National Trends of Gender Disparity in Canadian Cardiovascular Society Guideline Authors, 2001-2020

Devesh Rai · Syed Hamza Waheed · Miranda Guerriero · Muhammad Waqas Tahir · Ritambhara Pandey · Harsh Patel +8 more

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Diversity and Career in Medicine Gender Diversity and Inequality Sex and Gender in Healthcare

Abstract

Background The level of representation of women in cardiology remains low compared to that of men, particularly in leadership positions. We evaluated gender disparity in the authorship of Canadian Cardiovascular Society (CCS) guidelines. Methods All CCS guidelines from 2001-2020 were identified. Gender was assessed based on pronoun use in the biographies and social media of the authors. Only primary panel authors were included in our analysis. Stratified analyses were performed based on subspecialties. Results A total of 76 guidelines were identified, with 1172 authors (26% women, 74% men, P < 0.0001), with no significant change in percentage of women authors over 2 decades , (37.1% in 2001, 36.3% in 2020, P = 0.34). Inclusion of women as authors occurred less frequently than inclusion of men in general cardiology guidelines (20.1% vs 79.9%, P < 0.0001) and all subspecialties—heart failure (36.4% vs 63.6%, P < 0.0001), interventional cardiology (12.6% vs 87.4%, P < 0.0001), electrophysiology (20.2% vs 79.8%, P < 0.0001), and pediatric cardiology (41.7% vs 58.3%, P = 0.02). It was less likely for women to be a chair or cochair of a guideline writing committee, compared with men (20.1% vs 79.8%, P < 0.0001). There were 609 unique authors (25.6% women, 74.4% men, P < 0.0001), 542 unique medical doctorate (MD) authors (20.7% women, 79.3% men, P < 0.0001), and 67 unique non-MD authors (65.7% women, 34.3% men, P = 0.0003). Conclusions There is a persistent shortfall in the inclusion of women authors for CCS guidelines, which has not changed over time. Further efforts are required to promote women's inclusion in leadership roles, which may lead to authorship of the guidelines.

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2019Are gender gaps due to evaluations of the applicant or the science? A natural experiment at a national funding agency 2000Faculty Perceptions of Gender Discrimination and Sexual Harassment in Academic Medicine 2016Women in Academic Medicine Leadership: Has Anything Changed in 25 Years?2020Proportion of Female Speakers at Academic Medical Conferences Across Multiple Specialties and Regions 2019Gender differences in grant and personnel award funding rates at the Canadian Institutes of Health Research based on research content area: A retrospective analysis 2020Representation of Women in Cardiovascular Clinical Trial Leadership 2007Viewpoint: A Challenge to Academic Health Centers and the National Institutes of Health to Prevent Unintended Gender Bias in the Selection of Clinical and Translational Science Award Leaders 2018Rise of women in medicine not matched by leadership roles

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