Academic Leadership Positions Research Articles

Barriers and Facilitators to Becoming a Medical Physicist in Bangladesh

The notion of gender equity is debatable, and worldwide health professionals are exploring the argument. However, the contextual situation and experience are different in each country and vary across cultures. There is an extensive amount of literature that presents women’s participation and involvement as increased in science, technology, engineering and mathematics over the last decades (Frize et al., 2022); however, there are variations in data and analyses documented which refer to the gender disparity of medical physicists (MPs) Worldwide (Barabino et al., 2020; Crowe and Kairn, 2016). Medical physics is one of the fields in health care where women are underrepresented, with only 29.8% of the workforce reported identifying as females in this sector (Tsapaki et al., 2018; Tsapaki and Rehani, 2015). Historically, the healthcare profession is male-dominated (Witz, 1990), with women being underrepresented in many specialist fields like academic medicine, surgical specialities and leadership positions (Kramer et al., 2021). The Nursing profession is, however, excluded from this category and considered a woman’s job. Furthermore, women’s contributions to the healthcare industry are not frequently acknowledged (Paradis et al., 2021). Moreover, the career trail for men and women in the healthcare profession is suggestively different (Baig, 2020). Broadly, regarding leadership positions and the range of decision-making, there are observable gender discrepancies in the industry. One of the main reasons for this is social restrictions, which women in specific geographic locations like Bangladesh encounter frequently. The lack of support or a platform for women to practice their profession with autonomy impedes their progress or movement upward in their careers. Women's unhindered involvement, participation and career development in patient care will improve healthcare provision, especially in caring for vulnerable patient groups like the elderly, individuals with significant co-morbidities, and minorities (Covington et al., 2020). In addition, involving more women in healthcare will not only reduce the gender disparity and empower them but also create a sense of confidence in the professions and services provided and, as a result, improve overall well-being. This study will aim to understand the views and experiences of gender-based discrimination among practising medical physicists in Bangladesh.

Sticky Floor, Broken Ladder, and Glass Ceiling in Internal Medicine Academic Ranking, Leadership, and Research Productivity.

Despite more women entering medicine, substantial gender disparities remain in various medical disciplines. This study explores the extent of these disparities in Canadian academic internal medicine, particularly in academic ranks, leadership positions, and research productivity. Cross-sectional. Faculty physicians within internal medicine and subspecialties. Data on faculty physicians with Medical Doctorate (MD), Doctor of Osteopathic Medicine (DO), or Bachelor of Medicine, Bachelor of Surgery (MBBS) degrees were compiled from 17 internal medicine programs listed in the Canadian Resident Matching Service (CaRMS). Research metrics were obtained using Elsevier's Scopus, and analyses were performed with Stata v14.2. Among 5099 physician faculty members in internal medicine, 34% were women, and 66% were men. Among the faculty members holding leadership positions, 68% were men, and 32% were women. There was a significant difference in h-index between men and women physician faculty members (p ≤ 0.001), with men having a higher research output. Across all academic ranks, men faculty had higher median h-index values: Assistant Professor (12 vs. 9), Associate Professor (20 vs. 16), and Professor (40 vs. 30). Women were underrepresented in the procedural specialties, while only a few internal medicine subspecialties, such as palliative medicine and geriatrics, had a women predominance. Our study underscores existing gender disparity within academic internal medicine in Canada, aligning with global trends. Women remain disproportionately underrepresented in academic ranks, leadership positions, and research productivity. Addressing these disparities necessitates a systemic and multifaceted approach, encompassing policy reforms, mentorship, and fostering an inclusive work environment.

