gender equity

性别平等
  • 文章类型: Journal Article
    目的:我们的研究旨在确定性别和性别平等促进(GSEP)放射学期刊的当前百分比,定义为满足研究中的性别和性别平等(SAGER)清单的至少一个标准,由欧洲科学编辑协会(EASE)出版。次要目标是比较GSEP和非GSEP期刊的特征。
    方法:在2023年6月24日至7月3日之间进行了横截面分析。作者根据SAGER清单评估了具有2021期刊影响因子(JIF)的放射学期刊提交指南。GSEP期刊在其研究说明中被定义为满足一个或多个SAGER清单标准。文献计量数据和期刊信息是从期刊引文报告和国家医学图书馆目录中收集的。
    结果:132种期刊中只有39.7%(52种)满足至少一个SAGER清单标准。GSEP期刊的中位数2021JIF(4.62,IQR:3.73-5.21)高于非GSEP期刊(2.70,IQR:2.32)(p=0.00)。2021年期刊引文索引(JCI)的中位数得分(0.64,0.56-0.73)高于非GSEP期刊(0.97,0.83-1.10)(p=0.00)。GSEP(5.40,4.80-6.50)的引用半衰期比非GSEP期刊(6.70,5.70-7.40)短(p=0.05)。Elsevier发表了52种GSEP期刊中的33种。
    结论:60.3%拥有2021JIF的放射学期刊不符合其作者提交指南中的单一SAGER清单标准。GSEP期刊的影响和来源指标较高,被引用半衰期较短。出版商可能在促进放射学期刊作者提交指南中对SAGER清单的认可方面发挥重要作用。
    OBJECTIVE: Our study aimed to determine the current percentage of gender and sex equity promoting (GSEP) radiology journals, defined as satisfying at least one criterion of the Sex and Gender Equity in Research (SAGER) checklist, published by the European Association of Science Editors (EASE). A secondary objective was to compare characteristics of GSEP and non-GSEP journals.
    METHODS: A cross-sectional analysis between June 24 and July 3, 2023, was conducted. The author submission guidelines of radiology journals with a 2021 Journal Impact Factor (JIF) were assessed according to the SAGER checklist. GSEP journals were defined as satisfying one or more SAGER checklist criteria in their research instructions. Bibliometric data and journal information were collected from the Journal Citation Reports and National Library of Medicine catalogue.
    RESULTS: Only 39.7 % (52) of 132 journals satisfied at least one SAGER checklist criterion. Median 2021 JIFs were higher in GSEP journals (4.62, IQR: 3.73 - 5.21) than non-GSEP journals (2.70, IQR: 2.32) (p = 0.00). Median 2021 Journal Citation Index (JCI) scores were higher in GSEP (0.64, 0.56 - 0.73) than non-GSEP journals (0.97, 0.83 - 1.10) (p = 0.00). Cited half-life was shorter for GSEP (5.40, 4.80 - 6.50) than non-GSEP journals (6.70, 5.70 - 7.40) (p = 0.05). Elsevier published 33 of 52 of GSEP journals.
    CONCLUSIONS: 60.3% of radiology journals with a 2021 JIF do not meet a single SAGER checklist criterion in their author submission guidelines. GSEP journals had higher impact and source metrics and a shorter cited half-life. Publishers may play a significant role in promoting endorsement of the SAGER checklist in the author submission guidelines of radiology journals.
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  • 文章类型: Journal Article
    我们试图确定并优先考虑重症监护医学(CCM)计划可以用来告知和促进CCM医生之间的性别平等的改进策略。
    方法:这项研究包括三个连续阶段:1)范围审查,确定了改善所有医学专业性别平等的策略;2)与48个CCM利益相关者进行了修改的共识程序,以对已确定的策略进行评分和排名;3)亲自利益相关者会议,以完善策略并讨论其实施的促进者和障碍。
    方法:CCM。
    方法:CCM利益相关者(医师,研究人员,和决策者;相互包容)。
    方法:无。
    结果:我们从416篇文章中确定了190种独特的策略。战略按主题分为20类,涉及四个公平支柱:准入,参与,报销,和文化。与会者优先考虑了在CCM中实施的22项改进策略。每个支柱的最高评价战略包括:1)提名性别多样化的候选人担任教师职位和享有声望的机会(公平访问);2)授权对委员会进行无意识偏见和公平待遇的培训(例如,hiring,晋升)成员(公平参与);3)确保不分性别或性别的公平起薪(公平报销);和,4)对领导者进行360°评价(包括他们直接的主管工作圈,同行,和下属)通过多样性视角(公平文化)。跨专业合作,领导力,和当地的冠军被确定为实施的关键推动者。
    结论:我们确定了利益相关者优先考虑的策略,这些策略可用于在四个总体公平支柱下告知和增强CCM医生之间的性别平等:获取,参与,报销,和文化。实施方法应包括教育,策略创建,和测量,和报告。
    We sought to identify and prioritize improvement strategies that Critical Care Medicine (CCM) programs could use to inform and advance gender equity among physicians in CCM.
