Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.210062
Jornal Vascular Brasileiro
Original Article

Demographic and professional profile of Brazilian women in vascular surgery: final results

Perfis demográfico e profissional de mulheres brasileiras na cirurgia vascular: resultados finais

Fernanda Costa Sampaio Silva; Monique Magnavita Borba da Fonseca Cerqueira; Magno Conceição das Mercês; Flávia Magalhães Silveira Magella; Bárbara Beatriz Couto Ruivo; Marita von Rautenfeld; Roque Aras Junior

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Abstract

Abstract: Background: Gender diversity in health teams is associated with better productivity. As women’s participation in surgery has been growing, it is important to improve knowledge about the elements that guide their professional development.

Objectives: The aim of this study was to outline the demographic and professional features of female vascular surgeons in Brazil.

Methods: A cross-sectional study was designed, in which a questionnaire was made available online for 60 days. Invitations to participate were distributed by institutional e-mail sent from the Brazilian Society of Angiology and Vascular Surgery (SBACV) to associate women surgeons. Results are presented as numbers and percentages. Odds ratios and chi-square tests were used for analysis.

Results: From a total of 810 invitations sent out, 281 questionnaires were completed. The most prevalent age groups were 25-35 years (n = 115) and 36-45 years (n = 114). Among those who worked exclusively in the private sector, 79.8% had at least one board certification (OR: 0.76, 95% CI: 0.65-0.89; p = 0.001). Regarding workload distribution, 64.4% and 34.2% reported that they spend more time in the clinic and hospital, respectively. Respondents with more years of experience reported a predominance of office practice (p = 0.002). Although 67.3% (n = 189) had published scientific papers, 68% (n = 191) had never held leadership roles.

Conclusions: The study respondents consisted of highly qualified women surgeons with respect to training, certification, and scientific engagement, but they remain underrepresented in professional management positions. Surgical societies and health institutions should act to promote inclusive and diverse leadership.

Keywords

medical education, sexism, leadership, surgical specialties, surveys and questionnaires

Resumo

Resumo: Contexto: A diversidade de gênero em equipes médicas está associada a uma melhor produtividade. Com o aumento da participação feminina na cirurgia, é importante conhecer melhor os elementos que orientam o desenvolvimento dessas profissionais.

Objetivos: Delinear as características demográficas e profissionais das cirurgiãs vasculares no Brasil.

Métodos: Estudo de caráter transversal, em que foi disponibilizado um questionário on-line por 60 dias. O convite foi enviado pelo e-mail institucional da Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV) às cirurgiãs associadas. Os resultados são apresentados como números e porcentagens. Os testes de odds ratio (OR) e do qui-quadrado foram utilizados para a análise.

Resultados: De 810 convites enviados, 281 questionários foram respondidos. Os grupos etários predominantes foram 25-35 anos (n = 115) e 36-45 anos (n = 114). Entre as que trabalhavam exclusivamente no setor privado, 79,8% possuíam ao menos um Título de Especialista (OR: 0,76; intervalo de confiança de 95% 0,65-0,89; p = 0,001). Em relação à distribuição da carga horária, 64,4% e 34,2% relataram que passavam mais tempo no ambulatório e no hospital, respectivamente. Entre as com mais anos de experiência, houve predomínio da prática em consultório (p = 0,002). Embora 67,3% (n = 189) tenham publicado artigos científicos, 68% (n = 191) nunca ocuparam cargos de liderança.

Conclusões: As participantes do estudo consistiram em cirurgiãs altamente qualificadas em relação a treinamento, certificação e engajamento científico. No entanto, permanecem pouco representadas em cargos de gestão profissional. As sociedades cirúrgicas e as instituições de saúde devem agir para promover uma liderança inclusiva e diversa.
 

Palavras-chave

educação médica, sexismo, liderança, especialidades cirúrgicas, inquéritos e questionários

References

1 Kwong M, Carson JG, Freischlag JA, Hedayati N. Young female vascular surgeons more likely to enter academia. J Vasc Surg. 2017;66(2):649-60. http://dx.doi.org/10.1016/j.jvs.2017.02.055. PMid:28583730.

2 Scheffer M, Cassenote A, Guilloux AGA, et al. Demografia médica no Brasil 2018. São Paulo: FMUSP, CFM, Cremesp; 2018. 286 p.

3 Liang R, Dornan T, Nestel D. Why do women leave surgical training? A qualitative and feminist study. Lancet. 2019;393(10171):541-9. http://dx.doi.org/10.1016/S0140-6736(18)32612-6. PMid:30739689.

4 Kodama T, Koike S, Matsumoto S, Ide H, Yasunaga H, Imamura T. The working status of Japanese female physicians by area of practice: cohort analysis of taking leave, returning to work, and changing specialties from 1984 to 2004. Health Policy. 2012;105(2-3):214-20. http://dx.doi.org/10.1016/j.healthpol.2011.07.012. PMid:21908067.

5 Hirayama M, Fernando S. Organisational barriers to and facilitators for female surgeons’ career progression: a systematic review. J R Soc Med. 2018;111(9):324-34. http://dx.doi.org/10.1177/0141076818790661. PMid:30175935.

6 Crompton R, Lyonette C. Women’s career success and work-life adaptations in the accountancy and medical professions in Britain. Gend Work Organ. 2011;18(2):231-54. http://dx.doi.org/10.1111/j.1468-0432.2009.00511.x.

7 Forel D, Vandepeer M, Duncan J, Tivey DR, Tobin SA. Leaving surgical training: some of the reasons are in surgery. ANZ J Surg. 2018;88(5):402-7. http://dx.doi.org/10.1111/ans.14393. PMid:29411485.

