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Abstract

Background:

Gender disparities in academic promotion and leadership are well documented. Scholarly impact is essential for promotion. The Hirsch-index (h-index) is a measure of impact using number of publications and citations. We sought to (i) evaluate breast surgery fellowship faculty in North America by academic rank and research impact using the h-index, (ii) determine whether there is a gender difference in scholarly productivity, and (iii) determine the relationship between academic rank, h-index, and gender.

Materials and Methods:

A retrospective cross-sectional study of h-index and academic rank disparity in breast surgery faculty by gender was performed. We reviewed the faculty of Society of Surgical Oncology-accredited breast surgery fellowships in February 2019. Rank, gender, academic appointment, years in practice, program directorship, National Cancer Institute-designated cancer center association, size of the program, and h-index (via Scopus) were recorded. Univariate and multiple linear regression analyses were performed.

Results:

Fifty-two programs were identified, and 209 faculty had an h-index. Of them, 69.9% were women and 30.1% were men. h-index increased with academic rank although there was considerable overlap between ranks. Women were underrepresented at the professor level (46.4%), but accounted for the majority of assistant professors (91.5%, p < 0.001), and program directors (70.7%). Men professors had a significantly higher mean h-index than women professors, p < 0.001. However, women associate professors had a higher mean h-index than men, but this did not reach significance.

Conclusions:

Mean h-index increased with increasing rank among breast surgery faculty for both genders. Average h-index was significantly higher for men professors compared to women professors. No significant gender difference in h-index was found for assistant professors. For associate professors, h-index for women was higher than for men. Women are underrepresented at higher academic ranks despite forming the majority of breast surgical teaching faculty.

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References

LaRocca

, Wong

, Eng

, et al. Academic productivity in surgical oncology: Where is the bar set for those training the next generation?. J Surg Oncol, 2018; 118:397–402.

Ashfaq

, Kalagara

, Wasif

. h-index and academic rank in general surgery and surgical specialties in the United States. J Surg Res, 2018; 229:108–113.

Knowlton

, Paganoni

, Niehaus

, et al. Measuring the impact of research using conventional and alternative metrics. Am J Phys Med Rehabil, 2019; 98:331–338.

Hirsch

. An index to quantify and individual's scientific research output. Proc Natl Acad Sci U S A, 2005; 102:16569–16572

Bastian

, Ippolito

, Lopez

, et al. The use of the h-index in academic orthopedic surgery. J Bone Joint Surg Am, 2017; 99:e14.

Yuan

, Aires

, DaCunha

. The h-index for associate and full professors of dermatology in the United States: An epidemiologic study of scholastic production. Cutis, 2017; 100:395–398.

Therattil

, Hoppe

, Granick

, et al. Application of the h-index in academic plastic surgery. Ann Plast Surg, 2016; 76:545–549.

Yang

, Rhee

, Xuan

, et al. Analysis of h-index in assessing gender differences in academic rank and leadership in physical medicine and rehabilitation in the United States and Canada. Am J Phys Med Rehabil, 2019; 98:479–483.

Hill

, Blake

, Emerson

, et al. Gender differences in scholarly productivity within academic gynecologic oncology departments. Obstet Gynecol, 2015; 126:1279–1283.

10.

Babineau

, Fischer

, Volz

, et al. Survey of publications and the h-index of academic emergency medicine professors. West J Emerg Med, 2014; 15:290–292.

11.

Garstka

, Randolph

, Hahhad

, et al. Gender disparities are present in academic rank and leadership positions despite overall equivalence in research productivity indices among senior members of American Head and Neck (AHNS) Fellowship Faculty. Head Neck, 2019; 41:3818–3825.

12.

Cheng

, Farber

, Rajani

, et al. National criteria for academic appointment in vascular surgery. J Vasc Surg, 2019; 69:1559–1565.

13.

Hirsch

. Does the h index have predictive power?. Proc Natl Acad Sci U S A, 2007; 104:19193–19198.

14.

Robinson

, Hopkins

, Brown

, et al. Relative value of adapted novel bibliometrics in evaluating surgical academic impact and reach. World J Surg, 2018; 43:967–972.

15.

Healy

, Glynn

, Scutaru

, et al. The h index and the identification of global benchmarks for breast cancer research output. Breast Cancer Res Treat 2011;127;845–851.

16.

Myers

, Reitz

, Wessel

, et al. A systematic review of gender-based differences in Hirsch index among academic surgeons. J Surg Res, 2019; 236:22–29.

17.

Nguyen

, Marmor

, Ramamoorthy

, et al. Academic surgical oncologists' productivity correlated with gender, grant funding, and institutional NCI comprehensive cancer center affiliation. Ann Surg Oncol, 2018; 25:1852–1859.

