last authors over the study period. There were no correlations between journal impact factor and percentage of overall female authors (rs = 0.39, P = 0.09), female first authors (rs = 0.29, P = 0.22), or female last author (rs = 0.35, P = 0.13).
CONCLUSIONS
This study identifies continued but slow improvement in female authorship of high-impact surgical journals during the contemporary era. However, the improvement was more apparent in the first compared to senior author positions.

Identifiants

pubmed: 32590539
pii: 00000658-202201000-00048
doi: 10.1097/SLA.0000000000004057
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e115-e123

Informations de copyright

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

AAMC. More Women Than Men Enrolled in U.S. Medical Schools in 2017 12/18/17, 2017. 2018. Available at: https://news.aamc.org/press-releases/article/applicant-enrollment-2017/ . Accessed January 3, 2019
AAMC. The State of Women in Academic Medicine: The Pipeline and Pathways to Leadership, 2015–2016 2016. 2018. Available at: https://www.aamc.org/members/gwims/statistics/ . Accessed January 3, 2019
AAMC. Table C-1: Residency Applicants to ACGME-Accredited Programs by Specialty and Sex, 2018–2019 2019. Available at: https://www.aamc.org/download/321558/data/factstablec1.pdf . Accessed January 3, 2019
AAMC. Distribution of Full-time U.S. Medical School Faculty by: [U.S. Medical School Faculty, 2018 web site]. 2018. 2019. Available at: https://www.aamc.org/data/facultyroster/reports/494946/usmsf18.html . Accessed July 1, 2019
Bickel J, Wara D, Atkinson BF, et al. Increasing women's leadership in academic medicine: report of the AAMC Project Implementation Committee. Acad Med 2002; 77:1043–1061.
Sexton KW, Hocking KM, Wise E, et al. Women in academic surgery: the pipeline is busted. J Surg Educ 2012; 69:84–90.
Zhuge Y, Kaufman J, Simeone DM, et al. Is there still a glass ceiling for women in academic surgery? Ann Surg 2011; 253:637–643.
Weiss A, Lee KC, Tapia V, et al. Equity in surgical leadership for women: more work to do. Am J Surg 2014; 208:494–498.
Donington JS, Litle VR, Sesti J, et al. The WTS report on the current status of women in cardiothoracic surgery. Ann Thorac Surg 2012; 94:452–458. discussion 458–459.
Jena AB, Khullar D, Ho O, et al. Sex differences in academic rank in US medical schools in 2014. JAMA 2015; 314:1149–1158.
Mueller C, Wright R, Girod S. The publication gender gap in US academic surgery. BMC Surg 2017; 17:16.
Colletti LM, Mulholland MW, Sonnad SS. Perceived obstacles to career success for women in academic surgery. Arch Surg 2000; 135:972–977.
Jagsi R, Guancial EA, Worobey CC, et al. The “gender gap” in authorship of academic medical literature--a 35-year perspective. N Engl J Med 2006; 355:281–287.
Kurichi JE, Kelz RR, Sonnad SS. Women authors of surgical research. Arch Surg 2005; 140:1074–1077.
Rexrode KM. The gender gap in first authorship of research papers. BMJ 2016; 352:i1130.
Analytics C. Clarivate Analytics: Data Citation Index 2017. Available at: https://www.clarivate.com/products/web-of-science-forum/data-citation-index/ . Accessed January 3, 2019
Kovalchik S. Download Content from NCBI Databases [Package ’RISmed’ web site]. 2017. Available at: https://cran.r-project.org/web/packages/RISmed/RISmed.pdf . Accessed January 3, 2019
Fantini D. Search and Retrieve Scientific Publication Records from PubMed [Package ’easyPubMed’ web site]. 2018. Available at: https://cran.r-project.org/web/packages/easyPubMed/easyPubMed.pdf . Accessed January 3, 2019
Wais K. Gender prediction models based on first names with genderizeR. The R Journal 2016; 8:17–37.
Wais K. GenderizeR: Gender Prediction Based on First Names. 2016. Available at: http://CRAN.R-project.org/package=genderizeR . Accessed January 3, 2019
Shen YA, Webster, JM, Shoda, Y, et al. Persistent Underrepresentation of Women's Science in High Profile Journals. 2018. Available at: http://biorxiv.org/lookup/doi/10.1101/275362 . Accessed January 3, 2019
National Center for Biotechnology Information. U.S. National Library of Medicine; 1970 [cited 2020 May 18]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK3830/
Jagsi R, Griffith KA, Stewart A, et al. Gender differences in the salaries of physician researchers. JAMA 2012; 307:2410–2417.
Ence AK, Cope SR, Holliday EB, et al. Publication productivity and experience: factors associated with academic rank among orthopaedic surgery faculty in the United States. J Bone Joint Surg Am 2016; 98:e41.
Logghe H, Jones C, McCoubrey A, et al. #ILookLikeASurgeon: embracing diversity to improve patient outcomes. BMJ 2017; 359:j4653.
Tesch BJ, Wood HM, Helwig AL, et al. Promotion of women physicians in academic medicine. Glass ceiling or sticky floor? JAMA 1995; 273:1022–1025.
Yedidia MJ, Bickel J. Why aren’t there more women leaders in academic medicine? The views of clinical department chairs. Acad Med 2001; 76:453–465.
Filardo G, da Graca B, Sass DM, et al. Trends and comparison of female first authorship in high impact medical journals: observational study (1994–2014). BMJ 2016; 352:i847.
Valsangkar N, Fecher AM, Rozycki GS, et al. Understanding the barriers to hiring and promoting women in surgical subspecialties. J Am Coll Surg 2016; 223:387–398.e2.
AAMC. Table 2.2. Number and Percentage of ACGME Residents and Fellows by Sex and Specialty, 2017 [ACGME Residents and Fellows by Sex and Specialty, 2017 web site]. 2017. Available at: https://www.aamc.org/data/workforce/reports/492576/2-2-chart.html . Accessed July 1, 2019
AAMC. Table 4A. Distribution of Full-Time M.D. Faculty by Department and Rank, 2015 2016. 2018. Available at: https://www.aamc.org/download/481184/data/2015table4a.pdf . Accessed January 3, 2019
Long MT, Leszczynski A, Thompson KD, et al. Female authorship in major academic gastroenterology journals: a look over 20 years. Gastrointest Endosc 2015; 81:1440–1447.e3.
Sing DC, Jain D, Ouyang D. Gender trends in authorship of spine-related academic literature-a 39-year perspective. Spine J 2017; 17:1749–1754.
2018 U.S. Medical School Faculty [Internet]. AAMC. [cited 2019Mar1]. Available from: https://www.aamc.org/data-reports/faculty-institutions/interactive-data/data-reports/faculty-institutions/interactive-data/2018-us-medical-school-faculty .
Ashfaq A, Kalagara R, Wasif N. H-index and academic rank in general surgery and surgical specialties in the United States. J Surg Res 2018; 229:108–113.
Housri N, Cheung MC, Koniaris LG, et al. Scientific impact of women in academic surgery. J Surg Res 2008; 148:13–16.
Stephens EH, Robich MP, Walters DM, et al. Gender and cardiothoracic surgery training: specialty interests, satisfaction, and career pathways. Ann Thorac Surg 2016; 102:200–206.
Waljee JF, Chang KW, Kim HM, et al. Gender disparities in academic practice. Plast Reconstr Surg 2015; 136:380e–387e.
Buckley LM, Sanders K, Shih M, et al. Attitudes of clinical faculty about career progress, career success and recognition, and commitment to academic medicine. Results of a survey. Arch Intern Med 2000; 160:2625–2629.

Auteurs

Kamber L Hart (KL)

Center for Quantitative Health and Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.

Laura T Boitano (LT)

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Adam Tanious (A)

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Mark F Conrad (MF)

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Matthew J Eagleton (MJ)

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Keith D Lillemoe (KD)

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Roy H Perlis (RH)

Center for Quantitative Health and Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.

Sunita D Srivastava (SD)

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH