Does gender disparity exist in neurosurgery training? Evidence from a nationwide survey from Pakistan

References

• Bernardi K, Shah P, Lyons NB, et al. Perceptions on gender disparity in surgery and surgical leadership: a multicenter mixed methods study. Surgery. 2020 Apr 1;167(4):743–8. doi: 10.1016/j.surg.2019.12.004
   PubMed Web of Science ®Google Scholar
• Abelson JS, Chartrand G, Moo TA, et al. The climb to break the glass ceiling in surgery: trends in women progressing from medical school to surgical training and academic leadership from 1994 to 2015. Am J Surg. 2016 Oct 1;212(4):566–572.e1.
   PubMed Web of Science ®Google Scholar
• Iqbal Y, Khan W, Mooghal M. Impediment to leadership opportunities for female doctors – gender disparity in Pakistani healthcare system –SHORT REPORT. Adv Med Educ Pract. 2022;13:213–215. doi: 10.2147/AMEP.S348255
   PubMed Web of Science ®Google Scholar
• Karam A, Khan MD, Khan BD, et al. Gender discrimination in surgery: a cross-sectional study in a tertiary care hospital in Pakistan. Int J Surg Open. 2022 Dec 1;49:100575.
   Web of Science ®Google Scholar
• Siotos C, Payne RM, Stone JP, et al. Evolution of workforce diversity in surgery. J Surg Educ. 2019 Jul 1;76(4):1015–1021. doi: 10.1016/j.jsurg.2018.12.009
   PubMed Web of Science ®Google Scholar
• Malik M, Inam H, Janjua MBN, et al. Factors affecting women surgeons’ careers in low–middle-Income countries: an international survey. World J Surg. 2021 Feb 1;45(2):362–368. doi: 10.1007/s00268-020-05811-9
   PubMed Web of Science ®Google Scholar
• Garozzo D, Rispoli R, Graziano F, et al. Women in neurosurgery: historical path to self-segregation and proposal for an integrated future. Front Surg. 2022 Jun 28;9. doi: 10.3389/fsurg.2022.908540
   PubMed Web of Science ®Google Scholar
• Koutsouras GW, Zhang L, Zanon N, et al. Equity in neurosurgery: a worldwide survey of women neurosurgeons. J Neurosurg. 2022 Jul 29;138(2):550–558.
   PubMed Web of Science ®Google Scholar
• Anand A, Ibrahim IA, Kathayat P, et al. Need to address the gender disparities in neurosurgery in India. Ann Med Surg. 2024 January;86(1):20–22.
   PubMedGoogle Scholar
• Lulla T, Hansen RTB, Smith CA, et al. Women neurosurgeons around the world: a systematic review. Neurosurg Focus. 2021 Mar 1;50(3):E12. doi: 10.3171/2020.12.FOCUS20902
   PubMed Web of Science ®Google Scholar
• Johnson GW, Almgren-Bell A, Skidmore A, et al. Representation of female neurosurgeons as abstract authors at neurological surgery conferences. J Neurosurg. 2022 Feb 25;137(4):1180–1186. doi: 10.3171/2022.1.JNS212096
   Web of Science ®Google Scholar
• Pastor-Cabeza M, Torné R, García-Armengol R, et al. Women’s role in neurosurgical research: is the gender gap improving? Neurosurg Focus. 2021 Mar 1;50(3):1–7. doi: 10.3171/2020.12.FOCUS20911
   Web of Science ®Google Scholar
• Naik A, Peterman N, Furey C, et al. Factors influencing geographic gender disparity in neurosurgery: a nationwide geospatial clustering analysis. J Neurosurg. 2023 Jul 7;140(1):282–290. doi: 10.3171/2023.5.JNS23203
   PubMedGoogle Scholar
• Shi HH, Westrup AM, O’Neal CM, et al. Women in neurosurgery around the world: a systematic review and discussion of barriers, training, professional development, and solutions. World Neurosurg. 2021 Oct 1;154:206–213.e18.
   PubMed Web of Science ®Google Scholar
• Renfrow JJ, Rodriguez A, Liu A, et al. Positive trends in neurosurgery enrollment and attrition: analysis of the 2000-2009 female neurosurgery resident cohort. J Neurosurg. 2016 Mar 1;124(3):834–839. doi: 10.3171/2015.3.JNS142313
   PubMed Web of Science ®Google Scholar
• Benzil DL, Abosch A, Germano I, et al. The future of neurosurgery: a white paper on the recruitment and retention of women in neurosurgery. J Neurosurg. 2008 Sep;109(3):378–386.
   PubMed Web of Science ®Google Scholar
• Pahwa B, Kalyani M, Jain I, et al. Will you choose neurosurgery as your career? An Indian female medical student perspective. J Clin Neurosci. 2022 Nov 1;105:1–8.
   PubMed Web of Science ®Google Scholar
• Arif MM, Nisar W, Agha K, et al. Exploring specialty selection and influencing factors among medical students and postgraduates: an observational study: specialty selection and influencing factors among medical students. Pak J Med Sci. 2023 Jun 30;4(6):263–269. doi: 10.54393/pjhs.v4i06.803
   Google Scholar
• Ul Ain AN, Shaikh Y, Sharif S, et al. The challenges in neurosurgery training in a third world country. World Neurosurg. 2021 Aug 1;152:19–23. doi: 10.1016/j.wneu.2021.04.118
   PubMed Web of Science ®Google Scholar
• OpenEpi. Open Source Epidemiologic Statistics for Public Health, Version 2013. Dean AGSKSM. 2013. https://www.openepi.com/Menu/OE_Menu.htm
   Google Scholar
• Robinson GE. Stresses on women physicians: consequences and coping techniques. Depress Anxiety. 2003;17(3):180–189. doi: 10.1002/da.10069
   PubMed Web of Science ®Google Scholar
• Weiss M, Dogan R, Jeltema HR, et al. Women in leadership positions in European neurosurgery - have we broken the glass ceiling? Brain And Spine. 2023 Jan 1;3:101777.
   PubMedGoogle Scholar
• Thum JA, Chang D, Tata N, et al. Neurosurgeons in 2020: the impact of gender on neurosurgical training, family planning, and workplace culture. Neurosurg Focus. 2021 Mar 1;50(3):1–8. doi: 10.3171/2020.12.FOCUS20965
   Web of Science ®Google Scholar
• Bickel J. Women in academic medicine. J Am Med Womens Assoc (1972). 2000;55(1): 10–2, 19. Winter.
   PubMedGoogle Scholar
• The Majority of U.S. Medical students are women, new data show | AAMC. https://www.aamc.org/news/press-releases/majority-us-medical-students-are-women-new-data-show
   Google Scholar
• Mohsin M, Syed J. The missing doctors — an analysis of educated women and female domesticity in Pakistan. Gend Work Organ. 2020 Nov;1(6):1077–1102. doi: 10.1111/gwao.12444
   Google Scholar
• Ramos MB, De Farias FAC, Britz JPE, et al. Representation of women on editorial boards of medline-indexed spine, neurosurgery, and orthopedic journals. Int J Spine Surg. 2022 Apr 1;16(2):404. doi: 10.14444/8223
   PubMed Web of Science ®Google Scholar
• Aslan A, Kuzucu P, Karaaslan B, et al. Women in neurosurgery: gender differences in authorship in high-impact neurosurgery journals through the last two decades. World Neurosurg. 2020 Jun 1;138:374–380. doi: 10.1016/j.wneu.2020.03.017
   PubMed Web of Science ®Google Scholar
• Alam L, Khan J, Alam M, et al. Residents’ perspective on the quality of postgraduate training programs in Pakistan - the good, the bad and the ugly. Pak J Med Sci. 2021 Nov 1;37(7). doi: 10.12669/pjms.37.7.4297
   Web of Science ®Google Scholar
• Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Burnout among health care professionals: a call to explore and address this underrecognized threat to safe, high-quality care. NAM Perspectives. 2017 Jul 5;7(7). doi: 10.31478/201707b
   Google Scholar
• Fujimaki T, Shibui S, Kato Y, et al. Working conditions and lifestyle of female surgeons affiliated to the Japan neurosurgical society: findings of individual and institutional surveys. Neurol Med Chir (Tokyo). 2016;56(11):704–708. doi: 10.2176/nmc.oa.2016-0119
   PubMed Web of Science ®Google Scholar
• Manzoor S. The impact of indigenous culture on female leadership in Pakistan. Int J Organ Leadersh. 2015;4(4):414–429. doi: 10.33844/ijol.2015.60414
   Google Scholar
• Dixon A, Silva NA, Sotayo A, et al. Female Medical Student Retention in Neurosurgery: A Multifaceted Approach. World Neurosurg. 2019 Feb 1;122:245–251.
   PubMed Web of Science ®Google Scholar
• Ryan CA, Sciscent BY, Bhanja D, et al. Female neurosurgery residency program directors in the United States: a cross-sectional descriptive analysis. World Neurosurg. 2023 Jan 1;169:52–56.
   PubMed Web of Science ®Google Scholar
• Pahwa B, Chaurasia B, Garg K, et al. Factors affecting the choice of neurosurgery subspecialty: a geographic and gender-wise analysis. World Neurosurg. 2023 Mar 1;171:e864–73.
   PubMed Web of Science ®Google Scholar