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Exploring Gender Differences: Training, Practice, and Family Dynamics Among Fellowship-Trained Neurotologists.

Nadia L Samaha^1,2, Maria Armache¹, Wassim Najjar¹

¹Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

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|May 14, 2025

Summary

Gender differences in neurotology reveal similar training and practice patterns, but women face unique family and childcare challenges impacting career progression. These findings highlight potential hurdles for women in the field.

Keywords:

career progression diversity gender neurotology women

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Area of Science:

Otolaryngology
Neurosurgery
Medical Specialties

Background:

Neurotology is a subspecialty focused on hearing and balance disorders.
Understanding gender dynamics in neurotology is crucial for addressing potential career barriers.

Purpose of the Study:

To investigate gender-based differences in neurotology training, practice, family life, and career paths.
To identify specific challenges faced by women in the field of neurotology.

Main Methods:

A cross-sectional survey was electronically distributed to fellowship-trained neurotologists in the United States.
Descriptive, univariate, and multivariate statistical analyses were performed on the collected data.

Main Results:

While training and practice patterns showed no significant gender differences, women were more likely to have physician spouses and delay childbearing until post-fellowship.
Women reported increased reliance on professional childcare and a greater likelihood of reducing work hours for childcare compared to men.
Men were more likely to rely on their spouse as the primary caregiver, and having a physician spouse correlated with post-fellowship childbearing and increased use of professional childcare.

Conclusions:

Neurotology training and practice patterns are similar between genders.
Significant differences in family dynamics, childbearing timing, and caretaking roles suggest women in neurotology may encounter unique challenges affecting their career progression.
Addressing these challenges is essential for promoting gender equity and supporting career advancement for all neurotologists.