Cited by 121Diversity and Career in MedicineSex and Gender in Healthcarescientometrics and bibliometrics research

Assessment of Women Physicians Among Authors of Perspective-Type Articles Published in High-Impact Pediatric Journals

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Silver, Julie K., Poorman, Julie A., Reilly, Julia M., Spector, Nancy D., Goldstein, Richard, Zafonte, Ross D.·2018·JAMA Network Open

Abstract

Importance: Most pediatricians are women; however, women pediatricians are underrepresented in academic leadership positions such as department chairs and journal editors and among first authors of original research articles published in pediatric journals. Publication of all types of articles, particularly in high-impact specialty journals, is crucial to career building and academic success. Objective: To examine the gender-related profile associated with authors of perspective-type articles in the 4 highest-impact general pediatric journals to determine whether women physicians were similarly underrepresented. Design and Setting: Cross-sectional study of perspective-type articles published between 2013 and 2017 in the 4 highest-impact general pediatric journals: Academic Pediatrics, JAMA Pediatrics, The Journal of Pediatrics, and Pediatrics. Main Outcomes and Measures: The primary outcome measure was the number and percentage of first-author women physicians as compared with men physicians. Secondary outcome measures included number and percentage of all men and all women among last authors and coauthors associated with physician first authors. Results: A total of 425 perspective-type articles were identified, with physicians listed as the first author on 338 (79.5%). Women were underrepresented among physician first authors of known gender (140 of 336 [41.7%]), particularly among physician first authors of article categories described as scholarly (range, 15.4%-44.1%) vs categories described as narrative (range, 52.9%-65.6%) in nature. Women were also underrepresented among last authors and coauthors of articles attributed to both men and women physician first authors, although the underrepresentation of women among last authors and coauthors was more pronounced if a man physician was the first author. Conclusions and Relevance: Because perspective-type articles provide an opportunity for authors to express their opinions, provide insights that may influence their field, and enhance their academic resumes, there is a need for pediatric journal editors and leaders of medical societies who are associated with these journals to ensure the equitable inclusion of women in medicine. A hallmark of best practices for diversity and inclusion in academic medicine is transparency with regard to reporting of gender disparities in all areas of scholarship attribution and credit.

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  • Female academics continue to lag behind in terms of key output criteria, such as citations and visibility.

    “Female academics continue to lag behind in terms of key output criteria, such as citations and visibility33–37.”

    From Scientific publications that use promotional language in the abstract receive more citations and public attention (2025) · cites this paper as [37]

    The Discussion (page unavailable) reports that women physicians were underrepresented among authors of scholarly perspective-type articles, supporting a narrower claim about publication visibility. The paper does not establish that female academics generally receive fewer citations; its findings concern authorship in four pediatric journals. (LLM, conf=0.86)

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References 44 · Cited by 121

