Led by Ingrid E. Lundberg of the Karolinska University Hospital and the Karolinska Institutet in Sweden, an international group of women physicians analyzed gender trends among medical students, physicians and professors in Europe, North America, Latin America, Japan, and Turkey. Their data indicate marked differences among countries in the number of women faculty suggesting that national or cultural factors can affect the entry of women into top positions in the field. The percentage of women in faculty position ranged by almost ten-fold when comparing countries, with Turkey, Brazil and Mexico showing the highest number of women faculty among the countries surveyed.
In Sweden, which exemplifies trends seen in many other European countries, the researchers found that, while almost half (46%) of rheumatology specialists were female as of January 2003, women constitute only 16% of full professors in general and 22% of rheumatology professors. In the US, they found that, although the number of female faculty members has increased since the 1970s, it has not increased as rapidly as the student body: 49% of medical school applicants for the 2002-2003 academic year were female, contrasted with 13% of full professors for basic and clinical sciences in 2002. Although a gap was not as apparent in rheumatology, where a sampling of 33 of the largest rheumatology programs in the U.S. found that 25% of faculty members are women, a disparity nevertheless exists. Japan demonstrates a larger difference in gender inequality. In this country, only 14.4% of all physicians are female while 4.1% of faculty positions in medical school are held by women.
There are, however, some notable exceptions to male predominance in academic positions when compared to their percentages in medicine, especially rheumatology. In Mexico, 36% of the members of the Mexican College of Rheumatology are female, while 34% of academic rheumatologists (from a total of 10 rheumatology centers) are women. Brazil shows a similar trend, with 43.4% rheumatologists who are female compared with 41.3% female rheumatology university faculty members. Turkey showed the highest representation of females in academic positions, with 40% female rheumatologists and 43% women as full professors in rheumatology at the 8 big Turkish universities.
The authors note that, while in most countries in Europe, Latin and North America, the number of women and men entering medical school has been almost equal for decades, it appears that the percentage of female faculty has not changed much in the last 20 years, despite the increasing number of women among physicians. While the absence of women in some specialties might be explained by their low numbers in the field, this is not true of rheumatology. Other factors, such as an emphasis on family versus career may partly, but not entirely, explain the disparity.
In Turkey, where women are much better represented among faculty, the authors speculate that this is due to their high status in society, which stems from efforts by the Turkish government in the 1920s to involve women in professional life, including policies to support education for women. "In fact," the authors state, "the Turkish case may be a good example of how political will and affirmative action can result in significant change."
In posing the question of why changes have occurred so slowly, particularly in North America and Europe, the authors suggest that there may still remain subtle informal barriers within the social system of academic science, and that cultural norms and gender role expectations appear to limit women's full participation in academia in many countries. "Work from top academic institutions in the US has shown that unless clear steps are taken to improve recruitment and retention of women in academics, no significant changes in gender distribution in medical school faculty are expected throughout the entire twenty-first century," the authors state.
These steps might include increasing gender sensitivity, such as including more female speakers at scientific conferences, establishing affirmative action policies to promote women, and supplying women with mentoring opportunities and information necessary for career advancement. The authors conclude that: "low participation of women in different branches of science, including medicine, poses problems not only for an egalitarian society, but also for the future of science. Faculty diversity will facilitate creativity in academic research and scientific discoveries, and thus the medical community will be able to respond to a wider array of needs and demands."
Article: "Women in Acedemic Rheumatology," Ingrid E. Lundberg, Seza Ozen, Ayse Gunes-Ayata, and Mariana J. Kaplan, Arthritis & Rheumatism, March 2005; 52:3; pp. 697-706.