Female Leaders in Lebanese Private Schools: Perceptions, Barriers and Leadership Characteristics

Globally females are underrepresented in leadership positions. In academic settings, despite the majority of teachers being females, there is no equal representation between the two genders when it comes to leadership. The trend remains that females teach and males manage. This is discriminatory and unfair, especially when female leaders have an advantage over male leaders in school settings. If females are more effective in academic leadership positions, why aren’t they provided with equal leadership opportunities? This paper uncovers the perceptions surrounding female leaders and their ability to lead, the barriers that forbid females from advancing to leadership positions, and the predominant leadership characteristics viewed in each gender. By surveying female and male teachers from Lebanese private schools in the district of Mount Lebanon, this paper indicates that female leaders are surrounded with positive perceptions, but are, however, prevented from advancing to leadership positions by several challenges. The two most prominent barriers to female leadership are found to be related to organizational discrimination, and societal pressures. Moreover, the predominant leadership characteristics visible in each gender are confirmed by this study. Similar to studies about the situation of female leaders in other Arab countries, this research reveals a growing acceptance for female leaders in Lebanese private schools, despite the presence of challenging barriers. By uncovering the current situation of Lebanese female leaders in private schools, this study helps pave the path for much needed solutions in terms of gender equality and equity.

Celso Arango: The future of psychiatry inevitably depends on primary prevention

Dr. Celso Arango stands as a preeminent authority in psychiatry, wielding considerable influence through his multifaceted roles. As Director of the Institute of Psychiatry and Mental Health at Hospital General Universitario Gregorio Marañón and Professor of Psychiatry at the Universidad Complutense de Madrid, he spearheads Spain's advancements in mental health research and treatment. Dr. Arango's expertise resonates globally, reflected in his visiting professorships at renowned institutions, including the University of California, San Francisco, the University of Maryland, and King's College London. His commitment to international collaboration, evidenced by partnerships with over 100 institutions worldwide, significantly propels the global psychiatric community forward. Dr. Arango's exceptional contributions have garnered prestigious accolades, notably his election as the youngest member of the Royal National Academy of Medicine in Spain and his recent induction into the National Academy of Medicine in the United States. At the core of his research efforts lies a dedicated focus on early-onset psychosis and neurodevelopmental disorders in young individuals, work that not only advances scientific understanding but also offers tangible hope for improved treatment outcomes. Dr. Arango's unique blend of clinical expertise, research acumen, and academic leadership positions him at the vanguard of innovation in mental health care, potentially revolutionizing our approach to understanding and treating psychiatric disorders across the lifespan. In this exclusive Genomic Press Interview, Dr. Arango shares insights on his life and career, offering our readers a glimpse into the mind of one of psychiatry's most influential figures.

Gender Disparity Among Top North American Medical Schools and Their Affiliated Radiology Departments: Medical school vs Radiology - Gender Diverse?

PurposeThis study aimed to evaluate the degree of gender disparity in leadership positions at the top 25 medical schools in North America compared to their affiliated radiology departments. MethodsThe academic rank and leadership appointment of medical school and radiology faculty were obtained from publicly available official websites between June-November 2022. Gender was determined using self-identified pronouns on website biographies. Alternatively, gender API software was used. Finally, SCOPUS Elsevier was used to extract research output metrics including publication counts, citations, and h-indices. Statistical analysis was conducted using the IBM SPSS Statistics version 25 software. Results2216 individuals across 25 medical schools were included in this study. 1301 (58.7%) were part of the medical school and 915 (41.3%) were part of the affiliated radiology departments. Additionally, 1575 (71.1%) were identified as men and 641 (28.9%) as women. Rank biserial correlations showed a significant association between higher academic rank and male gender (rpb = 0.143, p < 0.001) regardless of affiliation (medical school leadership versus radiology faculty); this disparity was largest at the highest academic ranks. Male gender was associated with higher research productivity relative to female gender regardless of affiliation (p < 0.001). There were minimal statistical differences in leadership positions between genders, however the proportion of men holding the position of dean was two times higher than women. ConclusionThe underrepresentation of women in academic medicine is prevalent in the top-ranking medical institutions in North America and disproportionately involves senior academic ranks and leadership positions.

