women in medicine

医学中的女性
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  • 文章类型: Journal Article
    法国著名科学家,埃米尔·鲁克斯,以前被发现与一个英国女人秘密结婚,RoseAnnaShedlock,英国和欧洲第一批女子医学院学生之一。埃米尔和罗斯很可能是在巴黎医学院认识的,尽管出于不同的原因,都没有毕业。以前有人建议罗斯仅仅几年后就离开了医学院,尽管我们提供了新的证据表明,四年后她仍然是一名医科学生,那时她已经接近完成学业。无论如何,罗斯在参加资格考试前搬回了英国,我们发现她住在一所女子寄宿学校,她的一个姐妹是女主人。第二年,埃米尔前往伦敦,在那里他和罗斯在一个安静的民事仪式上结婚。婚礼后不久,埃米尔回到巴黎,在那里他开始担任路易斯·巴斯德的助手。在命运的悲剧性转折中,罗斯一年后在马德拉岛去世,我们现在已经注意到,当埃米尔进行他的突破性实验,导致在实验室中创造疫苗的几天之内。
    The famous French scientist, Emile Roux, was previously discovered to have been secretly married to an English woman, Rose Anna Shedlock, one of the first women medical school students in Britain and Europe. Emile and Rose most likely met while in medical school in Paris, although for very different reasons, neither graduated. It was previously suggested that Rose left medical school after only a few years, although we present new evidence that that she was still a medical student four years later when she would have been near completion. Regardless, Rose moved back to England prior to taking her qualifying exams, where we found she lived at a girl\'s boarding school where one of her sisters was head mistress. In the following year, Emile travelled to London where he and Rose were married in a quiet civil ceremony. Soon after the wedding, Emile returned to Paris where he began working as an assistant to Louis Pasteur. In a tragic twist of fate, Rose died a year later in Madeira, which we have now noted was within days of when Emile performed his breakthrough experiments that led to the creation of vaccines in the laboratory.
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  • 文章类型: Journal Article
    学术医学中女医生的性别差异由来已久。女性儿科心脏病专家在奖学金机会方面经历不平等,促销,领导职务,和补偿。导师小组已在其他子专业成功实施,并取得了可喜的成果。我们为东北部的女性儿科心脏病专家创建了一个同行指导小组,并完成了对符合条件的参与者的需求评估调查。我们的目标是更好地了解当前的挑战,并确定克服这些障碍的资源。我们的目标是(1)描述在美国东北部为女性儿科心脏病学家和学员创建一个新颖的指导计划,(2)报告对所有符合条件的参与者进行正式需求评估调查的结果。来自新英格兰15个学术中心的所有女性儿科心脏病学研究员以及执业的儿科和成人先天性心脏病专家都被邀请加入一个免费小组,并举行虚拟会议。以电子方式向所有符合条件的成员提供了正式的需求评估调查。绝大多数受访者认为儿科心脏病学妇女(WIPC)小组是一个有价值的网络和指导经验(90%),并会向同事推荐该小组(95%)。成员在广泛的环境中目睹或经历了不平等。受访者面临的共同挑战包括依赖护理需求,缺乏指导,研究支持不足,和不公平的临床责任。建议克服这些障碍的资源包括指导,赞助,薪酬透明度,和医生指导。导师团体有可能解决医学界女性面临的许多挑战。WIPC东北计划为社区提供了一个论坛,合作,教育,和奖学金。
    Gender disparities for female physicians in academic medicine are longstanding. Female pediatric cardiologists experience inequities in scholarship opportunities, promotion, leadership positions, and compensation. Mentorship groups have been successfully implemented in other subspecialities with promising results. We created a peer mentorship group for female pediatric cardiologists in the Northeast and completed a needs assessment survey of eligible participants. Our goal was to better understand the current challenges and identify resources to overcome these barriers. Our objectives were to (1) describe the creation of a novel mentorship program for female pediatric cardiologists and trainees in the Northeast United States, and (2) report the results of a formal needs assessment survey of all eligible participants. All female pediatric cardiology fellows and practicing pediatric and adult congenital heart disease specialists from 15 academic centers in New England were invited to join a free group with virtual meetings. A formal needs assessment survey was provided electronically to all eligible members. The vast majority of respondents agreed that the Women in Pediatric Cardiology (WIPC) group is a valuable networking and mentorship experience (90%) and would recommend this group to a colleague (95%). Members have witnessed or experienced inequities in a broad range of settings. Common challenges experienced by respondents include dependent care demands, lack of mentorship, inadequate research support, and inequitable clinical responsibilities. Resources suggested to overcome these barriers include mentorship, sponsorship, transparency in compensation, and physician coaching. Mentorship groups have the potential to address many challenges faced by women in medicine. The WIPC Northeast program provides a forum for community, collaboration, education, and scholarship.
