PDF(Pubmed)
Abstract：
BACKGROUND: Over the past two and half decades, Canadian medical school students have become majority female, and the medical workforce is therefore increasingly comprised of female physicians. Whether this change, however, has been reflected in the gender balance within medical school faculty positions and leadership has not been well studied in Canada.
METHODS: This cross-sectional study examined the genders of full-time faculty members from the most recently available AFMC data, the current heads of departments of medicine and surgery from department websites and confirmed with respective universities.
RESULTS: Overall, women held 40.5% of full-time faculty positions in Canadian faculties of medicine. Female representation decreased with increasing academic rank, from 57.8% of instructors to 50.8% of assistant, 39.2% of associate, and 28.1% of full professors, respectively, with the greatest rate of increase over the past decade among full professors (0.75% per year). The heads of departments of family medicine were majority female (67%), and heads internal medicine at parity (50% female), consistent with numbers of practicing physicians. However, the heads of surgical divisions were majority male (86% overall). Accounting for the gender balance of practicing surgeons, male compared to female surgeons were 2.9 times as likely to be division head (95% CI 1.78-4.85, p < 0.0001).
CONCLUSIONS: Women remain underrepresented in Canadian faculties of medicine in leadership positions. Leadership in departments of surgery has particularly low female representation, even relative to the proportion of practicing female surgeons within the respective discipline.
METHODS: This cross-sectional study examined the genders of full-time faculty members from the most recently available AFMC data, the current heads of departments of medicine and surgery from department websites and confirmed with respective universities.
RESULTS: Overall, women held 40.5% of full-time faculty positions in Canadian faculties of medicine. Female representation decreased with increasing academic rank, from 57.8% of instructors to 50.8% of assistant, 39.2% of associate, and 28.1% of full professors, respectively, with the greatest rate of increase over the past decade among full professors (0.75% per year). The heads of departments of family medicine were majority female (67%), and heads internal medicine at parity (50% female), consistent with numbers of practicing physicians. However, the heads of surgical divisions were majority male (86% overall). Accounting for the gender balance of practicing surgeons, male compared to female surgeons were 2.9 times as likely to be division head (95% CI 1.78-4.85, p < 0.0001).
CONCLUSIONS: Women remain underrepresented in Canadian faculties of medicine in leadership positions. Leadership in departments of surgery has particularly low female representation, even relative to the proportion of practicing female surgeons within the respective discipline.
摘要：
背景：在过去的25年里，加拿大医学院的学生已经成为大多数女性，因此，医务人员越来越多地由女医生组成。无论是这种变化，然而,在加拿大，医学院教职员工的性别平衡和领导力没有得到很好的研究。
方法：这项横断面研究从最新的AFMC数据中检查了全职教师的性别，现任医学和外科部门负责人从部门网站上获得，并与各自的大学确认。
结果：总体而言，女性在加拿大医学院的全职教师职位中占40.5%。随着学术地位的提高，女性代表人数减少，从57.8%的教师到50.8%的助理，39.2%的联营公司，和28.1%的正式教授，分别,在过去十年中，全职教授的增长率最高(每年0.75%)。家庭医学部门的负责人主要是女性（67％），并在产次时领导内科(50%女性)，与执业医生的数量一致。然而,外科部门的头目多数为男性(总体为86%).考虑到执业外科医生的性别平衡，与女性相比,男性外科医生是部门负责人的2.9倍(95%CI1.78-4.85,p<0.0001).
结论：在加拿大医学院担任领导职务的女性人数仍然不足。外科部门的领导女性代表性特别低，甚至相对于在各自学科中执业的女性外科医生的比例。
方法：这项横断面研究从最新的AFMC数据中检查了全职教师的性别，现任医学和外科部门负责人从部门网站上获得，并与各自的大学确认。
结果：总体而言，女性在加拿大医学院的全职教师职位中占40.5%。随着学术地位的提高，女性代表人数减少，从57.8%的教师到50.8%的助理，39.2%的联营公司，和28.1%的正式教授，分别,在过去十年中，全职教授的增长率最高(每年0.75%)。家庭医学部门的负责人主要是女性（67％），并在产次时领导内科(50%女性)，与执业医生的数量一致。然而,外科部门的头目多数为男性(总体为86%).考虑到执业外科医生的性别平衡，与女性相比,男性外科医生是部门负责人的2.9倍(95%CI1.78-4.85,p<0.0001).
结论：在加拿大医学院担任领导职务的女性人数仍然不足。外科部门的领导女性代表性特别低，甚至相对于在各自学科中执业的女性外科医生的比例。
