Gender and workforce in urology – use of the BG index to assess female career promotion in academic urology
Vol. 17 No. 1 (2020),
26 January 2020
Purpose: Today, the majority of medical graduates in countries such as the UK, the US or Germany are female. This poses a major problem for workforce planning especially in urology. We here use first the first time the previously established Brüggmann Groneberg (BG) index to assess if female academic career options advance in urology.
Methods: Different operating parameters (student population, urology specialist population, urology chair female:male (f:m) ratio) were collected from the Federal Office of Statistics, the Federal Chamber of Physicians and the medical faculties of 36 German universities. Four time points were monitored (2000, 2005, 2010 and 2015). From these data, female to male (f:m) ratios and the recently established career advancement (BG) index have been calculated.
Results: The German hospital urology specialists’ f:m ratios were 0.257 (499 female vs. 1944 male) for 2015, 0.195 for 2010, 0.133 for 2005 and 0.12 for 2000. The career advancement (BG) index was 0.0007 for 2000, 0,0005 for 2005, 0.094 for 2010 and 0.073 for 2015. The decrease from 2010 to 2015 was due to an increase in the f:m ratio of hospital urologists and female medical students.
Conclusion: The BG index clearly illustrated that there is an urgent need for special academic career funding programs to counteract gender problems in urology. The BG index has been shown to be an excellent tool to assess female academic career options and will be very helpful to assess and document positive or negative changes in the next decades.
- academic medicine
- career promotion
- gender difference
- promotion index
How to Cite
Barrass BJR, Armitage J, Burgess N. The influence of gender on workforce planning in urology. BJU International. 2013;111:1018-20.
Fitzgerald JE, Tang SW, Ravindra P, Maxwell-Armstrong CA. Gender-related perceptions of careers in surgery among new medical graduates: results of a cross-sectional study. Am J Surg. 2013;206:112-9.
Sigsbee B, Bernat JL. Physician burnout: A neurologic crisis. Neurology. 2014;83:2302-6.
Buckley LM, Sanders K, Shih M, Kallar S, Hampton C. Obstacles to promotion? Values of women faculty about career success and recognition. Committee on the Status of Women and Minorities, Virginia Commonwealth University, Medical College of Virginia Campus. Acad Med. 2000;75:283-8.
Tesch BJ, Wood HM, Helwig AL, Nattinger AB. Promotion of women physicians in academic medicine. Glass ceiling or sticky floor? JAMA. 1995;273:1022-5.
Zhuge Y, Kaufman J, Simeone DM, Chen H, Velazquez OC. Is there still a glass ceiling for women in academic surgery? Ann Surg. 2011;253:637-43.
Flannery AM. Success, women, and academic surgery. Surgery. 2002;131:670-1.
Brewer SL, Mongero LB. Women in perfusion: a survey of North American female perfusionists. J Extra Corpor Technol. 2013;45:173-7.
Jonasson O. Leaders in American surgery: where are the women? Surgery. 2002;131:672-5.
Sexton KW, Hocking KM, Wise E, et al. Women in academic surgery: the pipeline is busted. J Surg Educ. 2012;69:84-90.
Bruggmann D, Groneberg DA. An index to characterize female career promotion in academic medicine. J Occup Med Toxicol. 2017;12:18.
Office FS. DeSTATIS. https://http://www.destatis.de/DE/ZahlenFakten/Indikatoren/LangeReihen/Bildung/lrbil05.html. Accessed 2015-02-02.
Physicians FCo. Physician statistics. http://www.bundesaerztekammer.de/page.asp?his=0.3.12002. Accessed 2015-01-02.
Conroy G. Gender proportions in medical schools are almost equal, but disparities persist further up the ranks, a new tracking tool reveals. https://http://www.natureindex.com/news-blog/new-tool-tracks-gender-imbalance-in-medicine. 2017.
Pruthi RS, Neuwahl S, Nielsen ME, Fraher E. Recent trends in the urology workforce in the United States. Urology. 2013;82:987-93.
Kim SO, Kang TW, Kwon D. Gender Preferences for Urologists: Women Prefer Female Urologists. Urol J. 2017;14:3018-22.
Grimsby GM, Wolter CE. The journey of women in urology: the perspective of a female urology resident. Urology. 2013;81:3-6.
Jackson I, Bobbin M, Jordan M, Baker S. A survey of women urology residents regarding career choice and practice challenges. J Womens Health (Larchmt). 2009;18:1867-72.
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