From the Journals

Neurology faculty gender gap confirmed, but explanations remain scant

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Women on traditional career path need support

While there may be positive ways to interpret the data, challenges remain for women who want to pursue a career path that features more traditional ways of being recognized. These include ensuring that career paths that require protected time for research and depend on publication and grant support are carefully monitored; and determining that barriers do not hinder women from advancing.

Training programs also must be revisited to ensure that parity across the wider spectrum of careers in neurology is maintained and opportunities continue to exist for both men and women as the specialty continues to grow.

Frances Jensen, MD , is with the University of Pennsylvania, Philadelphia. Her remarks are derived from an editorial accompanying the report by Dr. McDermott and colleagues (JAMA Neurol. 2018 Apr 2. doi: 10.1001/jamaneurol.2018.0300). She reported no disclosures.


 

FROM JAMA NEUROLOGY

Despite a wide gap between male and female neurologists, both in terms of academic faculty rank and number of publications, there may be some good news for women in this medical field.

A recent study of the 1,712 academic neurologists across 29 top-ranked neurology programs revealed that 1,184 (69%) were men and 528 (31%) were women, and men outnumbered women in all academic faculty ranks with a gap that increased as the rank advanced. For example, at the rank of instructor/lecturer, the male-to-female ratio was 59% to 41%. The gap only widens from there: assistant professor (57% male), associate professor (70%), and professor (86%).

Doctors sitting at a table Thinkstock photo
The disparity “is to be expected because individuals with more senior academic rank are more likely to have graduated when the ratio of male to female medical students was higher,” Mollie McDermott, MD, of the University of Michigan, Ann Arbor, and her colleagues wrote in a study published April 2 in JAMA Neurology. “However, even after controlling for years since medical school graduation, fewer women than men have achieved the rank of full professor.”

Additionally, unadjusted analyses showed that men had significantly more publications listed in PubMed than women at the positions of assistant professor, associate professor, and full professor.

The investigators compiled their list of programs and faculty members by combining the top 20 programs listed on either the 2016 or 2017 Doximity Residency Navigator tool with the top 20 programs listed in the U.S. News and World Report ranking of Best Graduate Schools and a search of the programs’ departmental websites between December 1, 2015, and April 30, 2016.

The study was not able to account for many potential explanations for the gender gap, suggesting that the findings may not necessarily be indicative of bad news.

The results “can be viewed as either disappointing or encouraging, depending on whether they reflect persistent barriers to women trying to achieve similar goals as men, or whether they reflect a system that supports women with different goals altogether,” Dr. McDermott and her colleagues wrote.

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