Championing Inclusivity: Underrepresentation of Women in African Academic Leadership and Scholarly Journal Management

Objectives – This study seeks to investigate the exclusion of women from the management of scholarly journals across East Swahili (Kenya, Uganda, Tanzania, South Sudan, Ethiopia, and Anglo-West Africa (Ghana, Nigeria, Sierra Leone, Liberia, Gambia) by delving into the implications of marginalization. Furthermore, the study aims to illuminate the often-overlooked experiences of black women, whose narratives are frequently overshadowed by those of black men or subsumed within the context of white women. Methods – By employing empirical evidence from African Journals Online (AJO) and institutional journal data from countries in focus, this study examines the pervasive domination of men within scholarly journal management in East Swahili and Anglo-West Africa. Results – Findings reveal a widespread dominance of men in the management of scholarly journals in the targeted countries despite the considerable presence of women in academia. Conclusion – The underrepresentation of women in academic leadership positions carries significant consequences, including a lack of diversity in decision-making processes. Such homogeneity can perpetuate existing disparities and impede progress towards gender equality within academia. Furthermore, discussions concerning gender inequality in academia often neglect the experiences of black women.

Making the glass ceiling visible: vertical segregation in Mongolian public universities

ABSTRACT This study examined vertical segregation in Mongolian public universities, making the formation of the glass ceiling visible. Due to its socialist foundation, the Mongolian university sector has long been masculinized, wherein the two systems of socialism and democracy exist simultaneously, and this coexistence is clumsy rather than harmonious. Hence, there are two isolated paths towards investigating gender and leadership practices in this sector: political appointments of senior leadership positions from the government and the collegial type of elections in middle management. This study has focused on the more democratic practices of elections in middle management. The main goal of this study was to define what factors the voters/academics consider when they evaluate the candidates competing for leadership positions in Mongolian public universities. A total of 312 academics from Mongolian public universities participated in the survey. The results indicated that academic leadership positions were seen as more of an academic duty rather than a leadership responsibility. Interestingly, males and politically affiliated academics tended to strengthen the masculinized culture, perpetuating the practice of the Boys’ Club in academia.

The National Organization of Nurse Practitioner Faculties Leadership Mentoring Program: Ten years of positive outcomes

BackgroundNursing leadership programs can have a positive impact on organizations and communities. Health equity in nursing requires leaders who parallel the population demographics. PurposeThis work evaluated the National Organization of Nurse Practitioner Faculties Leadership Mentoring Program (LMP) 10 years from its inception. Lessons learned from this evaluation can inform leadership initiatives in nursing and other health professions. MethodThis cross-sectional evaluation applied the Context, Inputs, Process, and Products model to gauge effectiveness of the LMP. All 48 participants were invited to participate. ResultsThirty-two survey respondents, a 67 % response rate, demonstrated a 767 % increase in extramural scholarship collaborations and promotion to associate and full professor at 43 % and 90 %, respectively. Academic leadership positions to department chair, assistant/associate dean, and dean increased 200 %, 167 %, and 100 %, respectively. Seventy-seven percent of program participants are engaged on boards and committees at local, state, national, and international levels. These roles significantly impact legislative, policy, advocacy, and regulatory efforts, signifying the LMP's influence on broader societal and professional domains. ConclusionIdentifying clear program outcomes and metrics for leadership program evaluation can advance diversity, equity, and inclusion efforts. Sustainable funding models for leadership development will have a high return on investment for health professions.

Gender, Race, and Ethnicity of US Academic Ophthalmology Faculty and Department Chairs From 1966 to 2021