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  1. [3]DeAngelis C Women in pediatrics. JAMA Pediatr. 2015; 169(2):-. doi: 10.1001/jamapediatrics.2014.2917 25531234 · DOI
  2. [4]Fishman M, Williams WA II, Goodman DM, Ross LF Gender differences in the authorship of original research in pediatric journals, 2001-2016. J Pediatr. 2017; 191: 244- 249.e1. doi: 10.1016/j.jpeds.2017.08.044 29033241 · DOI
  3. [9]Instructions for authors. JAMA Network website. https://jamanetwork.com/journals/jamapediatrics/pages/instructions-for-authors. Published 2018. Accessed March 21, 2018.
  4. [10]Guide for authors. The Journal of Pediatrics website. https://www.jpeds.com/content/authorinfo. Published 2018. Accessed March 21, 2018.
  5. [13]JAMA Pediatrics masthead. JAMA Network website. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2673365. Published 2018. Accessed April 3, 2018.
  6. [15]Editorial board The Journal of Pediatrics website. http://www.jpeds.com/content/edboard. Published 2018. Accessed April 3, 2018.
  7. [16]Pakpoor J, Liu L, Yousem D A 35-year analysis of sex differences in neurology authorship. Neurology. 2018; 90(10): 472- 475. doi: 10.1212/WNL.0000000000005056 29444974 · DOI
  8. [17]Süßenbacher S, Amering M, Gmeiner A, Schrank B Gender-gaps and glass ceilings: a survey of gender-specific publication trends in psychiatry between 1994 and 2014. Eur Psychiatry. 2017; 44: 90- 95. doi: 10.1016/j.eurpsy.2017.03.008 28550785 · DOI
  9. [18]Okike K, Liu B, Lin YB, The orthopedic gender gap: trends in authorship and editorial board representation over the past 4 decades. Am J Orthop (Belle Mead NJ). 2012; 41(7): 304- 310. 22893880
  10. [19]Long MT, Leszczynski A, Thompson KD, Wasan SK, Calderwood AH Female authorship in major academic gastroenterology journals: a look over 20 years. Gastrointest Endosc. 2015; 81(6): 1440- 1447.e3. doi: 10.1016/j.gie.2015.01.032 25887727 · DOI
  11. [20]Otero P, Marcos C, Ferrero F Female authorship in Latin American pediatric journals. Arch Argent Pediatr. 2017; 115(6): 580- 583. 29087118
  12. [22]Institutional bias. Oxford Reference website. http://www.oxfordreference.com/view/10.1093/oi/authority.20110803100005347. Published 2018. Accessed April 2, 2018. · DOI
  13. [23]Carnes M, Morrissey C, Geller SE Women’s health and women’s leadership in academic medicine: hitting the same glass ceiling? J Womens Health (Larchmt). 2008; 17(9): 1453- 1462. doi: 10.1089/jwh.2007.0688 18954235 PMC2586600 · DOI
  14. [24]Lillemoe KD Surgical mentorship: a great tradition, but can we do better for the next generation? Ann Surg. 2017; 266(3): 401- 410. doi: 10.1097/SLA.0000000000002374 28795992 · DOI
  15. [25]Bruce AN, Battista A, Plankey MW, Johnson LB, Marshall MB Perceptions of gender-based discrimination during surgical training and practice. Med Educ Online. 2015; 20(1): 25923. doi: 10.3402/meo.v20.25923 25652117 PMC4317470 · DOI
  16. [26]Fallin-Bennett K Implicit bias against sexual minorities in medicine: cycles of professional influence and the role of the hidden curriculum. Acad Med. 2015; 90(5): 549- 552. doi: 10.1097/ACM.0000000000000662 25674911 · DOI
  17. [28]White AA III, Stubblefield-Tave B Some advice for physicians and other clinicians treating minorities, women, and other patients at risk of receiving health care disparities. J Racial Ethn Health Disparities. 2017; 4(3): 472- 479. doi: 10.1007/s40615-016-0248-6 27287277 PMC5443860 · DOI
  18. [29]Trix F, Psenka C Exploring the color of glass: letters of recommendation for female and male medical faculty. Discourse Soc. 2003; 14(2): 191- 220. doi: 10.1177/0957926503014002277 · DOI
  19. [30]Silver JK, Bhatnagar S, Blauwet CA, Female physicians are underrepresented in recognition awards from the American Academy of Physical Medicine and Rehabilitation. PM R. 2017; 9(10): 976- 984. doi: 10.1016/j.pmrj.2017.02.016 28336430 · DOI
  20. [31]Aberg JA, Blankson J, Marrazzo J, Adimora AA Diversity in the US infectious diseases workforce: challenges for women and underrepresented minorities. J Infect Dis. 2017; 216(suppl 5): S606- S610. doi: 10.1093/infdis/jix332 28938047 · DOI
  21. [32]Freund KM, Raj A, Kaplan SE, Inequities in academic compensation by gender: a follow-up to the National Faculty Survey cohort study. Acad Med. 2016; 91(8): 1068- 1073. doi: 10.1097/ACM.0000000000001250 27276007 PMC4965349 · DOI
  22. [33]Girod S, Fassiotto M, Grewal D, Reducing implicit gender leadership bias in academic medicine with an educational intervention. Acad Med. 2016; 91(8): 1143- 1150. doi: 10.1097/ACM.0000000000001099 26826068 · DOI
  23. [34]Cochran A, Hauschild T, Elder WB, Neumayer LA, Brasel KJ, Crandall ML Perceived gender-based barriers to careers in academic surgery. Am J Surg. 2013; 206(2): 263- 268. doi: 10.1016/j.amjsurg.2012.07.044 23414631 · DOI
  24. [35]Surawicz CM Women in leadership: why so few and what to do about it. J Am Coll Radiol. 2016; 13(12, pt A): 1433- 1437. doi: 10.1016/j.jacr.2016.08.026 28341310 · DOI
  25. [36]Allen BJ, Garg K Diversity matters in academic radiology: acknowledging and addressing unconscious bias. J Am Coll Radiol. 2016; 13(12, pt A): 1426- 1432. doi: 10.1016/j.jacr.2016.08.016 27916109 · DOI