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  • 文章类型: Journal Article
    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。
    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.
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  • 文章类型: Journal Article
    背景骨科手术中女性担任的全职教师职位数量最少,19%,拥有最令人垂涎和最有利的椅子。我们研究了来自美国前100名骨科学术中心和资金最高的肌肉骨骼(MSK)研究人员的捐赠教授的特征,以确定性别是否与捐赠教授有关。此外,我们试图确定性别是否与NIH对表现最好的肌肉骨骼研究人员的资助增加有关.方法我们的主要研究组包括美国新闻世界报道和Doximity排名定义的前100名骨科学术中心。我们的次要研究小组检查了MSK顶级研究人员,定义为主要调查员,从2018年到2021年,他每年获得超过40万美元的NIH资金。骨科部门包括MSK研究人员和骨科和医学中的亚专业。公开可用的来源被用来汇编机构,性别,H指数,引文编号,以及被赋予教授的亚专业数据;计算了统计比较。结果骨科学术院系前100名,4674名教师被确定。七百三十三(15.68%)被确认为女性,3941为男性(84.32%)。有一百九十四个人担任教授职位;13个获授予妇女(百分之六点七),185人(95.3%)被授予男性,显著优势比(OR)为2.95,有利于男性。对于MSK研究人员来说,OR增加到11.4。关节成形术和运动的禀赋最多。H指数的显著差异,出版物,和毕业年份在男性和女性之间确定为顶级MSK研究人员和骨科培训的外科医生;然而,当考虑到包括医学亚专科在内的异质骨科部门时,这些差异消失了,整形手术,手外科,和神经外科。在捐赠名称中观察到其他性别差异,纪念51.5%男性的奖项,7.2%女性,34%的家庭或团体。结论捐赠层面的性别不平等现象严重,很少有女性在肌肉骨骼医学中获得禀赋。H指数的差异,出版物,男女MSK研究人员和接受过骨科培训的外科医生之间的毕业年份,但不是联合骨科,PM&R,和医学专科部门,提出了骨科手术环境和历史中可能导致禀赋差异的独特挑战。没有发现性别与表现最好的肌肉骨骼研究人员的资金偏见有关。
    Background Orthopaedic surgery has the lowest number of full-time faculty positions held by women, at 19%, with endowed chairs among the most coveted and advantageous. We examined the characteristics of endowed professors from the US top 100 orthopaedic academic centers and highest-funded musculoskeletal (MSK) researchers to determine if gender is associated with endowed professorship. Additionally, we sought to determine if gender is associated with increased NIH funding for top-performing musculoskeletal researchers.  Methods Our primary study group included the top 100 orthopaedic academic centers defined by US News World Report and Doximity\'s rankings. Our secondary study group examined the top MSK researchers, defined as principal investigators, who received >$400,000 in annual NIH funding from 2018 to 2021. Orthopaedic departments included MSK researchers and subspecialties within orthopaedics and medicine. Publicly available sources were used to compile institutional, gender, H-index, citation number, and subspecialty data on endowed professors; statistical comparisons were calculated. Results Within the top 100 orthopaedic academic departments, 4674 faculty were identified. Seven hundred and thirty-three (15.68%) were identified as women, 3941 as men (84.32%). One hundred and ninety-four held endowed professorships; 13 were awarded to women (6.7%), and 185 (95.3%) were awarded to men, with a significant odds ratio (OR) of 2.95, favoring men. For MSK researchers, the OR increases to 11.4. Arthroplasty and sports had the highest numbers of endowments. Significant differences in H-index, publications, and graduation year were identified between men and women for top MSK researchers and orthopaedic-trained surgeons; however, these differences disappeared when considering heterogenous orthopaedic departments that included medicine subspecialties, plastic surgery, hand surgery, and neurosurgery. Additional gender differences were observed in endowment names, with awards commemorating 51.5% men, 7.2% women, and 34% families or groups. Conclusion Gender inequities at the endowment level are substantial, and there are very few women in musculoskeletal medicine to achieve endowments. Differences in H-index, publications, and graduation year between men and women MSK researchers and orthopaedic-trained surgeons, but not combined orthopaedic, PM&R, and medical subspecialty departments, suggest unique challenges in orthopaedic surgery environments and histories that may contribute to endowment disparity. Gender was not found to be associated with funding bias for top-performing musculoskeletal researchers.