Workforce diversity is integral to optimal function within health care teams. To analyze gender, race, and ethnicity trends in rank and leadership among US full-time academic ophthalmology faculty and department chairs between 1966 and 2021. This cohort study included full-time US academic ophthalmology faculty and department chairs registered in the Association of American Medical Colleges. Study data were analyzed in September 2023. Identifying with an underrepresented in medicine (URiM) group. The main outcome measures were demographic (ie, gender, race, and ethnicity) changes among academic faculty and department chairs, assessed in 5-year intervals. The term minoritized race refers to any racial group other than White race. There were 221 academic physicians in 1966 (27 women [12.2%]; 38 minoritized race [17.2%]; 8 Hispanic, Latino, or Spanish [3.6%]) and 3158 academic faculty by 2021 (1320 women [41.8%]; 1298 minoritized race [41.1%]; 147 Hispanic, Latino, or Spanish ethnicity [4.7%]). The annual proportional change for women, minoritized race, and Hispanic, Latino, or Spanish ethnicity was +0.63% per year (95% CI, 0.53%-0.72%), +0.54% per year (95% CI, 0.72%-0.36%), and -0.01% (95% CI, -0.03% to 0%), respectively. Women were underrepresented across academic ranks and increasingly so at higher echelons, ranging from nonprofessor/instructor roles (period-averaged mean difference [PA-MD], 19.88%; 95% CI, 16.82%-22.94%) to professor (PA-MD, 81.33%; 95% CI, 78.80%-83.86%). The corpus of department chairs grew from 77 in 1977 (0 women; 7 minoritized race [9.09%]; 2 Hispanic, Latino, or Spanish ethnicity [2.60%]) to 104 by 2021 (17 women [16.35%]; 22 minoritized race [21.15%]; 4 Hispanic, Latino, or Spanish ethnicity [3.85%]). For department chairs, the annual rate of change in the proportion of women, minoritized race, and Hispanic, Latino, or Spanish ethnicity was +0.32% per year (95% CI, 0.20%-0.44%), +0.34% per year (95% CI, 0.19%-0.49%), and +0.05% per year (95% CI, 0.02%-0.08%), respectively. In both faculty and department chairs, the proportion of URiM groups (American Indian or Alaska Native, Black or African American, Hispanic, and Native Hawaiian or Other Pacific Islander) grew the least. Intersectionality analysis suggested that men and non-URiM status were associated with greater representation across ophthalmology faculty and department chairs. However, among ophthalmology faculty, URiM women and men did not significantly differ across strata of academic ranks, whereas for department chairs, no difference was observed in representation between URiM men and non-URiM women. Results of this cohort study revealed that since 1966, workforce diversity progressed slowly and was limited to lower academic ranks and leadership positions. Intersectionality of URiM status and gender persisted in representation trends. These findings suggest further advocacy and intervention are needed to increase workforce diversity.

Gender Parity Analysis of the Editorial Boards of Influential Dermatology Journals: Cross-Sectional Study.

This study underscores the persistent underrepresentation of women in academic dermatology leadership positions by examining the gender composition of editorial boards across top dermatology journals, emphasizing the urgent need for proactive strategies to promote diversity, equity, and inclusion.

Abdominal Transplant Surgeons: The Lack of Female Surgeons and People From Underrepresented Racial and Ethnic Minority Groups in Academic and Clinical Leadership.

The demographic disparities among surgeons in academic leadership positions is well documented. We aimed to characterize the present demographic details of abdominal transplant surgeons who have achieved academic and clinical leadership positions. We reviewed the 2022-2023 American Society of Transplant Surgeons membership registry to identify 1007 active abdominal transplant surgeons. Demographic details (academic and clinical titles) were collected and analyzed using the chi-square test, the Fisher exact test, and t tests. Multinomial logistic regressions were conducted. Female surgeons (P < .001) and surgeons from racial-ethnic minorities (P = .027) were more likely to be assistants or associates rather than full professors. White male surgeons were more likely to be full professors than were White female (P < .001), Asian female (P = .008), and Asian male surgeons (P = .005). There were no Black female surgeons who were full professors. The frequency of full professorship increased with surgeon age (P < .001). Male surgeons were more likely to hold no academic titles (P < .001). Female surgeons were less likely to be chief of transplant(P = .025), chief of livertransplant (P = .001), chief of pancreas transplant (P = .037), or chair of surgery (P = .087, significance at 10%). Chief of kidney transplant was the most common clinical position held by a surgeon from a racial or ethnic minority group. Female surgeons were more likely to hold no clinical titles (P = .001). The underrepresentation of women and people from racial and ethnic minority groups in academic and clinical leadership positions in the field of abdominal transplant surgery remains evident. White male physicians are more likely to obtain full professorship, and they comprise most of the clinical leadership positions overall. A continued push for representative leadership is needed.

Reflections on statistical leadership: Summary of a panel discussion at the WSC 20231

What qualities are needed by statisticians to achieve top leadership positions in academia, business, industry and government? Five leaders from statistical societies, national and international statistical offices, and academia share their experiences. They respond to five specific questions. Firstly, is leadership just needed by top management or do all statisticians have a role? If so, what is it? Secondly, do statisticians naturally make good leaders? What new skills do they need to acquire? What skills advantages do they have? Thirdly, the panel consider the question: did you work for people who were not good leaders? How did they fall short? What good role models did panellists have? And then, is it harder for women, and for other under-represented groups? And finally they were asked: what message do you have for young statisticians aspiring to leadership roles?

The narratives of Chinese women academics: exploring gendered career trajectories for those who are not leaders

ABSTRACT Despite women academics reaching higher positions, in institutional hierarchies they still face multiple tensions that hinder reaching leadership positions. 1 This study explores the perception of leadership among Chinese women academics who currently do not hold academic leadership positions. A feminist critical discourse analysis of 14 Chinese women academics’ narratives, using Butlerian theory, indicates that institutional discourses have been shaped predominantly by men’s norms and preferences, creating challenges for women assuming leadership responsibilities. The findings show that women and men academics appear to have different career trajectories, with men taking on more administrative roles and advancing further in their academic careers. For many women, leadership conflicts with family obligations, as families often take priority, consistent with gender norms. This study also reveals how social and institutional regulatory power, such as gender norms and institutional discourses, constitutes and shapes a gendered structure of academic leadership positions in Chinese universities.

Academic accomplishments of Black neurosurgeons in the United States.

Neurosurgery has remained relatively homogeneous in terms of racial and gender diversity, trailing behind national demographics. Less than 5% of practicing neurosurgeons in the United States identify as Black/African American (AA). Research and academic productivity are highly emphasized within the field and are crucial for career advancement at academic institutions. They also serve as important avenues for mentorship and recruitment of diverse trainees and medical students. This study aimed to summarize the academic accomplishments of AA neurosurgeons by assessing publication quantity, h-index, and federal grant funding. One hundred thirteen neurosurgery residency training programs accredited by the Accreditation Council for Graduate Medical Education in 2022 were included in this study. The American Society of Black Neurosurgeons registry was reviewed to analyze the academic metrics of self-identified Black or AA academic neurosurgeons. Data on the academic rank, leadership position, publication quantity, h-index, and race of neurosurgical faculty in the US were obtained from publicly available information and program websites. Fifty-five AA and 1393 non-AA neurosurgeons were identified. Sixty percent of AA neurosurgeons were fewer than 10 years out from residency training, compared to 37.4% of non-AA neurosurgeons (p = 0.001). AA neurosurgeons had a median 32 (IQR 9, 85) publications compared to 52 (IQR 22, 122) for non-AA neurosurgeons (p = 0.019). AA neurosurgeons had a median h-index of 12 (IQR 5, 24) compared to 16 (IQR 9, 31) for non-AA colleagues (p = 0.02). Following stratification by academic rank, these trends did not persist. No statistically significant differences in the median amounts of awarded National Institutes of Health funding (p = 0.194) or level of professorship attained (p = 0.07) were observed between the two cohorts. Racial disparities between AA and non-AA neurosurgeons exist in publication quantity and h-index overall but not when these groups are stratified by academic rank. Given that AA neurosurgeons comprise more junior faculty, it is expected that their academic accomplishments will increase as more enter academic practice and current neurosurgeons advance into more senior positions.

