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Area of Science:

  • Medical Education
  • Clinical Reasoning
  • Gender in Medicine

Background:

  • Clinical reasoning exercises are crucial for medical training and showcase clinical expertise.
  • Authors in these series serve as role models for developing physicians.

Purpose of the Study:

  • To quantify the representation of women authors in clinical problem-solving series across three major general medicine journals.
  • To analyze trends in women's authorship over time.

Main Methods:

  • A systematic review of authorship in the clinical problem-solving series of three general medicine journals.
  • Data collected from inaugural articles until July 2019.

Main Results:

  • Women were underrepresented as first, last, and all authors.
  • While first and overall authorship by women has increased, it remains below 40%.
  • Women's representation as last authors has not significantly increased, staying at or below 25%.

Conclusions:

  • There is a persistent underrepresentation of women in clinical reasoning literature.
  • Opportunities exist to increase women's visibility and amplify their contributions as clinical experts.