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  • 文章类型: Journal Article
    背景:在美国头颈学会(AHNS)会议上,各国发言人之间存在性别不平等。这项定性研究通过调查2007年至2019年期间邀请在AHNS演讲的女性并研究建议,探索了这种差距的潜在原因。资源,以及那些做出它的人的有意义的行动。\"
    方法:在互联网上搜索131名女性AHNS的联系信息。通过电子邮件分发了电子调查。鉴定的定性反应由两名独立的研究人员编码为主题。主题描述了女性头颈部(HN)外科医生面临的障碍,并描述了减轻这些障碍对下一代的影响的方法。
    结果:通过互联网搜索获得了73/131名女性AHNS使用者的联系信息。来自22/73(30%)的电子邮件回复。其中,专攻耳鼻喉科的受访者(n=17),内科肿瘤学(n=2),姑息治疗(n=1),血管手术(n=1),和胸外科肿瘤学(n=1)。所有演讲者在职业生涯的不同阶段都在学术环境中工作,其中81.8%(18/22)的受访者接受了奖学金培训(主要是HN手术)。对ENT中性别差异的关注分为以下主题:(1)招募妇女参加ENT,(2)消除职业发展的障碍,(3)使ENT的国家存在多样化,(4)改善HN手术的更广泛的文化。受访者强调需要多样化的领导,在医学院早期接触耳鼻喉科,并将学生与女性榜样联系起来。杰出的研究,参与年度会议,和委员会成员一直被认为对在实地建立国家存在很重要。隐性偏见,“男孩俱乐部”文化,繁重的育儿责任被描述为职业发展的障碍。
    结论:在鼓励更多女性进入耳鼻喉科住院医师的同时,增加女性榜样的数量并建立强大的指导网络可能有助于减轻挑战。有意义的进步需要专业内男性和女性盟友的努力。简单的解决方案,比如教育内隐偏见,从应用程序中删除人口统计信息,消除产假的隐性惩罚,可能有助于改善ENT中代表性不足的群体的多样性并减轻职业发展的障碍。
    Gender inequity exists across national speakers at American Head and Neck Society (AHNS) conferences. This qualitative study explores potential causes of this disparity by surveying women invited to speak at AHNS between 2007 and 2019 and examining advice, resources, and meaningful actions from \"those who made it.\"
    An internet search for contact information for the 131 female AHNS was performed. An electronic survey was distributed via email. Deidentified qualitative responses were coded by two independent researchers into themes. Themes characterize barriers that female head and neck (HN) surgeons face and describe ways to mitigate the impact of these for the next generation.
    Contact information for 73/131 female AHNS speakers was obtained via internet search. Email responses were received from 22/73 (30%). Of those, respondents specialized in otolaryngology (n = 17), medical oncology (n = 2), palliative care (n = 1), vascular surgery (n = 1), and thoracic surgical oncology (n = 1). All speakers worked in academic settings at varying stages of their career with 81.8% (18/22) of respondents fellowship-trained (primarily HN surgery). Concerns about gender disparity in ENT were grouped into the following themes: (1) recruiting women to ENT, (2) removing barriers to career advancement, (3) diversifying ENT\'s national presence, and (4) improving the broader culture of HN surgery. Respondents emphasized a need for diversifying leadership, early exposure to otolaryngology in medical school, and connecting students with female role models. Outstanding research, involvement at annual meetings, and committee membership were consistently deemed important for establishing a national presence in the field. Implicit bias, \"boys clubs\" culture, and burdensome childcare responsibilities were described as barriers to career advancement.
