Representation of Authors by Gender, Race, and Ethnicity in Pathology Clinical Practice Guidelines.

IF 3.7 3区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY
Amarilis A Martin, Shannon C Walker, Allison P Wheeler, Jeremy W Jacobs, Garrett S Booth, Julie K Silver
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引用次数: 0

Abstract

Context.—: United States' clinical practice guidelines (CPGs) are often produced by professional societies and used worldwide in daily medical practice. However, studies in various medical specialties demonstrate underrepresentation of women and racial and ethnic minority groups in CPGs. The representation of authors by gender, race, and ethnicity of US pathology CPGs has not been previously evaluated.

Objective.—: To assess if women and individuals from racial and ethnic minority groups are underrepresented as authors of pathology CPGs.

Design.—: The gender, race, ethnicity, and terminal degrees of authors of 18 CPGs from the College of American Pathologists were coded by using photographs and other available information online and compared to their representation in academic pathology per Association of American Medical Colleges benchmark data.

Results.—: Two hundred seventy-five author positions (202 physician author positions) were analyzed. Women overall (119 of 275; 43.3%) and women physicians (65 of 202; 32.2%) held fewer positions than all men and men physicians. Women physicians were significantly underrepresented in physician author positions, while White men physicians were significantly overrepresented in all, first, senior, and corresponding authorship roles when compared to the proportion of women and White men physicians among pathology faculty, respectively. Asian men and women physicians were underrepresented as compared to their representation among pathology faculty.

Conclusions.—: Men, particularly White men physicians, are overrepresented among pathology CPG author positions, while women physicians and some physicians from racial and ethnic minority groups are underrepresented. Further research is needed to understand the impact of these findings on the careers of underrepresented physicians and the content of guidelines.

病理学临床实践指南中作者的性别、种族和民族代表性。
背景美国的临床实践指南(CPG)通常由专业协会制定,并在世界各地的日常医疗实践中使用。然而,对不同医学专业的研究表明,女性、少数种族和少数族裔群体在 CPG 中的代表性不足。此前尚未对美国病理学 CPGs 作者的性别、种族和民族代表性进行过评估:目的:评估病理学 CPGs 作者中女性及少数种族和少数族裔群体的代表性是否不足:美国病理学家学会的 18 份 CPGs 作者的性别、种族、民族和最终学历均通过照片和其他在线可用信息进行了编码,并根据美国医学院协会的基准数据与他们在学术病理学中的代表性进行了比较:对 275 个作者职位(202 个医生作者职位)进行了分析。总体而言,女性(275 位作者中的 119 位;43.3%)和女医师(202 位作者中的 65 位;32.2%)担任的职位少于所有男性和男性医师。与病理学教员中女性和白人男性医生的比例相比,女性医生在医生作者职位上的比例明显偏低,而白人男性医生在所有作者、第一作者、高级作者和通讯作者职位上的比例明显偏高。与亚裔男性和女性医生在病理学教师中所占比例相比,亚裔男性和女性医生所占比例偏低:男性,尤其是白人男性医生在病理学 CPG 作者职位中所占比例过高,而女性医生和一些少数民族医生所占比例过低。要了解这些发现对代表性不足的医生的职业生涯和指南内容的影响,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.20
自引率
2.20%
发文量
369
审稿时长
3-8 weeks
期刊介绍: Welcome to the website of the Archives of Pathology & Laboratory Medicine (APLM). This monthly, peer-reviewed journal of the College of American Pathologists offers global reach and highest measured readership among pathology journals. Published since 1926, ARCHIVES was voted in 2009 the only pathology journal among the top 100 most influential journals of the past 100 years by the BioMedical and Life Sciences Division of the Special Libraries Association. Online access to the full-text and PDF files of APLM articles is free.
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