Gender inequality in leadership and academic rank in academic reproductive endocrinology programs

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ASSISTED REPRODUCTION TECHNOLOGIES

Gender inequality in leadership and academic rank in academic reproductive endocrinology programs Jessica H. Selter 1 & Emily E. Spurlin 1

&

Paula C. Brady 2

Received: 11 May 2020 / Accepted: 16 June 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose To identify gender differences in leadership and academic rank within academic reproductive endocrinology (REI) programs with fellowships in the USA. Methods Official institutional websites of the 2017–2018 American Board of Obstetrics and Gynecology (ABOG)-accredited reproductive endocrinology fellowship programs were reviewed, and gender representation at each leadership position and academic rank (Division and Fellowship Director and Full, Associate, and Assistant Professor) was recorded. Univariate comparisons were performed using Chi-square tests, with significance at p < 0.05. Results Among 49 ABOG-accredited reproductive endocrinology programs, 263 faculty were identified, 129 (49.0%) male and 134 (51.0%) female. Division directors were 69.3% male and 30.7% female (p = 0.006). Similarly, fellowship directors were 65.3% male and 34.6% female (p = 0.03). Full professors (n = 101) were more frequently male (70.3% vs. 29.7%, p < 0.001). There was no difference in gender among associate professors (n = 60, 51.7% male vs. 48.3% female, p = 0.79), while significantly more assistant professors were female than male (n = 102, 73.6% vs. 26.4%, p < 0.001). Conclusion While a majority of residents in obstetrics and gynecology and half of reproductive endocrinology academic faculty are female, women are still underrepresented among leadership positions and full professors in academic reproductive endocrinology programs with fellowship programs. Keywords Women in medicine . Academic medicine . Professional development . Gender disparities . Academic leadership . Reproductive endocrinology and infertility

Introduction In medicine, women comprise over half of all medical students [1]. Specifically, in the field of obstetrics and gynecology (OB/GYN), according to data provided by the American College of OB/GYN (ACOG), women have comprised more than 50% of OB/GYN residency graduates for over 20 years and now make up more than 80% of all graduating residents [2]. Among all specialties, OB/GYN has the greatest number * Jessica H. Selter [email protected] 1

Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY 10032, USA

2

Department of Obstetrics and Gynecology, Columbia University Fertility Center, Columbia University Irving Medical Center, 5 Columbus Circle, Penthouse, New York, NY 10019, USA

of female residents [1]. Furthermore, the percentage of women serving as full-time faculty in OB/GYN departments has also grown significantly over the last 40 years from less than 10% in 1977 to 57% in 2014 [3]. Similarly, when examining leadership positions in OB/GYN, the percentage