    While encouraging more women to enter otolaryngology residencies, increasing the number female role models and establishing strong mentoring networks may help to mitigate challenges. Meaningful progress requires the efforts of both male and female allies within the specialty. Simple solutions, such as educating on implicit bias, removing demographics from applications, and eliminating hidden penalties for maternity leave, may help improve diversity and mitigate barriers to career progression for underrepresented groups within ENT.
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  • 文章类型: Journal Article
    简介:医学和外科手术中的女性是最近的现象。这项研究的目的是回顾苏格兰医学和外科先驱女性的现代历史。方法:搜索各种来源,包括谷歌,PubMed,和爱丁堡皇家外科医学院的出版物为本文提供材料。结果:尽管超过五个世纪的苏格兰大学提供医学学位,妇女只有150年的学习医学的权利。然而,女性先驱的生活要么绕过,要么克服了这种不平等,即,“詹姆斯·巴里”和索菲亚·杰克斯·布莱克,被简单地告知。结论:今天的医生欠那些突破界限的人,挑战不公平的规则和解决机构性别不平等的医学。阅读他们的生活和工作是令人振奋的。
    Introduction: Women in medicine and surgery are a recent phenomenon. The aim of this study was to review the modern history of pioneering women in medicine and surgery in Scotland. Methods: A variety of sources were searched including Google, PubMed, and the Royal College of Surgeons of Edinburgh publications to source the material for this paper. Results: Despite over five centuries of Scottish universities offering medical degrees, women have only had the right to study medicine for 150 years. However, the lives of women pioneers who either circumnavigated or surmounted this inequality, namely, \"James Barry\" and Sophia Jex-Blake, are briefly told. Conclusion: Doctors today owe a debt to those who pushed the boundaries, challenged the unfair rules and tackled institutional gender inequality in medicine. Reading about their lives and work is uplifting.
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  • 文章类型: Journal Article
    尽管许多机构做出了努力,全国,女性在领导上仍然落后于男性,促销,和资历。在本文中,我们描述了通过创建医学专业女性协会来改善一个大型学术医学中心的女性教师环境的努力。多年来,该组织帮助影响直接影响女性教师的政策,提供了与女性成功相关的高收益节目,并为女教师创造了跨专业网络机会。我们描述了该小组的挑战和成功,以作为其他机构的榜样和灵感。
    Despite efforts at many institutions, nationally, women still lag behind their male counterparts in leadership, promotion, and seniority. In this paper, we describe the efforts to improve the environment for women faculty at one large academic medical center through the creation of an Association of Professional Women in Medical Sciences. Over the years, the group has helped influence policies that directly affect women faculty, provided high-yield programming on topics related to women\'s success, and created interprofessional networking opportunities for women faculty. We describe the challenges and successes of this group to serve as a model and inspiration for other institutions.
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  • 文章类型: Letter
    在研究国立卫生研究院(NIH)资金对皮肤病学领导角色中性别分布的影响时,我们对研究生医学教育认证委员会(ACGME)认可的皮肤科住院医师进行了横断面分析.领导教师的性别使用在线资源进行了验证,而机构按其2022年NIH皮肤病学资助状况进行分类。结果显示,男性皮肤科医生主要占据部门主席的角色,而女性皮肤科医生更常见的是副项目主任,无论资金状况如何。值得注意的是,女性在美国国立卫生研究院资助的顶级团体中担任大多数项目主任职位,尽管由于样本量较小,这种差异没有统计学意义。从2021年开始,总体性别分布有所进步,女性副项目主管大幅增加,主席和项目主管的性别差距缩小。尽管美国国立卫生研究院的资助排名在性别分布中起着最小的作用,我们的研究强调了皮肤科领导层在性别平等方面的积极进展。进一步倡导性别平衡和对潜在因素的更多研究对于持续取得进展至关重要。
    In examining the influence of National Institute of Health (NIH) funding on gender distribution within dermatology leadership roles, a cross-sectional analysis of Accreditation Council for Graduate Medical Education (ACGME) accredited dermatology residencies was conducted. The gender of leadership faculty was verified using online resources, while institutions were categorized by their 2022 NIH dermatology funding status. Results revealed that male dermatologists predominantly occupied department chair roles, whereas female dermatologists were more frequently found in associate program director roles, regardless of funding status. Notably, women held most program director positions in the top NIH-funded group, though this difference was not statistically significant due to a smaller sample size. The overall gender distribution has shown progress from 2021, with a significant rise in female associate program directors and a narrowing gender gap for chairs and program directors. Despite NIH funding rank playing a minimal role in gender distribution, our study underscores positive strides towards gender equality in dermatology leadership. Further advocacy for gender balance and additional research on underlying factors are essential for continued progress.
