Gender Pay Equity in Pediatrics: Policy Statement

Gender-based pay inequities persist in pediatrics, affecting women at all career stages and across subspecialties, even after accounting for work hours, duties, and productivity. These inequities are further pronounced between pediatrics, a women-dominated field, and men-dominated adult medicine and surgery. Contributing factors include systemic bias; unequal access to mentorship, sponsorship, and coaching; unequal promotion to leadership roles; part-time work; and inadequate parental leave policies. The consequences are profound, not only for the financial well-being and career satisfaction of women physicians, but also for the pediatric workforce and access to health care for pediatric patients. Subspecialties with more women often face workforce shortages and lower salaries for all. This policy statement from the American Academy of Pediatrics summarizes evidence of gender pay inequities, their causes, and strategies to achieve compensation equity. It recommends transparent pay practices, supportive parental leave policies, equitable promotion policies, and regular compensation reviews to address these inequities. Achieving pay equity is critical to building a diverse, sustainable, and fairly compensated pediatric workforce capable of meeting the health care needs of all children. Equity in pay is both a professional and public health imperative.