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Chairpersons of pathology in the United States: limited benchmarks for publications
John Hedley-Whyte1, Debra R Milamed, David C Hoaglin
1Harvard University, Boston, MA 02132-4927, USA.
Insights
Pathology department chairs in US medical schools remain predominantly male and long-tenured. Despite increasing numbers of women in medicine, leadership roles show minimal gender diversity, particularly in pathology.
Area of Science:
- Medical Education
- Academic Leadership
- Pathology
Background:
- Pathology chairpersons hold significant leadership positions in US medical schools.
- The Hirsch index (h-index) is a metric used to evaluate academic productivity and impact.
Purpose of the Study:
- To analyze the citation impact (h-index) of department chairs across 8 specialties in 41 US medical schools.
- To assess the gender distribution and tenure of department chairs, with a focus on pathology.
Main Methods:
- The h-index was calculated for department chairs in 41 US medical schools across 8 specialties.
- Data on the proportion of women in leadership and continuous tenure from 1999-2009 were collected and analyzed.
Main Results:
- Pathology chairs exhibited the longest continuous tenure between 1999 and 2009, and these long-serving chairs were exclusively male.
- Women constituted only 3.7% of department chairs in 1999 and 7% in 2009 across the studied medical schools.
- A significant disparity exists in female representation in academic leadership compared to the proportion of women in medical schools.
Conclusions:
- Pathology leadership in US medical schools remains overwhelmingly male and characterized by long-term appointments.
- The low percentage of female chairs highlights a persistent gender gap in academic medical leadership, despite decades of increasing female medical student enrollment.
Abstract:
Pathology chairpersons continue their preeminence in US medical schools. The Hirsch (h) index of citation was analyzed for the chairpersons of 8 specialty departments in 41 US medical schools. The current h indices of department chairs (302 of 328 positions filled) were tabulated by specialty and medical school. The proportion of women was noted, as was whether the chairs had completed the first decade of this millennium continuously in post in the same medical school. Of the 8 specialties, pathology chairs at the 41 schools are the most likely to have been in the same post in 1999 and 2009, and the pathologists who remained are exclusively male. In the 41 medical schools studied, women chairs constituted only 3.7% of all heads of departments in 1999 and 7% in 2009. The paucity of female chairs 3 decades after women became at least one third of the medical student body is unfortunate.
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