"Gynecologic oncology is a unique subspecialty of medicine in that physicians provide surgical and medical care for women w malignancies of the female genital tract" - are gender and subspecialty training associated with #gynonc division characteristics in #academicmedicine? 1/
Gender and leadership
Women were overrepresented in academic obgyn
faculty roles compared to practicing obgyns
in the US (66 vs 57%, p b 0.01); but not within gynonc
divisions (55 vs 57%).
Women were significantly (p<0.01) underrepresented
in all leadership roles 2/
Department leadership subspecialty was more commonly reproductive-health focused (70.8%) than surgical. Departments w a surgically focused chair were more likely to have a woman gynecologic oncology director (57.6 vs 29.4%, p<0.01), and fellowship (50 vs 30.4%, p<0.01) 3/
Gynecologic oncologists represented 2 (2%) of cancer center directors (below expected p<0.01) based upon incidence and mortality of gynecologic cancers #gyncsm 4/
Bc gyn oncology is now a majority women surgical subfield the characteristics of our leaders are acutely important to our success and ability to care for patients. #Resourceallocation is a critical responsibility of our directors and chairs. 5/
Without representative leadership we are exposed to institutional and infrastructural sexism. #GynecologyIsSurgery 6/ https://twitter.com/temkins/status/1238068347201376256?s=20
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