  26. [37]McCarthy S Gender inequality: unconscious and systematic bias remains a problem in emergency medicine. Emerg Med Australas. 2016; 28(3): 344- 346. doi: 10.1111/1742-6723.12596 27157846 · DOI
  27. [38]Isaac C, Lee B, Carnes M Interventions that affect gender bias in hiring: a systematic review. Acad Med. 2009; 84(10): 1440- 1446. doi: 10.1097/ACM.0b013e3181b6ba00 19881440 PMC4554714 · DOI
  28. [39]Guglielmi G Gender bias goes away when grant reviewers focus on the science. Nature. 2018; 554(7690): 14- 15. doi: 10.1038/d41586-018-01212-0 29388971 · DOI
  29. [40]Goldin C, Rouse C Orchestrating impartiality: the impact of “blind” auditions on female musicians. Am Econ Rev. 2000; 90(4): 715- 741. doi: 10.1257/aer.90.4.715 · DOI
  30. [41]Amering M, Schrank B, Sibitz I The gender gap in high-impact psychiatry journals. Acad Med. 2011; 86(8): 946- 952. doi: 10.1097/ACM.0b013e3182222887 21694564 · DOI
  31. [42]Amrein K, Langmann A, Fahrleitner-Pammer A, Pieber TR, Zollner-Schwetz I Women underrepresented on editorial boards of 60 major medical journals. Gend Med. 2011; 8(6): 378- 387. doi: 10.1016/j.genm.2011.10.007 22153882 · DOI
  32. [43]Harris CA, Banerjee T, Cramer M, Editorial (spring) board? gender composition in high-impact general surgery journals over 20 years [published online January 16, 2018]. Ann Surg. doi: 10.1097/SLA.0000000000002667 29342020 PMC7357812 · DOI
  33. [44]Robinson S, Lecky F, Mason S Editorial boards: where are all the women? Eur J Emerg Med. 2010; 17(2): 61- 62. doi: 10.1097/MEJ.0b013e32833096cb 19841586 · DOI
  34. [45]Morton MJ, Sonnad SS Women on professional society and journal editorial boards. J Natl Med Assoc. 2007; 99(7): 764- 771. 17668642 PMC2574346
  35. [46]Keiser J, Utzinger J, Singer BH Gender composition of editorial boards of general medical journals. Lancet. 2003; 362(9392): 1336. doi: 10.1016/S0140-6736(03)14607-7 14576002 · DOI
  36. [47]Gooding GA The status of women radiologists: membership on editorial boards and participation in upper echelons of radiologic societies. Radiology. 1983; 147(2): 595- 597. doi: 10.1148/radiology.147.2.6836141 6836141 · DOI
  37. [48]Gollins CE, Shipman AR, Murrell DF A study of the number of female editors-in-chief of dermatology journals. Int J Womens Dermatol. 2017; 3(4): 185- 188. doi: 10.1016/j.ijwd.2017.03.001 29234711 PMC5715225 · DOI
  38. [50]Silver JK, Slocum CS, Bank AM, Where are the women? the underrepresentation of women physicians among recognition award recipients from medical specialty societies. PM R. 2017; 9(8): 804- 815. doi: 10.1016/j.pmrj.2017.06.001 28606837 · DOI
  39. [51]Academic Pediatrics website. https://www.journals.elsevier.com/academic-pediatrics/. Published 2018. Accessed April 2, 2018.
  40. [52]The European Paediatric Association (EPA). The Journal of Pediatrics website. https://www.jpeds.com/content/epaarticles. Published 2018. Accessed April 2, 2018.
  41. [54]Association of Medical School Pediatric Department Chairs Inc. The Journal of Pediatrics website. https://www.jpeds.com/content/amspdcarticles. Published 2017. Accessed April 2, 2018.
  42. [55]About JAMA Pediatrics JAMA Network website. https://jamanetwork.com/journals/jamapediatrics/pages/for-authors. Published 2018. Accessed April 3, 2018.
  43. [56]Fong EA, Wilhite AW Authorship and citation manipulation in academic research. PLoS One. 2017; 12(12): e0187394. doi: 10.1371/journal.pone.0187394 29211744 PMC5718422 · DOI
  44. [57]Uijtdehaage S, Mavis B, Durning SJ Whose paper is it anyway? authorship criteria according to established scholars in health professions education [published online January 30, 2018]. Acad Med. doi: 10.1097/ACM.0000000000002144 29384749 · DOI
  45. [58]Fridner A, Norell A, Åkesson G, Gustafsson Sendén M, Tevik Løvseth L, Schenck-Gustafsson K Possible reasons why female physicians publish fewer scientific articles than male physicians—a cross-sectional study. BMC Med Educ. 2015; 15: 67. doi: 10.1186/s12909-015-0347-9 25889674 PMC4404646 · DOI
  46. [59]Travis EL, Doty L, Helitzer DL Sponsorship: a path to the academic medicine C-suite for women faculty? Acad Med. 2013; 88(10): 1414- 1417. doi: 10.1097/ACM.0b013e3182a35456 23969365 · DOI

Authors
Silver, J. K., Poorman, J. A., Reilly, J. M., Spector, N. D., Goldstein, R., & Zafonte, R. D.
Affiliations
  • Harvard University (US)
  • Drexel University (US)
Corresponding author
Silver, Julie K.
Venue
JAMA Network Open
Published
2018-07-20
Volume
1
Issue
3
Pages
e180802
ISSN
2574-3805 (ISSN-L)
OpenAlex
W2883768506
Cited by
121
References
44
Citations by year
2026: 2 · 2025: 8 · 2024: 9 · 2023: 8 · 2022: 28 · 2021: 15 · 2020: 20 · 2019: 28 · 2018: 3
FWCI
30.79
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JAMA Network Open (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › scientometrics and bibliometrics research
Keywords
gender disparities, women physicians, authorship, first authors, academic medicine, gender equity, diversity and inclusion, pediatric journals, authorship credit
MeSH terms
Authorship, Cross-Sectional Studies, Female, Humans, Male, Pediatrics, Periodicals as Topic, Physicians, Women, Publishing, Journal Impact Factor

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