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Original Research Article| Volume 224, ISSUE 5, P1217-1221, November 2022

The evolving gender distribution in authorship over time in American surgery

      Highlights

      • Publications by female surgeons have increased over time, paralleling the increase in female representation in surgery.
      • The gender publication gap is narrowing but is still a persistent issue in surgery.
      • Gender diversity is crucial to scientific discovery.

      Abstract

      Background

      The need for gender parity within academic surgery has resulted in an analysis of the trends in female authorship in the American general surgery literature.

      Methods

      Original articles from five American surgical journals from 1997, 2007, and 2017 were reviewed. Trends in the proportion of female authors were evaluated.

      Results

      There was an incremental increase in female first authors over the three time periods (15% in 1997, 32.2% in 2007, and 52.7% in 2017; P < 0.001). The proportion of articles by female senior authors also increased over the study periods (18.7% in 1997, 28.8% in 2007, and 52.6% in 2017; P < 0.001). However, there were fewer female authors with basic science research publications than males (17.4% vs. 82.6%, P < 0.001).

      Conclusions

      The academic productivity of female surgeons have increased over time likely due to an increase in the number of female academic surgeons in recent years. These findings are encouraging and demonstrate progress in female representation in surgery.
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      References

        • Nonnemaker L.
        Women physicians in academic medicine: new insights from cohort studies.
        N Engl J Med. 2000 Feb 10; 342 (PubMed PMID: WOS:000085205200006. English): 399-405
        • Richter K.P.
        • Clark L.
        • Wick J.A.
        • et al.
        Women physicians and promotion in academic medicine.
        N Engl J Med. 2020 Nov 26; 383 (PubMed PMID: 33252871. Epub 2020/12/01): 2148-2157
        • Hoover E.L.
        Mentoring women in academic surgery: overcoming institutional barriers to success.
        J Natl Med Assoc. 2006 Sep; 98 (PubMed PMID: 17019926. Pubmed Central PMCID: PMC2569703. Epub 2006/10/06): 1542-1545
        • Awad M.A.
        • Gaither T.W.
        • Osterberg E.C.
        • et al.
        Gender differences in promotions and scholarly productivity in academic urology.
        Can J Urol. 2017 Oct; 24 (PubMed PMID: 28971789. Epub 2017/10/04): 9011-9016
        • McDermott M.
        • Gelb D.J.
        • Wilson K.
        • et al.
        Sex differences in academic rank and publication rate at top-ranked US neurology programs.
        JAMA Neurol. 2018 Aug 1; 75 (PubMed PMID: 29610899. Pubmed Central PMCID: PMC6142929. Epub 2018/04/04): 956-961
        • Jena A.B.
        • Khullar D.
        • Ho O.
        • et al.
        Sex differences in academic rank in US medical schools in 2014.
        JAMA. 2015 Sep 15; 314 (PubMed PMID: 26372584. Pubmed Central PMCID: PMC4665995. Epub 2015/09/16): 1149-1158
      1. Figure 9: Percentage of Full-Time U.S. Medical School Faculty by Gender, 2009-2018. 2018.

