THE EVOLVING LANDSCAPE OF FEMALE REPRESENTATION IN OPHTHALMOLOGY RESIDENCY AND CLINICAL PRACTICE
DOI:
https://doi.org/10.48047/46atzn93Keywords:
Female Representation, Ophthalmology Residency, Gender Equity, Medical Training TrendsAbstract
Over the years, men have mostly filled the ranks of practicing ophthalmologists. Even though the number of female medical students has gone up for many years, it is still not clear if this is visible in women joining ophthalmology residencies. Our main goal is to look at the trends in gender representation for ophthalmology residency applicants and compare these with those found in other surgical specialties over the past two decades. Counts of male and female applicants who listed ophthalmology as their number one specialty and those who were successfully placed, were found from data collected by a national residency matching service. We used data that is publicly available and completed a retrospective cross-sectional study. Afterward, trends for female ophthalmology applicants and female ophthalmologists were compared with what was happening in other surgical fields. During the study, a larger number of women applied for transplant and the rate of women who matched increased too. Nevertheless, the data indicated no clear rising trend in these later periods. No significant pattern in match rates was found for male and female applicants. The numbers of women in applicants and practicing ophthalmologists matched the proportions found in other surgical specialties. Female presence among ophthalmology applicants is higher than it was in the past, though the latest data point to a pause and indicate that gender parity continues to elude ophthalmology. More investigation is required to find out about the main reasons behind persistent gender biases.
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References
Williams AP, Pierre KD, Vayda E. Women in medicine: toward a conceptual understanding of the potential for change. J Am Med Womens Assoc (1972). 1993;48(4):115-21.
The Association of Faculties of Medicine of Canada. Canadian Medical Education Statistics 2021.
Tricco AC, Bourgeault I, Moore A, Grunfeld E, Peer N, Straus SE. Advancing gender equity in medicine. Can Med Assoc J. 2021;193(7):E244-E250.
Lorello GR, Silver JK, Moineau G, McCarthy K, Flexman AM. Trends in representation of female applicants and matriculants in Canadian residency programs across specialties, 1995 to 2019. JAMA Netw Open. 2020;3(11):e2027938.
Canadian Residency Matching Services. R-1 Data and reports.
Servito M, Ouzounian M, Chung J, Yanagawa B. Trends in female cardiac surgery trainees and staff in Canada: 1998 to 2020. J Thorac Cardiovasc. 2022;163(2):e203-e206.
Grose E, Chen T, Siu J, Campisi P, Witterick IJ, Chan Y. National trends in gender diversity among trainees and practicing physicians in otolaryngology–head and neck surgery in Canada. JAMA Otolaryngol Head Neck Surg. 2022;148(1):13–19.
Baerlocher MO, Noble J. Does sex affect the success rate of Canadian ophthalmology residency applicants? Can J Ophthalmol. 2006;41(2):163-8.
Canadian Medical Association. Canadian Physician Data. Available from https://www.cma.ca/canadian-physician-data
Papke L, Wooldridge J. Econometric methods for fractional response variables with an application to 401(K) plan participation rates. J Appl Econ. 1996;11:619–632.
Anderson K, Tennankore K, Cox A. Trends in the training of female urology residents in Canada. Can Urol Assoc J. 2018;12(3):E105-11.
Chorfi S, Schwartz JS, Verma N, Young M, Joseph L, Nguyen LHP. Evolution of gender representation among Canadian OTL-HNS residents: a 27-year analysis. J Otolaryngol Head Neck Surg. 2017;46(1):55.
Ruzycki SM, Earp M, Ma IWY. Applicant gender and matching to first-choice discipline: a cross-sectional analysis of data from the Canadian Resident Matching Service (2013-2019). CMAJ Open. 2020;8(2):E346-E351.
Park J, Minor S, Taylor RA, Vikis E, Poenaru D. Why are women deterred from general surgery training? Am J Surg. 2005;1:141-6.
Jolly S, Griffith KA, DeCastro R, Stewart A, Ubel P, Jagsi R. Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Ann Intern Med. 2014;160(5):344-353.
Parke II, DW. Gender and Leadership. EyeNet Magazine. 2017.
Kletke SN, Zhang A, Kohly RP. A national survey of Canadian women in ophthalmology: on role models, mentorship, and communities of practice. Can J Ophthalmol. 2021;56(3):203-205.
Trinh LN, O’Rorke E, Mulcahey MK. Factors influencing female medical students’ decision to pursue surgical specialties: a systematic review. J Surg Educ. 2021;78(3):836-849.
Levaillant M, Levaillant L, Lerolle N, Vallet B, Hamel-Broza JF. Factors influencing medical students’ choice of specialization: A gender based systematic review. EClinicalMedicine. 2020:28:100589.
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