Investigating the Gender Pay Gap in Industry Contributions to Academic Neurosurgeons
Autor: | Brigit Baglien, Chelsea A. Harris, Ledibabari M. Ngaage, Y. Wu, George A. Crabill, Carly Rosen, Yvonne M. Rasko, Charles A. Sansur, Mari L. Groves, Joseph Puthumana, Cynthia Gao, Erin M. Rada |
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Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Inequality media_common.quotation_subject Sexism Neurosurgery Medicare Proxy (climate) 03 medical and health sciences Sex Factors 0302 clinical medicine medicine Humans Productivity media_common Receipt Selection bias Salaries and Fringe Benefits business.industry Payment United States Cross-Sectional Studies Neurosurgeons 030220 oncology & carcinogenesis Family medicine Female Surgery Neurology (clinical) business Medicaid 030217 neurology & neurosurgery Gender pay gap |
Zdroj: | World Neurosurgery. 130:516-522.e1 |
ISSN: | 1878-8750 |
DOI: | 10.1016/j.wneu.2019.06.145 |
Popis: | Background A large gender gap exists in industry funding for academic neurosurgeons. Selection criteria for funding distribution remain unclear. However, academic rank, scholarly productivity, and experience have been suggested as determining factors. Methods We conducted a cross-sectional study of industry payments to US academic neurosurgeons. We used online faculty listings to determine academic rank and gender, then used the Center for Medicare and Medicaid Services Open Payment Database to identify industry contributions. Details were collected on H-index and length of time in practice was used as a proxy for experience. Results Of the 1481 academic neurosurgeons included, men were in the majority (91% vs. 9%, P = 0.0001). Relative to their male colleagues, female assistant and associate professors received fewer payments (4 vs. 8, P = 0.0040; 2 vs. 7, P = 0.0067) at lower median values ($409 vs. $437, P = 0.0490; $163 vs. $260, P = 0.0089). H-index was more strongly associated with general payment receipt for women academic neurosurgeons (r = 0.20, P = 0.0201) than men academic neurosurgeons (r = 0.06, P = 0.0301). Experience trended toward a significant association with industry funding in men (r = 0.05, P = 0.0601). After adjustment for scholarly productivity and experience, gender-based funding inequalities became insignificant. Conclusions In academic neurosurgery, substantial gender disparities exist in industry payments and metrics of academic success. There may be an industry selection bias toward recruitment of key opinion and thought leaders, as identified by scholarly productivity and experience. Despite the objective gender inequalities, industry funding to academic neurosurgeons appears to be equitable when metrics of academic success are considered. |
Databáze: | OpenAIRE |
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