Gender Disparity in Authorship of Peer-Reviewed Medical Publications
Gender Disparity in Authorship of Peer-Reviewed Medical Publications
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DOI：
10.1016/j.amjms.2019.11.005
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发表时间：
2020-11-01
影响因子：
3.1
通讯作者：
Liang, Mike K.
中科院分区：
文献类型：
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作者：
Bernardi, Karla;Lyons, Nicole B.;Liang, Mike K.
背景：尽管女性医生的比例有所增加，但女性在医学界的比例仍然偏低。目前尚不清楚学术生产率是否对这些差异起到了作用。我们试图确定2000年至2017年美国同行评议文献作者中是否存在性别差异。方法：使用PubMed对2000年至2017年美国内外科同行评议研究文章进行回顾。在2000-2005年、2006-2010年、2011-2015年和2016-2017年四个不同的时间段内随机选择了手稿。确定了第一和最后一位作者的性别，并记录了该期刊的影响因素。医学研究生教育认证委员会(ACGME)和美国医学院协会(AAMC)的数据库被用来确定女性住院医生、主治医生和学术领导职位的比例。主要结果是女性作者在同行评议文献中的盛行。次要目标是内外科专业差异、性别间出版物影响因素的差异以及性别与指导的关联。结果：在1120篇综述文章中，31.6%的第一作者和19.4%的最后作者是女性。女性第一作者和最后作者随着时间的推移而增加，作者身份与特定时期所研究专业的女性人数成正比(P=0.78)。不同性别间期刊的影响因素无差异(P=0.64)。在内科和外科专业的分组分析中，结果保持不变。结论：女性发表研究的比率与学术女性医生的数量成正比。领导角色的差异不太可能用出版物的差异来解释。尽管医学界的性别差距有所改善，但领导层的巨大差距依然存在。
Background: Women are underrepresented in medicine despite increases in the percentage of female physicians. It is unknown if academic productivity contributes to these differences. We sought to determine whether gender disparity exists in peer-reviewed literature authorship in the United States from 2000 to 2017.Methods: Medical and surgical peer-reviewed research articles from the United States were retrospectively reviewed using PubMed from 2000 to 2017. Manuscripts were randomly selected within 4 different time periods: 2000-2005, 2006-2010, 2011-2015 and 2016-2017. The gender of the first and last authors was determined and the journal's impact factor recorded. The Accreditation Council for Graduate Medical Education (ACGME) and Association of American Medical Colleges (AAMC) databases were used to determine the percent of female residents, attendings and academic leadership positions. Primary outcome was the prevalence of female authors in peer-reviewed literature. Secondary aims were differences in disparity in medical versus surgical specialties, differences in publications' impact factor among gender and the association between gender and mentoring.Results: Within 1,120 articles reviewed, 31.6% of first authors and 19.4% of last authors were women. Female first and last authors increased over time and authorship was proportional to the number of women in the studied specialties at that specific time period (P = 0.78). There was no difference in the journal's impact factors between gender (P = 0.64). On subgroup analysis of medical and surgical subspecialties, results remained unchanged.Conclusions: Women publish research at a rate proportional to the number of academic female physicians. Disparities in leadership roles are unlikely explained by differences in publications. While gender disparities in medicine have improved, substantial disparities in leadership persist.