Gender mainstreaming in Albanian higher education institutions

Gender equality is a fundamental human right and the foundation for a sustainable, peaceful, and prosperous world. Achieving gender equality and women's empowerment is integral to each sustainable development goal. Higher education and research institutions must create a working environment and organisational culture based on equal opportunities and the promotion of good relations based on protected characteristics such as gender, race, disability, or age. The paper aims to examine the experiences of Albanian universities regarding gender mainstreaming. The aim is to understand the level of commitment of Albanian universities to achieving gender equality and to identify gaps and weaknesses. The analysis was based methodologically on gender indicators from several public and non-public Albanian universities and statistical indicators published by INSTAT for all Albanian universities. The analysis focused on gender indicators regarding access to education, progress in career and gender representation in decision-making bodies. The paper found that while implementing a gender mainstreaming strategy is important and shows progress, there are still many challenges. Horizontal segregation is still present. Women are less represented at the top position of academic career progression than their average presence among teaching staff. They remain underrepresented in academic and administrative leadership and decision-making positions in universities. This diagnosis allows for evident actual measures, reinforces existing structures, and defines goals based on the needs detected.

Characteristics and academic career outcomes of Godina Fellowship recipients

The American Society for Reconstructive Microsurgery (ASRM) sponsors the Godina Fellowship to expand the careers of talented early career microsurgeons. This study characterizes the scholarly impact and academic career outcomes of Godina Fellows. The ASRM provided a list of Godina Fellows since program inception (1993 – 2020). An Internet based search obtained demographic, academic pedigree, and scholarly impact metrics. Curriculum vitae were reviewed to characterize future career outcomes including academic leadership positions. Of the 28 Godina Fellows, most were men (96%) and from the United States (61%). The average age of selection was 44 ​± ​4 years. Training pedigrees consisted primarily of plastic surgery residency training (93%) followed by orthopedic surgery (3%) and otolaryngology (3%). 32% completed reconstructive microsurgery fellowship training, 25% completed hand fellowship training, and 32% had no sub-specialty fellowship training. A minority of Fellows had a PhD (32%) and Master's Degree (14%). The average h-index was 33 ​± ​11 resulting from 160 ​± ​90 peer-reviewed manuscripts cited 3998 ​± ​2516 times. At the time of selection, Godina fellows had an average of 65 ​± ​42 peer-reviewed manuscripts. Most selected academic careers (79%), including 43% serving as chief of a sub-specialty service line (25%) or chair of a division or department (18%). Godina Fellowship recipients make important contributions to the field of reconstructive microsurgery through research impact and leadership at academic departments.

Current situation and barriers to women’s leadership in health care education in Saudi Arabia: A cross-sectional study

BackgroundThe aims of the current study were to explore the true representation of female academic staff who have advanced to leadership positions in Saudi health academic institutions and to determine the possible barriers to women’s advancement to leadership positions in academia. MethodologyThis was a cross-sectional study conducted between August 2022 and August 2023 using an adapted self-reported online questionnaire via Google form. Data was analyzed descriptively and comparatively by presenting frequencies with percentages besides means with standard deviations across various background categories and comparing them using student t test. ResultsA total of 115 educators in health care professions participated in the study, three fifths of them were Saudi and female, with the majority being married and employed by government organizations. The most impactful structural challenges for female leadership included the centralization of decision-making within the institution, unclear organizational bylaws for leadership qualifications and appointment processes, and the existence of a wide range of administrative units. The prevailing belief that men possess superior capacity and management skills compared to women in leadership roles and the reluctance to accept women’s authority by their subordinates were identified as the most influential culture challenges for female leadership. Most influential personality-related challenges included difficulty of balancing professional responsibilities with family obligations, stress and tension arising from reconciling the needs of subordinates with organizational goals and the complexity of traveling for work. ConclusionsThe study identified the most influential structural, culture, and personality-related barriers and other potential perceived challenges faced by female leadership. A collective effort involving academic institutions, leadership, and relevant stakeholders is critical to address these barriers. Academic institutions must eliminate these challenges to utilize female leaders’ talent fully, as they contribute unique perspectives and skills to their institutions.

When Taking Pay off the Table: A Qualitative Study of Gender Equity for Academic Leaders in the US Military.

