The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point
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Female Physicians Are Underrepresented In High-Compensation Specialties
Among residents entering high-compensation vs non-high-compensation specialties, female physicians were underrepresented, according to a research letter published in JAMA.
Researchers sourced National Graduate Medical Education Census and Electronic Residency Application Service data to analyze patterns in the proportion of female applicants and matriculants to Accreditation Council for Graduate Medical Education-accredited residency programs for high-compensation surgical and nonsurgical specialties between 2008 and 2022. A total of 26 specialties had matriculant data for all years, of which 14 (surgical, n=9; nonsurgical, n=5) were identified as high-compensation. To evaluate trends in the proportion of female residents matriculating to high-compensation vs non-high-compensation specialties, Prais-Winsten regression with Crochrane-Orcutt transformation was used.
Sex data was available for 490,188 (99.9%; women, 47.4%) of 490,437 residents who matriculated to pipeline specialties. A total of 124,982 (25.5%; women, 34.6%) entered high-compensation specialties (surgical, 57.6%; nonsurgical, 42.4%).
The proportion of female matriculants entering high-compensation specialties significantly increased from 2008 (32.7%) to 2022 (40.8%; P =.003), but remained lower than the proportion entering non-high-compensation specialties (from 53.0% to 53.3% in 2022; P =.44).
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Future studies should identify which strategies were successful in attracting women to these specialties and whether they could be implemented by high-compensation nonsurgical specialties.
A significant interaction was identified between specialty category and time (P <.001) for high-compensation specialties, with an increase in the proportion of female matriculants to surgical specialties from 28.8% in 2008 to 42.4% in 2022 (P <.001). No significant change was observed among nonsurgical specialties (from 37.6% in 2008 to 38.7% in 2022; P =.55).
From 2009 to 2022, the proportion of female applicants to high-compensation nonsurgical specialties decreased from 36.8% to 34.3% (P =.001). In contrast, the proportion of female applicants to high-compensation surgical specialties increased from 28.1% to 37.6% (P <.001) during the same time frame.
A modest increase was observed in the sex ratio of matriculants to applicants across both surgical (2009: 1.0 [95% CI, 1.0-1.1]; 2022: 1.2 [95% CI, 1.2-1.3]; P =.005) and nonsurgical (2009: 1.0 [95% CI, 0.9-1.0]; 2022: 1.2 [95% CI, 1.1-1.3]; P =.003) specialties.
Study limitations include the lack of individual-level demographic data and exclusion of 4 specialties from applicant-related analyses.
"Future studies should identify which strategies were successful in attracting women to these specialties and whether they could be implemented by high-compensation nonsurgical specialties," the study authors concluded.
This article originally appeared on Neurology Advisor
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