8 Ali AM, McVay CL. Women in surgery: a history of adversity, resilience, and accomplishment. J Am Coll Surg. 2016;223(4):670-3. http://dx.doi.org/10.1016/j.jamcollsurg.2016.06.012. PMid:27374995.

9 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):263-8. http://dx.doi.org/10.1016/j.amjsurg.2012.07.044. PMid:23414631.

10 Wallis CJD, Ravi B, Coburn N, Nam RK, Detsky AS, Satkunasivam R. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017;359:j4366. http://dx.doi.org/10.1136/bmj.j4366. PMid:29018008.

11 Pories SE, Turner PL, Greenberg CC, Babu MA, Parangi S. Leadership in American surgery: women are rising to the top. Ann Surg. 2019;269(2):199-205. http://dx.doi.org/10.1097/SLA.0000000000002978. PMid:30048312.

12 Silva FCS, Cerqueira MMBF, Ruivo BBC, von Rautenfeld M. Women in vascular surgery: a brief analysis of the Brazilian profile. J Vasc Bras. 2018;17(2):128-35. http://dx.doi.org/10.1590/1677-5449.011317. PMid:30377422.

13 Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Versão. 2013 [cited 2018 feb 5]. www.OpenEpi.com

14 Silva FCS, Cerqueira MMBDF, Mercês MCD, Magella FMS, Ruivo BBC, von Rautenfeld M. Strengths and Barriers for Women in Vascular Surgery: The Brazilian Perspective. Eur J Vasc Endovasc Surg. 2020;60(2):165-6. http://dx.doi.org/10.1016/j.ejvs.2020.02.019. PMid:32197995.

15 Brasil. Conselho Federal de Medicina. Resolução CFM Nº 2.149/2016. Diário Oficial da União; Brasília; 3 ago 2016 [cited 2019 apr 7]. http://www.portalmedico.org.br/resolucoes/CFM/2016/2149_2016.pdf

16 Silver JK, Ghalib R, Poorman JA, et al. Analysis of gender equity in leadership of physician-focused medical specialty societies, 2008-2017. JAMA Intern Med. 2019;179(3):433-5. http://dx.doi.org/10.1001/jamainternmed.2018.5303. PMid:30615072.

17 Morton MJ, Sonnad SS. Women on professional society and journal editorial boards. J Natl Med Assoc. 2007;99(7):764-71. PMid:17668642.

18 Wehner MR, Nead KT, Linos K, Linos E. Plenty of moustaches but not enough women: cross sectional study of medical leaders. BMJ. 2015;351:h6311. http://dx.doi.org/10.1136/bmj.h6311. PMid:26673637.

19 Skinner H, Burke JR, Young AL, Adair RA, Smith AM. Gender representation in leadership roles in UK surgical societies. Int J Surg. 2019;67:32-6. http://dx.doi.org/10.1016/j.ijsu.2019.05.007. PMid:31121326.

20 Lyons NB, Bernardi K, Huang L, et al. Gender disparity in surgery: an evaluation of surgical societies. Surg Infect (Larchmt). 2019;20(5):406-10. http://dx.doi.org/10.1089/sur.2018.220. PMid:30892131.

21 Schiebinger L, Gilmartin SK. Housework is an academic issue. Academe. 2010;96:39-44.

22 Harris LM, Chaikof EL, Eidt JF. Altering the career choice: can we attract more women to vascular surgery? J Vasc Surg. 2007;45(4):846-8. http://dx.doi.org/10.1016/j.jvs.2006.12.072. PMid:17398400.

23 Mueller CM, Gaudilliere DK, Kin C, Menorca R, Girod S. Gender disparities in scholarly productivity of US academic surgeons. J Surg Res. 2016;203(1):28-33. http://dx.doi.org/10.1016/j.jss.2016.03.060. PMid:27338531.

24 Kane K, Rosero EB, Clagett GP, Adams-Huet B, Timaran CH. Trends in workforce diversity in vascular surgery programs in the United States. J Vasc Surg. 2009;49(6):1514-9. http://dx.doi.org/10.1016/j.jvs.2009.02.003. PMid:19398186.

25 Fassiotto M, Li J, Maldonado Y, Kothary N. Female surgeons as counter stereotype: the impact of gender perceptions on trainee evaluations of physician faculty. J Surg Educ. 2018;75(5):1140-8. http://dx.doi.org/10.1016/j.jsurg.2018.01.011. PMid:29402668.

26 Reed DA, Enders F, Lindor R, McClees M, Lindor KD. Gender differences in academic productivity and leadership appointments of physicians throughout academic careers. Acad Med. 2011;86(1):43-7. http://dx.doi.org/10.1097/ACM.0b013e3181ff9ff2. PMid:21099390.

27 Kuo LE, Lyu HG, Jarman MP, et al. Gender disparity in awards in general surgery residency programs. JAMA Surg. 2020. http://dx.doi.org/10.1001/jamasurg.2020.3518. PMid:32876660.

28 Ashton-James CE, Tybur JM, Grießer V, Costa D. Stereotypes about surgeon warmth and competence: the role of surgeon gender. PLoS One. 2019;14(2):e0211890. http://dx.doi.org/10.1371/journal.pone.0211890. PMid:30811457.

29 LeBlanc C, Sonnenberg LK, King S, Busari J. ‘Medical education leadership: from diversity to inclusivity’. GMS J Med Educ. 2020;37(2):Doc18. PMid:32328520.

30 Sociedade Brasileira de Angiologia e de Cirurgia Vascular – SBACV. 2020 [cited 2021 feb 10]. https://sbacv.org.br/

31 Presti C, Merlo I, Fonseca VL Fo, Navarro TP. SBACV através da história. Rio de Janeiro: DOC Editora; 2012. 153 p.
 


Submitted date:
04/25/2021

Accepted date:
06/13/2021

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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