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• W3124587232 abstract "Introduction/objective Women constitute more than 50% of medical students in the United States. However, only 9.9% of practicing urologists are women, with much fewer numbers in high ranking appointments and positions of leadership. With a growing number of women in pediatric urology, we sought to evaluate how pediatric urologists perceive the climate for women physicians and compare perceptions and experiences of gender equity based on characteristics including gender, practice type, parental status, and years in practice. Study design An IRB approved survey was sent out to the Society of Pediatric Urology (SPU) listserve of active members. We utilized a validated study, the Culture Conducive to Women's Academic Success questionnaire (CCWAS, higher scores indicating better perceived culture toward women). Subcategories (equal access, work-life balance, freedom of gender bias, and leadership support) were also analyzed. A comment section was provided for respondents to include their own experiences. Descriptive statistics were used for demographics and clinical characteristics. Wilcoxon Rank-Sum and Kruskal–Wallace tests were used to compare CCWAS scores between groups. Results A total of 116 practicing physicians returned completed surveys for analysis (response rate, 116/355 (33%) [ n = 41,35.3%] female [n = 75,64.7%] male). There was a statistically significant difference in total CCWAS score between male and female genders, indicating male physicians perceived the culture of their department toward women more positively than their female counterparts (median [ interquartile range] CCWAS score, 208.0 [189.0–228.0] vs 164.0 [136.0–190.3]; P < 0.0001). There was no significant difference in CCWAS scores based on years in practice, parental status, or academic versus private practice. Discussion Limitations of our survey include both participation and non-response bias. Those with strong opinions may have been more likely to respond to the survey. Male respondents comprised 64.7% (n = 75) of overall respondents, representing 25% active male SPU members. Whereas the response rate of active female members of the SPU was 70%. The survey was designed to assess gender equity in academia, and may not be as generalizable to the private practice community. Yet, the differences in perceptions and experiences of gender equity of this study have been noted by studies in other specialties, as well as the 2018 AUA Census report, and may provide insight into the presence and perpetuation of unconscious or systemic biases within medicine. Conclusion Tabled 1Summary TableDemographic Descriptive Statistics and CCWAS Score CCWAS Scores Kruskal–Wallace Test Results n Mean Median IQR (Quartiles) P-value Gender Female 41 (35.3%) 165.9 164.0 56.0 (136.0, 190.3) <0.0001 Male 75 (64.7%) 208.8 208.0 39.0 (189.0, 228.0) Years in Practice <5 years 24 (20.7%) 188.0 183.5 45.3 (166.3, 211.5 0.46 5–10 years 17 (14.7%) 200.9 193.0 46.0 (182.0, 228.0) >10 years 75 (64.7%) 193.8 201.0 36.5 (180.5, 217.05) Role (Before consolidation) Academic practice, full time 91 (78.4%) 194.8 201.0 43.0 (178.5, 221.5) Academic practice, part time 3 (2.6%) 165.3 183.0 31.5 (154.0, 185.5) Private practice, full time 19 (16.4%) 192.8 199.0 32.5 (180.0, 212.5) Private practice, part time 3 (2.6%) 192.7 198.0 9.0 (189.5, 198.5) Role (After consolidation) Academic 94 (81.0%) 193.9 199.0 42.3 (178.25, 220.5) 0.72 a Denotes inexact p-value because of rank-sum tie. Exact Wilcoxon/Kruskal–Wallace tests were performed as one subsample was less than 50 in each analysis. Private 22 (19.0%) 192.8 198.5 28.0 (181.5, 209.5) Parental Status Yes 100 (86.2%) 195.3 199 37.3 (179.8, 217.0) 0.42 No 15 (12.9%) 187.2 182 62.5 (156.5, 219.0) Prefer not to answer 1 (0.8%) 127 127 0.0 (127.0, 127.0) a Denotes inexact p-value because of rank-sum tie. Exact Wilcoxon/Kruskal–Wallace tests were performed as one subsample was less than 50 in each analysis. Open table in a new tab Women constitute more than 50% of medical students in the United States. However, only 9.9% of practicing urologists are women, with much fewer numbers in high ranking appointments and positions of leadership. With a growing number of women in pediatric urology, we sought to evaluate how pediatric urologists perceive the climate for women physicians and compare perceptions and experiences of gender equity based on characteristics including gender, practice type, parental status, and years in practice. An IRB approved survey was sent out to the Society of Pediatric Urology (SPU) listserve of active members. We utilized a validated study, the Culture Conducive to Women's Academic Success questionnaire (CCWAS, higher scores indicating better perceived culture toward women). Subcategories (equal access, work-life balance, freedom of gender bias, and leadership support) were also analyzed. A comment section was provided for respondents to include their own experiences. Descriptive statistics were used for demographics and clinical characteristics. Wilcoxon Rank-Sum and Kruskal–Wallace tests were used to compare CCWAS scores between groups. A total of 116 practicing physicians returned completed surveys for analysis (response rate, 116/355 (33%) [ n = 41,35.3%] female [n = 75,64.7%] male). There was a statistically significant difference in total CCWAS score between male and female genders, indicating male physicians perceived the culture of their department toward women more positively than their female counterparts (median [ interquartile range] CCWAS score, 208.0 [189.0–228.0] vs 164.0 [136.0–190.3]; P < 0.0001). There was no significant difference in CCWAS scores based on years in practice, parental status, or academic versus private practice. Limitations of our survey include both participation and non-response bias. Those with strong opinions may have been more likely to respond to the survey. Male respondents comprised 64.7% (n = 75) of overall respondents, representing 25% active male SPU members. Whereas the response rate of active female members of the SPU was 70%. The survey was designed to assess gender equity in academia, and may not be as generalizable to the private practice community. Yet, the differences in perceptions and experiences of gender equity of this study have been noted by studies in other specialties, as well as the 2018 AUA Census report, and may provide insight into the presence and perpetuation of unconscious or systemic biases within medicine." @default.
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• W3124587232 date "2021-06-01" @default.
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• W3124587232 title "Perceptions of gender equity in pediatric urology" @default.
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• W3124587232 doi "https://doi.org/10.1016/j.jpurol.2021.01.011" @default.
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