Challenges and solutions for women in gastroenterology practice: From training to leadership roles

Although more women are entering gastroenterology and related fields (GI practice) in India, gender gaps remain in training, leadership and career growth. This Indian Society of Gastroenterology-Women in GI Forum (ISG-WGF) study examines the challenges women face in GI and hepatology and suggests practical steps to improve equity and inclusion.

A structured, online questionnaire was disseminated to 4140 members of the ISG, including trainees and practising gastroenterologists. The questionnaire assessed six domains: socio-demographic data, GI training experiences, family support, current GI practice, work-life balance and gender-related career trajectory in men and women GI professionals.

Of 185 respondents (response rate 4.5%), women represented 46.5%, although they comprised only 10.7% of ISG members. Women reported greater work-life imbalance (65.0% vs. 43.8%; p = 0.023), more family-related career disruptions (43% vs. 21%; p < 0.001) and higher perceived gender discrimination (36% vs. 11.1%; p < 0.001). Women respondents were younger than men (42.4 ± 16.7 years vs. 47.3 ± 13.4, p = 0.032) and only 24.4% of women respondents held leadership positions compared to 45.5% of men (p = 0.004). Women scientists face career barriers such as inadequate mentorship, inflexible work schedules, limited family and institutional support and ergonomic issues in endoscopy. Solutions include mandated gender equity policies, structured mentorship, leadership opportunities, innovations in endoscopy practice and inclusive institutional reforms.

Addressing gaps in GI training and practice by implementing mentorship, gender-sensitive policies and workplace equity initiatives may help improve professional satisfaction, reduce career lag and increase female involvement in GI leadership roles.