Although gender inequity persists globally in academic leadership positions, the United States Military has equitable pay and, in academic pediatrics, has equitable gender representation in leadership positions. To better understand how the US Military framework affects physician leaders, pediatricians were interviewed to illuminate the factors that facilitated their success and what barriers they faced in their career. In 2022, following institutional review board approval, semi-structured interviews were conducted with 13 total participants (69% female, 31% male) serving as general pediatricians or pediatric subspecialists in the US Military. These pediatricians were in leadership positions of military academic medicine across seven graduate medical education (GME) sites. The interviews examined the leaders' perceptions of facilitators and barriers to their success. The authors analyzed the interviews using Acker's theory of gendered organizations as a theoretical framework, which explains embedded gender roles within work environments. Drawing on the theory of gendered organizations, the authors identified that participants described several facilitators to their success, including the availability of mentorship/sponsorship, inclusive leadership, and early and persistent exposure to women leaders in GME training and beyond. Because medicine's ideal worker was normed around the traditional roles of men, men observed and women experienced barriers to leadership success around issues related to childbearing, maternity leave, and microaggressions. This study revealed that equitability for pediatric GME leadership in the military heavily relied on structures and support created by former leaders and mentors. Isolating these structures within a unique context of military academic medicine can illuminate physicians' experiences to address barriers and better support equitable leadership roles in both military and civilian academic medicine.

Gender Inequality in Leadership Positions in Neurology and Neurosurgery Journals and Societies

Gender inequalities persist in several areas of medicine, despite the growing number of female doctors and medical students. In this study, we aimed to reveal the gender inequality in the top journals' editorial boards and national societies' leadership positions in the field of neurology and neurosurgery. This is a cross-sectional study that uses public information accessed through the internet via journals' and academic societies' public websites. The medical journals are selected and included according to their h5-index in the field of neurology and neurosurgery. We evaluated the gender composition of the editorial boards and academic societies' leadership positions. The female editorial board member ratio was 44.0% in the top 10 neurology journals. However, this ratio was significantly decreased to 29.7% in the other journals(P < 0.001). The top 10 neurosurgery journals had a female editorial board member ratio of 13.7%. This ratio was significantly decreased to 5.3% in the other 10 journals with lower h5-index(P < 0.001). A significantly lower number of female individuals are present in the editorial boards of the neurosurgery journals than in neurology(P < 0.001). The female president or delegate ratio was 19.3% in the World Federation of Neurology-affiliated countries, and it was 4% in the World Federation of Neurosurgical Societies-affiliated countries. In conclusion, there is a significant gender inequality among editorial board members. The position of neurosurgical societies and journals is far different than the field of neurology. Furthermore, these findings should be evaluated as a continuum of the gender inequality in the professional societies' executive boards and delegates representing the national academical community.

Documenting Methodological Procedures in a Qualitative Pilot Study: Exploring the Journey of Women Reaching Leadership Positions in Academia

Pilot studies are crucial for any research. While publishing the results of pilot studies in quantitative research is common, it is less common in qualitative research. This pilot study precedes the main research on the differences in perception between men and women deans on how they perceive the key success factors for women to be leaders in academia. In this pilot study, male and female deans were used as participants, consistent with the main research. Besides that, the aim was to contribute towards increased methodological knowledge as well as awareness of conducting pilot studies in qualitative research. Furthermore, in qualitative research, pilot studies are important to show the trustworthiness of the qualitative research. In determining trustworthiness, researcher triangulation is an important aspect of qualitative research to assess concerns on rigour such as reliability and credibility. The data was collected through in-depth semi-structured interviews via Google Meet, with one male and one female dean, as the main research focused on exploring perceptions towards the leadership journey of female leaders in academia. This study contributed to increasing the trustworthiness of the main study. The pilot study aided in advancing the main research and helped researchers update their coding and interview probing skills. There were some modifications made to the research instrument as the researchers found that the number of questions needed to be reduced in order to get in-depth responses from the participants within the stipulated time. Moreover, some modifications were made to the language of the interview to enhance clarity. The documentation of the experiences of the qualitative research methodology not only helped researchers of this study but also can be used as a guide for researchers who intend to pursue the qualitative studies.