        • Faculty Roster
        U.S. Medical school faculty.
        ([cited 2020 12/0912/2020]; Available from:)
      2. ([cited 2020 December 3]; Available from:)
        • Table C.
        Department chairs by department, sex, and race/ethnicity.
        ([cited 2020 December 3]; Available from:)
        • West M.A.
        • Hwang S.
        • Maier R.V.
        • et al.
        Ensuring equity, diversity, and inclusion in academic surgery: an American surgical association white paper.
        Ann Surg. 2018 Sep; 268 (PubMed PMID: 30004923. Epub 2018/07/14): 403-407
        • Kurichi J.E.
        • Kelz R.R.
        • Sonnad S.S.
        Women authors of surgical research.
        Arch Surg. 2005 Nov; 140 (PubMed PMID: 16301443. Epub 2005/11/23): 1074-1077
        • Ahmed A.A.
        • Egleston B.
        • Holliday E.
        • et al.
        Gender trends in radiation oncology in the United States: a 30-year analysis.
        Int J Radiat Oncol. 2014 Jan 1; 88 (PubMed PMID: WOS:000328857900008. English): 33-38
        • Dalal N.H.
        • Chino F.
        • Williamson H.
        • et al.
        Mind the gap: gendered publication trends in oncology.
        Cancer Am Cancer Soc. 2020 Jun 15; 126 (PubMed PMID: WOS:000521397600001. English): 2859-2865
        • Russell A.F.
        • Loder R.T.
        • Gudeman A.S.
        • et al.
        A bibliometric study of authorship and collaboration trends over the past 30 Years in four major musculoskeletal science journals.
        Calcif Tissue Int. 2019 Mar; 104 (PubMed PMID: WOS:000461381400002. English): 239-250
        • Aslan A.
        • Kuzucu P.
        • Karaaslan B.
        • Boreck A.O.
        Women in neurosurgery: gender differences in authorship in high -impact neurosurgery journals through the last two decades.
        World Neurosurg. 2020 Jun; 138 (PubMed PMID: WOS:000540725400030. English): 374-380
        • Feramisco J.D.
        • Leitenberger J.J.
        • Redfern S.I.
        • et al.
        A gender gap in the dermatology literature? Cross-sectional analysis of manuscript authorship trends in dermatology journals during 3 decades.
        J Am Acad Dermatol. 2009 Jan; 60 (PubMed PMID: WOS:000262261700006. English): 63-69
        • Yehia B.R.
        • Cronholm P.F.
        • Wilson N.
        • et al.
        Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds.
        BMC Med Educ. 2014 Feb 9; 14 (PubMed PMID: 24512599. Pubmed Central PMCID: PMC3922304. Epub 2014/02/12): 26
        • Jagsi R.
        • Guancial E.A.
        • Worobey C.C.
        • et al.
        The "gender gap" in authorship of academic medical literature--a 35-year perspective.
        N Engl J Med. 2006 Jul 20; 355 (PubMed PMID: 16855268. Epub 2006/07/21): 281-287
        • Suliburk J.W.
        • Kao L.S.
        • Kozar R.A.
        • Mercer D.W.
        Training future surgical scientists: realities and recommendations.
        Ann Surg. 2008 May; 247 (PubMed PMID: 18438110. Epub 2008/04/29): 741-749
        • Kaiser J.
        National Institutes of Health. Zerhouni's parting message: make room for young scientists.
        Science. 2008 Nov 7; 322 (PubMed PMID: 18988813. Epub 2008/11/08): 834-835
        • Kron I.L.
        Getting funded.
        J Thorac Cardiovasc Surg. 2000 Apr; 119 (PubMed PMID: 10727958. Epub 2000/03/23): S26-S28
        • Mesquita-Neto J.W.
        • Dailey W.
        • Macedo F.I.
        • Merchant N.B.
        Patterns of national Institutes of Health grant funding to surgical research and scholarly productivity in the United States.
        Ann Surg. 2020 Oct; 272 (PubMed PMID: 32740237. Epub 2020/08/03): 539-546
        • Farooq A.
        • Sahara K.
        • Muneeb A.
        • et al.
        Analysis of authorship in hepatopancreaticobiliary surgery: women remain underrepresented.
        J Gastrointest Surg. 2020 Sep; 24 (PubMed PMID: WOS:000571346000017. English): 2070-2076
        • Stewart C.L.
        • De Andrade J.P.
        • Duma N.
        • et al.
        Unconscious bias in speaker introductions at a surgical oncology meeting: hierarchy reigns over gender.
        Ann Surg Oncol. 2020 Oct; 27 (PubMed PMID: WOS:000552701100001. English): 3754-3761
        • Bevilacqua L.A.
        • Siena N.M.
        • Gardner C.A.
        • et al.
        Gender disparities among leadership in academic surgical publishing over the past decade.
        Am J Surg. 2022 Jan; 223 (PubMed PMID: 34332745. Epub 2021/08/02): 47-52
        • Clark J.
        • Horton R.
        What is the Lancet doing about gender and diversity?.
        Lancet. 2019 Feb 9; 393 (PubMed PMID: WOS:000458184300020. English): 508-510
        • Ross J.S.
        • Gross C.P.
        • Desai M.M.
        • et al.
        Effect of blinded peer review on abstract acceptance.
        JAMA, J Am Med Assoc. 2006 Apr 12; 295 (PubMed PMID: WOS:000236707300023. English): 1675-1680
        • Tomkins A.
        • Zhang M.
        • Heavlin W.D.
        Reviewer bias in single-versus double-blind peer review.
        P Natl Acad Sci USA. 2017 Nov 28; 114 (PubMed PMID: WOS:000416891600050. English): 12708-12713
        • Aakhus E.
        • Mitra N.
        • Lautenbach E.
        • Joffe S.
        Gender and byline placement of Co-first authors in clinical and basic science journals with high impact factors.
        JAMA, J Am Med Assoc. 2018 Feb 13; 319 (PubMed PMID: WOS:000424908400022. English): 610-611
        • Rose-Clarke K.
        • Fellmeth G.
        Co-first authorship and gender equity in academic publishing.
        Lancet. 2019 May 18; 393 (PubMed PMID: WOS:000468112000023. English): 2036