Academic Rank and Productivity Among United States Cardiothoracic Surgeons.

Autor: Norton EL; Division of Cardiothoracic Surgery, Department of Surgery, Emory University, Atlanta, Georgia., Castro-Varela A; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota., Figueredo J; Department of Surgery, University of Texas Medical Branch, Galveston, Texas., Do-Nguyen CC; Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan., Russell JL; Department of Surgery, MedStar Georgetown University, Washington, DC., Qiu J; Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania., Luc JGY; Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada., Hirji S; Division of Thoracic and Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts., Miter SL; Department of Surgery, Inova Fairfax Hospital, Falls Church, Virginia. Electronic address: smitermd@gmail.com.
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 2023 Nov; Vol. 116 (5), pp. 1091-1097. Date of Electronic Publication: 2023 Jun 02.
DOI: 10.1016/j.athoracsur.2023.04.040
Abstrakt: Background: Despite a significant growth of women trainees in cardiothoracic surgery recently, women remain a minority of cardiothoracic surgeons and hold a minority of leadership positions. This study evaluates differences in cardiothoracic surgeon subspecialty choices, academic rank, and academic productivity between men and women.
Methods: The Accreditation Council for Graduate Medical Education database was used to identify 78 cardiothoracic surgery academic programs in the United States, including integrated, 4+3, and traditional fellowships, as of June 2020. A total of 1179 faculty members were identified within these programs, 585 adult cardiac surgeons (50%), 386 thoracic surgeons (33%), and 168 congenital surgeons (14%), and other, 40 (3%). Data were collected using institutional websites, ctsnet.org, doximity.com, linkedin.com, and Scopus.
Results: Of the 1179 surgeons, only 9.6% were women. Overall, women composed 6.7% of adult cardiac, 15% of thoracic, and 7.7% of congenital surgeons. Among subspecialties, women represent 4.5% (17 of 376) of full professors and 5% (11 of 195) of division chiefs in cardiothoracic surgery in the United States, have shorter career durations, and lower h-indices compared with men. However, women had similar m-indices, which factors in career length, compared with men in adult cardiac (0.63 vs 0.73), thoracic (0.77 vs 0.90), and congenital (0.67 vs 0.78) surgeons.
Conclusions: Career duration, including cumulative research productivity, appears to be the most important factors predicting full professor rank, potentially contributing to persistent sex-based disparities in academic cardiothoracic surgery.
(Copyright © 2023 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE