Skip to main content

Advertisement

Log in

Has Breast Surgery Shattered the Glass Ceiling? Trends in Female Representation at The American Society of Breast Surgeons Annual Meeting 2009–2019

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Our study sought to evaluate gender representation and the impact of gender on the large volume of research presented at The American Society of Breast Surgeons (ASBrS) Annual Meeting, the largest breast surgery meeting in the United States.

Methods

Publicly available ASBrS meeting programs and proceedings from 2009 to 2019 were reviewed to ascertain proportions of female engagement in society positions, contributions to scientific sessions, and subsequent manuscript publications. Trend analyses for temporal changes in gender representation and univariate tests of associations between authorship gender and publication success were performed.

Results

Women comprised 44.8% of members of the board of directors, 41.7% of committee chairs, and 54.8% of committee members. There were significant annual increased proportions of female committee members (3.2% per year, p = 0.01) and chairs (6.0% per year, p = 0.03). Women represented > 50% of all speakership positions, except keynote (42.2%). For oral, quickshot, and poster scientific presentations, > 70% of first authors and > 60% of senior authors were women. The meeting-related publication rate with female senior authorship was higher than that with male senior authorship (41.0% vs. 36.3%, p = 0.04).

Conclusions

Although female surgeons remain a minority at most conferences, women have represented the majority of participants in committees, speakership, and scientific presentations at the ASBrS Annual Meeting over the past 10 years. The glass ceiling in breast surgery has been shattered, but efforts to improve gender equity must continue, not only in breast surgery, but all surgical specialties.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. AAMC. Active physicians by sex and specialty, 2017. Physician Specialty Data Report. https://www.aamc.org/data-reports/workforce/interactive-data/active-physicians-sex-and-specialty-2017. Accessed 3 March 2020.

  2. Sexton KW, Hocking KM, Wise E, et al. Women in academic surgery: the pipeline is busted. J Surg Educ. 2012;69(1):84–90.

    Article  Google Scholar 

  3. Epstein NE. Discrimination against female surgeons is still alive: Where are the full professorships and chairs of departments? Surg Neurol Int. 2017;8:93.

    Article  Google Scholar 

  4. AAMC. U.S. Medical School Faculty by Sex, Rank, and Department, 2019. https://www.aamc.org/system/files/2020-01/2019Table13.pdf. Accessed 15 April 2020.

  5. AAMC. Department Chairs by Department, Sex, and Race/Ethnicity, 2019. https://www.aamc.org/system/files/2020-01/2019%20Supplemental%20Table%20C.pdf. Accessed 3 March 2020.

  6. Schimanski LA, Alperin JP. The evaluation of scholarship in academic promotion and tenure processes: past, present, and future. Research F1000Res. 2018;7:1605.

    Article  Google Scholar 

  7. Nielsen MW, Andersen JP, Schiebinger L, Schneider JW. One and a half million medical papers reveal a link between author gender and attention to gender and sex analysis. Nat Hum Behav. 2017;1(11):791–6.

    Article  Google Scholar 

  8. Lee S, Chang JH, Kadakia N, Lum S. Trends in participation and authorship of women at the Pacific Coast Surgical Association Meeting 2008-2018. JAMA Surg. 2020 (in press).

  9. ASBrS. About ASBrS. https://www.breastsurgeons.org/about/. Accessed 1 May 2020.

  10. Cody HS 3rd. Presidential address: “A Part of the Main”. Ann Surg Oncol. 2015;22(10):3161–7.

    Article  Google Scholar 

  11. AAMC. ACGME residents and fellows by sex and specialty, 2017. https://www.aamc.org/data-reports/workforce/interactive-data/acgme-residents-and-fellows-sex-and-specialty-2017. Accessed 5 March 2020.

  12. AAMC. The majority of U.S. medical students are women, new data show. https://www.aamc.org/news-insights/press-releases/majority-us-medical-students-are-women-new-data-show. Accessed 1 May 2020.

  13. Killelea BK, Modestino AS, Gass J, et al. The 2018 Compensation Survey of the American Society of Breast Surgeons. Ann Surg Oncol. 2019;26(10):3052–62.

    Article  Google Scholar 

  14. Groutz A, Amir H, Caspi R, Sharon E, Levy YA, Shimonov M. Do women prefer a female breast surgeon? Isr J Health Policy Res. 2016;5:35.

    Article  Google Scholar 

  15. UN. United Nations Development Programme Human Development Reports, Table 5 Gender Inequality Index. http://hdr.undp.org/en/content/table-5-gender-inequality-index-gii. Accessed 12 May 2020.

  16. Plunkett BA, Kohli P, Milad MP. The importance of physician gender in the selection of an obstetrician or a gynecologist. Am J Obstet Gynecol. 2002;186(5):926–8.

    Article  Google Scholar 

  17. Johnson AM, Schnatz PF, Kelsey AM, Ohannessian CM. Do women prefer care from female or male obstetrician-gynecologists? A study of patient gender preference. J Am Osteopath Assoc. 2005;105(8):369–79.

    PubMed  Google Scholar 

  18. Huis In ‘t Veld EA, Canales FL, Furnas HJ. The impact of a plastic surgeon’s gender on patient choice. Aesthet Surg J. 2017;37(4):466–71.

    PubMed  Google Scholar 

  19. Salles A, Awad M, Goldin L, et al. Estimating implicit and explicit gender bias among health care professionals and surgeons. JAMA Netw Open. 2019;2(7):e196545.

    Article  Google Scholar 

  20. Dusch MN, O’Sullivan PS, Ascher NL. Patient perceptions of female surgeons: how surgeon demeanor and type of surgery affect patient preference. J Surg Res. 2014;187(1):59–64.

    Article  Google Scholar 

  21. Debarre F, Rode NO, Ugelvig LV. Gender equity at scientific events. Evol Lett. 2018;2(3):148–58.

    Article  CAS  Google Scholar 

  22. Casadevall A, Handelsman J. The presence of female conveners correlates with a higher proportion of female speakers at scientific symposia. mBio. 2014;5(1):e00846-13.

    Article  Google Scholar 

  23. Wilcox AR, Trooboff SW, Lai CS, Turner PL, Wong SL. Trends in gender representation at the American College of Surgeons Clinical Congress and the Academic Surgical Congress: a mixed picture of progress. J Am Coll Surg. 2019;229(4):397–403.

    Article  Google Scholar 

  24. Moeschler SM, Gali B, Goyal S, et al. Speaker Gender Representation at the American Society of Anesthesiology Annual Meeting: 2011–2016. Anesth Analg. 2019;129(1):301–5.

    Article  Google Scholar 

  25. Mehta S, Rose L, Cook D, Herridge M, Owais S, Metaxa V. The speaker gender gap at critical care conferences. Crit Care Med. 2018;46(6):991–6.

    Article  Google Scholar 

  26. Lin TR, Kocher NJ, Klausner AP, Raman JD. Longitudinal gender disparity in female urology resident primary authorship at an American Urological Association Sectional Meeting. Urology. 2017;110:40–4.

    Article  Google Scholar 

  27. Nielsen MW, Bloch CW, Schiebinger L. Making gender diversity work for scientific discovery and innovation. Nat Hum Behav. 2018;2(10):726–34.

    Article  Google Scholar 

  28. Liszewski W, Peebles JK, Yeung H, Arron S. Persons of nonbinary gender—awareness, visibility, and health disparities. N Engl J Med. 2018;379(25):2391–3.

    Article  Google Scholar 

Download references

Acknowledgements

The authors report no funding source for this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sharon S. Lum MD.

Ethics declarations

Disclosures

The authors have no disclosures to report.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chang, J.H., Abou-Zamzam, A., Lee, S. et al. Has Breast Surgery Shattered the Glass Ceiling? Trends in Female Representation at The American Society of Breast Surgeons Annual Meeting 2009–2019. Ann Surg Oncol 27, 4662–4668 (2020). https://doi.org/10.1245/s10434-020-08899-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1245/s10434-020-08899-4

Navigation