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  • 文章类型: English Abstract
    BACKGROUND: Awards provide their recipients with fame and recognition, and subsequently facilitate publications and acquisition of external funding through increased visibility. We hypothesize that despite increasing representation in pathology, women are underrepresented as awardees in the German Society of Pathology and consequently there is an associated imbalance between genders.
    METHODS: Published data from the German Society of Pathology on female awardees during the period from 2000 to 2022 were examined. Only awards specifically dedicated to the field of pathology were considered. In addition, the publicly available data of the German Medical Association on gender and age distribution of pathologists in Germany were considered as reference material.
    RESULTS: A total of six different awards were included in the analysis. Among the 143 awardees across 150 individual awards in the period from 2000 to 2022, 55 (38.4%) of the awardees were female compared to an average percentage of 31% of women working in the field of pathology in the 23-year period under consideration. Consequently, female awardees in pathology were not underrepresented when compared to the national figures on the proportion of women in the field of pathology. However, the distribution of female awardees across individual awards suggests that women were increasingly represented in less prestigious research and doctoral awards, while men made up a large proportion of awardees of honorary awards (0% women) and prestigious awards (17% women).
    UNASSIGNED: HINTERGRUND: Preise verhelfen ihren Empfänger*innen zu Ruhm, Anerkennung und erleichtern in der Folge durch erhöhte Sichtbarkeit anschließende Veröffentlichungen und die Akquise von Drittmitteln. Wir stellen die zu prüfende Hypothese auf, dass Frauen trotz zunehmender Vertretung in der Pathologie als Preisträgerinnen in der Fachgesellschaft unterrepräsentiert sind und folglich ein damit verbundenes Ungleichgewicht zwischen den Geschlechtern besteht.
    METHODS: Ausgewertet wurden veröffentlichte Daten der Deutschen Gesellschaft für Pathologie zu Preisträger*innen im Jahreszeitraum von 2000 bis 2022. Betrachtet wurden Preise, die dem Fachgebiet der Pathologie gewidmet sind. Zudem wurden die öffentlich verfügbaren Daten der Bundesärztekammer zu Geschlechter- und Altersverteilung von Pathologinnen und Pathologen in Deutschland als Referenzmaterial betrachtet.
    UNASSIGNED: Es wurden insgesamt 6 verschiedene Preise in der Analyse berücksichtigt. Unter den 143 Preisträger*innen bei insgesamt 150 Einzelpreisvergaben im Zeitraum 2000 bis 2022 waren 55 der Preisträger*innen weiblich. Somit waren durchschnittlich 38,4 % der Preisträger*innen weiblich bei einem durchschnittlichen Pathologinnenanteil von 31 % in der deutschen Fachärzteschaft für Pathologie über den betrachteten Zeitraum von 23 Jahren. Dies bedeutet, dass die Preisträgerinnen in der Pathologie, wenn man die nationalen Statistiken zum Frauenanteil unter den Fachärzten in der Pathologie berücksichtigt, nicht unterrepräsentiert waren. Betrachtet man allerdings die Verteilung von Preisträgerinnen in den einzelnen Preiskategorien bzw. Preisen, dann konnte beobachtet werden, dass Frauen vermehrt bei weniger prestigeträchtigen Forschungs- und Promotionspreisen vertreten waren, Männer hingegen einen großen Anteil der Preisträger*innen von Ehrenpreisen (0 % Frauenanteil) und prestigeträchtigen Preisen ausmachten (17 % Frauenanteil).
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