Impact of Gender and Underrepresented in Medicine Status on Research Productivity Among Ophthalmology Residency Applicants

Overview

Journal Am J Ophthalmol

Specialty Ophthalmology

Date 2023 Jul 21

PMID 37478961

Authors

Emily Sun

Jing Tian

Loaah Eltemsah

Divya Srikumaran

Grace Sun

Jessica Chow

Fasika Woreta

Affiliations

Soon will be listed here.

Abstract

Purpose: Insufficient representation of women and underrepresented in medicine (URiM) students remains a problem among the ophthalmology workforce. In the residency selection process, research productivity is an important factor. We aimed to determine the average research output listed by applicants and assess for differences by gender and race.

Design: Retrospective cohort study.

Methods: All San Francisco Match applications to the Wilmer Eye Institute for the 2019, 2020, and 2021 ophthalmology residency cycles were retrospectively reviewed. Each applicant's number of published research articles was recorded and subclassified into first-author publications in any field, publications in ophthalmology, and first-author publications in ophthalmology. Multivariable logistic regression was performed to determine factors associated with successful publication.

Results: A total of 1376 applications were reviewed. On average, women had a greater number of publications in ophthalmology (2.08 vs 1.73, P = .05) and presentations (4.52 vs 4.09, P = .01) compared with men. Self-identified URiMs were less likely to list publications in ophthalmology (odds ratio [OR] 0.650, P = .05) and first-author publications in ophthalmology (OR 0.570, P = .02) compared to non-URiMs.

Conclusions: Our findings highlight disparities in research productivity by self-identified URiM status. On the other hand, women had similar if not higher research outputs than men. Greater research mentorship and opportunities to support URiM students may facilitate the recruitment of diverse trainees to ophthalmology programs.

References

Huang A, Kim S, Zhu H, Pathare N, Ooi X, Kirby R . A Bibliometric Analysis of Ophthalmology Resident Research Productivity in the United States. J Acad Ophthalmol (2017). 2023; 14(2):e263-e270. PMC: 9927984. DOI: 10.1055/s-0042-1758565. View

Camacci M, Lu A, Lehman E, Scott I, Bowie E, Pantanelli S . Association Between Sex Composition and Publication Productivity of Journal Editorial and Professional Society Board Members in Ophthalmology. JAMA Ophthalmol. 2020; 138(5):451-458. PMC: 7099467. DOI: 10.1001/jamaophthalmol.2020.0164. View

Venincasa M, Steren B, Young B, Parikh A, Ahmed B, Sridhar J . Ophthalmology Residency Match in the Covid-19 Era: Applicant and Program Director Perceptions of the 2020-2021 Application Cycle. Semin Ophthalmol. 2021; 37(1):36-41. DOI: 10.1080/08820538.2021.1906917. View

Murphy A, Mellia J, Iaconetti E, Asadourian P, Diatta F, Klifto K . Disparities in Research during Plastic Surgery Training: How Can We Level the Playing Field?. Plast Reconstr Surg Glob Open. 2022; 10(5):e4301. PMC: 9076450. DOI: 10.1097/GOX.0000000000004301. View

Simon A, Marsteller J, Lin S . Physician-patient race concordance from the physician perspective. J Natl Med Assoc. 2013; 105(2):150-6. DOI: 10.1016/s0027-9684(15)30110-3. View

Moy E, Bartman B . Physician race and care of minority and medically indigent patients. JAMA. 1995; 273(19):1515-20. View

Felder T, Braun K, Brandt H, Khan S, Tanjasiri S, Friedman D . Mentoring and Training of Cancer-Related Health Disparities Researchers Committed to Community-Based Participatory Research. Prog Community Health Partnersh. 2015; 9 Suppl:97-108. PMC: 4703034. DOI: 10.1353/cpr.2015.0020. View

Polanco-Santana J, Storino A, Souza-Mota L, Gangadharan S, Kent T . Ethnic/Racial Bias in Medical School Performance Evaluation of General Surgery Residency Applicants. J Surg Educ. 2021; 78(5):1524-1534. DOI: 10.1016/j.jsurg.2021.02.005. View

McClelland 3rd S, Woodhouse K, Jaboin J, Zellars R . Analysis of pre-residency research productivity, dual degree status, and gender distribution of underrepresented minorities among a current United States radiation oncology junior resident class. Rep Pract Oncol Radiother. 2019; 24(3):284-287. PMC: 6451161. DOI: 10.1016/j.rpor.2019.03.003. View

10.

Lopez S, Svider P, Misra P, Bhagat N, Langer P, Eloy J . Gender differences in promotion and scholarly impact: an analysis of 1460 academic ophthalmologists. J Surg Educ. 2014; 71(6):851-9. DOI: 10.1016/j.jsurg.2014.03.015. View

11.

Sheppard J, Lagman C, Nguyen T, Yokoi H, Jeong S, Luong P . Analysis of academic publishing output among 1634 successful applicants in the 2011-2018 neurosurgery residency match. J Neurol Sci. 2020; 420:117186. DOI: 10.1016/j.jns.2020.117186. View

12.

Reede J . A recurring theme: the need for minority physicians. Health Aff (Millwood). 2003; 22(4):91-3. DOI: 10.1377/hlthaff.22.4.91. View

13.

Helm E, Prieto D, Parker J, Russell M . Minority medical school faculty. J Natl Med Assoc. 2000; 92(8):411-4. PMC: 2608609. View

14.

Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D . The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996; 334(20):1305-10. DOI: 10.1056/NEJM199605163342006. View

15.

Xierali I, Nivet M, Wilson M . Current and Future Status of Diversity in Ophthalmologist Workforce. JAMA Ophthalmol. 2016; 134(9):1016-23. DOI: 10.1001/jamaophthalmol.2016.2257. View

16.

Thomas D . The truth about mentoring minorities. Race matters. Harv Bus Rev. 2001; 79(4):98-107, 168. View

17.

Zheng D, Kalra M, Narang J, Eversman A, Morgan F, Obi E . Gender trends in research output among matched dermatology residency applicants. J Am Acad Dermatol. 2021; 86(5):e213-e214. DOI: 10.1016/j.jaad.2021.09.073. View

18.

Boatright D, OConnor P, Miller J . Racial Privilege and Medical Student Awards: Addressing Racial Disparities in Alpha Omega Alpha Honor Society Membership. J Gen Intern Med. 2020; 35(11):3348-3351. PMC: 7661606. DOI: 10.1007/s11606-020-06161-x. View

19.

McClelland 3rd S, Murphy B, Jaboin J, Zellars R . Gender-based analysis of pre-residency research productivity among a current United States radiation oncology resident class. Chin Clin Oncol. 2021; 10(5):52. DOI: 10.21037/cco-21-95. View

20.

Bradford P, Akyeampong D, Fleming 2nd M, Dacus A, Chhabra A, DeGeorge Jr B . Racial and Gender Discrimination in Hand Surgery Letters of Recommendation. J Hand Surg Am. 2021; 46(11):998-1005.e2. DOI: 10.1016/j.jhsa.2021.07.009. View