Follow the money: Investigating gender disparity in industry payments among senior academics and leaders in plastic surgery

Autor: Shealinna Ge, Wilmina N. Landford, Yvonne M. Rasko, Brooks J. Knighton, Sheri Slezak, Ledibabari M. Ngaage, Chelsea A. Harris, Talia Stewart, Ronald P. Silverman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Economics
Health Care Providers
Social Sciences
030230 surgery
Chi Square Tests
0302 clinical medicine
Mathematical and Statistical Techniques
Medicine and Health Sciences
Medical Personnel
Payment
Follow the money
health care economics and organizations
media_common
Multidisciplinary
Careers
Statistics
Commerce
Research Assessment
Plastic surgery
Professions
030220 oncology & carcinogenesis
Cohort
Physical Sciences
Liberian dollar
Medicine
Female
Psychology
Plastic Surgery and Reconstructive Techniques
Research Article
Employment
Gender Equity
medicine.medical_specialty
Science
media_common.quotation_subject
education
MEDLINE
Surgical and Invasive Medical Procedures
Research and Analysis Methods
03 medical and health sciences
Health Economics
Physicians
medicine
Humans
Industry
Statistical Methods
Surgery
Plastic
Statistical Hypothesis Testing
Surgeons
Conflict of Interest
Odds ratio
Assistant professor
United States
Health Care
Leadership
Bibliometrics
Family medicine
Labor Economics
People and Places
Population Groupings
Mathematics
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 12, p e0235058 (2020)
ISSN: 1932-6203
Popis: Introduction Differences in academic qualifications are cited as the reason behind the documented gender gap in industry sponsorship to academic plastic surgeons. Gendered imbalances in academic metrics narrow among senior academic plastic surgeons. However, it is unknown whether this gender parity translates to industry payments. Methods We conducted a cross-sectional analysis of industry payments disbursed to plastic surgeons in 2018. Inclusion criteria encompassed (i) faculty with the rank of professor or a departmental leadership position. Exclusion criteria included faculty (i) who belonged to a speciality besides plastic surgery; (ii) whose gender could not be determined; or (iii) whose name could not be located on the Open Payment Database. Faculty and title were identified using departmental listings of ACGME plastic surgery residency programs. We extracted industry payment data through the Open Payment Database. We also collected details on H-index and time in practice. Statistical analysis included odds ratios (OR) and Pearson’s correlation coefficient (R). Results We identified 316 senior academic plastic surgeons. The cohort was predominately male (88%) and 91% held a leadership role. Among departmental leaders, women were more likely to be an assistant professor (OR 3.9, p = 0.0003) and heads of subdivision (OR 2.1, p = 0.0382) than men. Industry payments were distributed equally to male and female senior plastic surgeons except for speakerships where women received smaller amounts compared to their male counterparts (median payments of $3,675 vs $7,134 for women and men respectively, p<0.0001). Career length and H-index were positively associated with dollar value of total industry payments (R = 0.17, p = 0.0291, and R = 0.14, p = 0.0405, respectively). Conclusion Disparity in industry funding narrows at senior levels in academic plastic surgery. At higher academic levels, industry sponsorship may preferentially fund individuals based on academic productivity and career length. Increased transparency in selection criteria for speakerships is warranted.
Databáze: OpenAIRE
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