18.

Manahan

, Wang

, Chen

, et al. What is a breast surgeon worth?. A salary survey of the American Society of Breast Surgeons Ann Surg Oncol, 2015; 22:3257–3263.

19.

Society of Surgical Oncology (SSO). Breast Surgical Oncology fellowship programs. Available at: www.surgonc.org Accessed February 28, 2019 .

20.

Elsevier Scopus. Available at: www.scopus.com Accessed February 28, 2019 .

21.

Shillcutt

, Silver

. Barriers to achieving gender equity. J Cardiothorac Vasc Anesth, 2019; 33:1811–1818.

22.

Larson

, Kan

, Silver

. Representation of women physician deans in US medical schools. J Womens Health (Larchmt), 2019; 28:600–605.

23.

Ibrahim

, Abdel-Razig

, Stadler

, et al. Assessment of gender equity among invited speakers and award recipients at US annual medical education conferences. JAMA Netw Open, 2019; 2:e1916222.

24.

Silver

, Bhatnagar

, Blauwet

, et al. Female physicians are underrepresented in recognition awards from the American Academy of Physical Medicine and Rehabilitation. P M R, 2017; 9:976–984.

25.

Harris

, Banerjee

, Cramer

, et al. Editorial (spring) boards? Gender composition in high-impact general surgery journals over 20 years. Ann Surg, 2019; 269:582–588.

26.

Silver

, Ghalib

, Poorman

, et al. Analysis of gender equity in leadership of physician-focused medical specialty societies, 2008–2017. JAMA Intern Med, 2019; 179:433–435.

27.

Hoops

, Brasel

, Dewey

, et al. Analysis of gender-based differences in surgery faculty compensation, promotion, and retention: Establishing equity. Ann Surg, 2018; 268:479–487.

28.

Killelea

, Modestino

, Gass

, et al. The 2018 compensation survey of the American Society of Breast Surgeons Ann Surg Oncol 2019;26:3052–3062.

29.

Ngaage

, Harris

, Rosen

, et al. Sex disparity in academic rank and industry payments to plastic surgeons. Ann Plast Surg, 2019; 84:201–207.

30.

Wilcox

, Troobof

, Lai

, et al. Trends in gender representation at the American College of Surgeons Clinical Congress and the Academic Surgical Congress: A mixed picture of progress. J Am Coll Surg, 2019; 229:397–403.

31.

Gerull

, Malik Wahba

, Goldin

, et al. Representation of women in speaking roles at surgical conferences. Am J Surg, 2020; 220:20–26.

32.

Dossa

, Simpson

, Sutradhar

, et al. Sex-based disparities in the hourly earnings of surgeons in the fee-for-service system in Ontario Canada. JAMA Surg, 2019; 154:1134–1142.

33.

Filiberto

, Le

, Loftus

, et al. Gender differences among surgical fellowship program directors. Surgery, 2019; 166:735–737.

34.

Scopus coverage content guide. Updated August 2017. Section 3.4. Amsterdam: Elsevier. Available at: https://www.bit.ly/3bNJ61w Accessed February 17, 2020 .

35.

Yheulon

, Schlussel

, Ernat

, et al. Scholarly output and the impact of self-citation among surgical fellowship program directors. Am J Surg, 2020; 219:913–917.

36.

Khurshid

, Shah

, Ahmadi

, et al. Gender differences in the publication rate among breast imaging radiologists in the United States and Canada. Am J Roentgenol, 2018; 210:2–7.

37.

Association of American Medical Colleges. AAMC statement on gender equity, 2020. Available at: https://www.aamc.org/what-we-do/mission-areas/diversity-inclusion/aamc-statement-gender-equity Accessed February 3, 2020 .

38.

Denby

, Szpakowski

, Silver

, et al. Representation of women in cardiovascular clinical trial leadership. JAMA Intern Med, 2020; 180:1382–1383.

39.

Silver

, Poorman

, Reilly

, et al. Assessment of women physicians among authors of perspective-type articles published in high-impact pediatric journals. JAMA Netw Open 2018;1;e180802.

40.

Larson

, Poorman

, Silver

. Representation of women among physician authors of perspective-type articles in high-impact dermatology journals. JAMA Dermatol, 2019; 155:386–388.

41.

Chang

, Abou-Zamzam

, Lee

, et al. Has breast surgery shattered the glass ceiling? Trends in female representation at The American Society of Breast Surgeons annual meeting 2009–2019. Ann Surg Oncol, 2020; 27:4662–4668.

h-Index and Academic Rank by Gender Among Breast Surgery Fellowship Faculty

Abstract

Background:

Materials and Methods:

Results:

Conclusions:

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References