    METHODS: This study involved three sequential phases: 1) scoping review that identified strategies to improve gender equity in all medical specialties; 2) modified consensus process with 48 CCM stakeholders to rate and rank identified strategies; and 3) in-person stakeholder meeting to refine strategies and discuss facilitators and barriers to their implementation.
    METHODS: CCM.
    METHODS: CCM stakeholders (physicians, researchers, and decision-makers; mutually inclusive).
    METHODS: None.
    RESULTS: We identified 190 unique strategies from 416 articles. Strategies were grouped thematically into 20 categories across four overarching pillars of equity: access, participation, reimbursement, and culture. Participants prioritized 22 improvement strategies for implementation in CCM. The top-rated strategy from each pillar included: 1) nominate gender diverse candidates for faculty positions and prestigious opportunities (equitable access); 2) mandate training in unconscious bias and equitable treatment for committee (e.g., hiring, promotion) members (equitable participation); 3) ensure equitable starting salaries regardless of sex or gender (equitable reimbursement); and, 4) conduct 360° evaluations of leaders (including their direct work circle of supervisors, peers, and subordinates) through a diversity lens (equitable culture). Interprofessional collaboration, leadership, and local champions were identified as key enablers for implementation.
    CONCLUSIONS: We identified stakeholder-prioritized strategies that can be used to inform and enhance gender equity among physicians in CCM under four overarching equity pillars: access, participation, reimbursement, and culture. Implementation approaches should include education, policy creation, and measurement, and reporting.
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  • 文章类型: Journal Article
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    NCCN produces highly influential disease-specific oncology clinical practice guidelines. Because the number of women in academic oncology has increased, we assessed whether the composition of NCCN Guidelines Panels reflected this trend.
    Using historical guidelines requested from NCCN, we investigated time trends for female representation on 21 NCCN Guidelines Panels and analyzed the trends for female-predominant cancers (breast, ovarian, uterine, and cervical) compared with all cancers.
    From 2013 to 2019, there was an increase from 123 women of 541 total panelists (22.7%) to 175 women of 542 panelists (32.3%). Within the 4 female-predominant cancers, the increase was more rapid: from 30 of 101 total panelists (29.7%) to 66 of 118 panelists (56.4%). Excluding female-predominant cancers, increases were minimal.
    There could be multiple explanations for these differing trends, including the possibility of more rapid increases in the underlying pool of female physician-scientists in female-predominant specialties or more efforts to increase the representation of women in decisions about the standard of care in cancers predominantly affecting women.
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    文章类型: Journal Article
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  • 文章类型: Journal Article
    虽然学术机构的目标是平等培训男性和女性住院医师,与性别相关的内隐偏见可能在住院医师培训中发挥作用,从而影响教育的质量和公平。隐性偏见可能是住院医师培训中存在差异的原因之一,特别是在学习风格上,教师的评估,以及其他临床医生对女性居民的治疗。系统性性别相关内隐偏见的模式,我们争论,在医疗保健系统中仍然普遍存在,并影响医学教育。这篇评论确定了容易受到性别相关偏见影响的外科教育领域,并提供了保护居民教育中性别平等的建议。我们相信行为改变可以帮助维持一个包容性的学习环境。利用现有数据的证据,我们制定了指导方针,为学术中心的外科教育工作者提供信息,以进一步了解,训练,以及克服居民教育中与性别相关的内隐偏见的步骤。我们的指导方针包括教育工作者需要培训模块的具体建议,消除教学资源中的偏见,使用正式的介绍性标题,保持可比的评价,鼓励女性做手术,调整教学方法,并谨慎自我报告。
    While it is the goal of academic institutions to train male and female resident physicians equally, gender-related implicit bias may play a role in resident training, thus impacting the quality and fairness of education. Implicit bias may be one of the reasons for the discrepancies that exist in resident training, specifically in learning style, evaluations by faculty members, and treatment of female residents by other clinicians. Patterns of systemic gender-related implicit bias, we argue, remain pervasive in the healthcare system and affect medical education. This review identifies areas of surgical education that are susceptible to gender-related bias and provides recommendations to safeguard gender equity in resident education. We believe behavioral change can help maintain an inclusive learning environment. Using evidence from existing data, we generated guidelines to provide surgical educators in academic centers with information to further understanding of, training in, and steps toward overcoming gender-related implicit bias in resident education. Our guidelines include specific recommendations for educators to require training modules, remove bias from teaching resources, use formal introductory titles, maintain comparable evaluations, encourage women in surgery, adjust instructional methods, and caution self-reporting.
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