Gender parity in radiation oncology in Germany: a 2024 analysis of professional roles and academic training.

Purpose: Despite some progress, gender inequalities remain prevalent in many medical fields, including radiation oncology (RO). This study investigates gender parity in RO in Germany, with a particular focus on the distribution of professional positions and academic qualifications.

Methods: Using data from the German Society of Radiation Oncology (DEGRO), we analyzed gender representation in various roles including resident physicians, specialists, senior physicians, leading positions, and heads of university departments. Additionally, academic achievements such as doctoral degrees and professorships were examined. Temporal trends were assessed by comparing data from 2006, while interdisciplinary comparisons were made using current data from other medical specialties.

Results: An increase in the proportion of female members was found, rising by a factor of 1.85 (2006: 570 vs. 2024: 1055). However, significant gender disparities persist, particularly at higher professional levels. Leadership positions remain male dominated, with women holding only 18.9% of full professorships in 2024. In 2006, just 1 in 9 university chair positions and 1 in 40 professorships were occupied by women. These figures had improved by 2024, with women holding 1 in 5 university chair positions and professorships.

Conclusion: Despite progress in representation, significant gender disparities remain in leadership and academic positions within RO. Structural barriers continue to impede women's career advancement. This study identifies these obstacles and advocates for targeted initiatives to foster gender equity, including mentorship programs and family-friendly policies. The ultimate goal is to establish an equitable and appealing professional environment for future generations in RO.