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Dear Editor, While the rheumatology workforce in many countries is increasingly becoming gender-balanced [1], advancing equity in academic recognition is still an unmet need. A report from 2015 estimated that 66% of fellows and 41% of rheumatologists in the USA are women. The same report predicted that by 2025 women will comprise the predominant majority of the rheumatology workforce [2]. Similarly, in many European countries, including Belgium, Hungary, Italy, Lithuania, the Netherlands and the UK, women comprise >50% of the rheumatology workforce [3]. Despite being in the majority, women in rheumatology are underrepresented in leadership positions [2–4]. The gender equity in academic rheumatology initiative has sparked discussions on the effect of inequity in academia on assignment to leadership roles [3–5]. To explore whether a gender gap exists in the global rheumatology leadership, we undertook a cross-sectional review of gender representation among the presidents of regional rheumatology leagues, namely the ACR, African League Against Rheumatism (AFLAR), Asia-Pacific League of Associations for Rheumatology (APLAR), the EULAR and the Pan-American League of Associations for Rheumatology (PANLAR).
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