Celebrating Women in Ophthalmology: Progress and Persistent Challenges

Editor:

Harita Abraham

Harita is a third-year medical student at the Kansas City University College of Medicine, currently serving as a pediatric glaucoma research fellow at the Bascom Palmer Eye Institute - University of Miami.


The increasing presence of women in ophthalmology is a significant development, highlighted by events like the Women in Ophthalmology Summer Symposium. As we celebrate their achievements, it's essential to address the ongoing challenges and disparities they face within the field.

INCREASING REPRESENTATION OF WOMEN IN OPHTHALMOLOGY

From August 22-25 this year, the Women in Ophthalmology organization hosted its annual Summer Symposium to honor and celebrate the accomplishments of women in the field. Following this event, September marks Women in Medicine Month, dedicated to acknowledging the achievements and contributions of women in healthcare. These recent occasions provide a valuable opportunity to reflect on the representation of women in ophthalmology.

LEADERSHIP GAPS: WOMEN IN KEY POSITIONS

The number of women entering ophthalmology is on the rise. In 2000, women comprised 29% of ophthalmology residents, a figure that increased to 41% by 2020 [1,2]. However, women remain underrepresented in leadership roles within the field, including positions such as program directors, program chairs, academic leaders, journal editors, and members of conference program committees.

THE GENDER PAY GAP IN OPHTHALMOLOGY

Research indicates that a gender pay gap exists between male and female ophthalmologists. A 2017 study found that, on average, female ophthalmologists earned $0.58 for every $1 earned by their male counterparts [5]. More recent data from 2020 confirms that this disparity continues [6,7]. The income gap is also evident in academic and salaried roles. Various factors contribute to the gender pay gap, but there remains an opportunity to enhance income equality between male and female ophthalmologists.

HARASSMENT AND DISRESPECT: A GENDERED EXPERIENCE

Why is this important?

Research also indicates that women experience harassment at higher rates than men. A 2020 survey of ophthalmology trainees revealed that 66% of female respondents reported experiencing bullying or harassment during their training, compared to 43% of male trainees [6]. Additionally, 40% of women trainees noted that they received less respect from their medical team members than their male counterparts [6]. Women also face a greater risk of harassment from patients.

THE IMPORTANCE OF GENDER DIVERSITY IN PATIENT CARE

Gender diversity plays a significant role in patient outcomes. Research shows that patient satisfaction and outcomes improve when care is provided by individuals who reflect the demographics of the population they serve. However, the representation of women in medicine, particularly in ophthalmology, falls short of reflecting the actual proportion of women in the US population. While women make up nearly half of the population, their numbers in leadership roles and specialized areas of medicine remain disproportionately low. This gap not only limits the diversity of perspectives in medical decision-making but also hinders the ability of healthcare systems to provide culturally competent care.

ADDRESSING UNIQUE CHALLENGES FOR WOMEN IN OPHTHALMOLOGY

The existence of these disparities also indicates that a women’s unique challenges in pursuing ophthalmology are not properly being addressed and that is simply not helpful for attracting and retaining women professionals in a field that is already being marginalized in medical school curriculum.

CONCLUSION

While there has been noticeable progress toward gender equality, significant opportunities for improvement remain. Achieving true equality requires a multifaceted approach due to the complexity of the issue. The data clearly highlights existing disparities, and it is evident that more action is needed. The next step is to implement strategies aimed at closing these gaps and to evaluate which approaches are effective and which are not.

References 

  1. Brotherton, S. E., Simon, F. A., & Etzel, S. I. (2001). US graduate medical education, 2000-2001. JAMA286(9), 1056-1060.

  2. Xierali, I. M., Nivet, M. A., & Wilson, M. R. (2016). Current and future status of diversity in ophthalmologist workforce. JAMA ophthalmology134(9), 1016-1023.

  3. Camacci ML, Lu A, Lehman EB, Scott IU, Bowie E, Pantanelli SM. Association Between Sex Composition and Publication Productivity of Journal Editorial and Professional Society Board Members in Ophthalmology. JAMA Ophthalmol. 2020;138(5):451–458. doi:10.1001/jamaophthalmol.2020.0164

  4. Jagsi, R., Guancial, E. A., Worobey, C. C., Henault, L. E., Chang, Y., Starr, R., ... & Hylek, E. M. (2006). The “gender gap” in authorship of academic medical literature—a 35-year perspective. New England Journal of Medicine355(3), 281-287.

  5. Reddy AK, Bounds GW, Bakri SJ, et al. Differences in Clinical Activity and Medicare Payments for Female vs Male Ophthalmologists. JAMA Ophthalmol. 2017;135(3):205–213. doi:10.1001/jamaophthalmol.2016.5399

  6. Jain, N. S., Gill, H. K., Kersten, H. M., Watson, S. L., & Danesh-Meyer, H. V. (2020). Bullying and harassment in ophthalmology: a trainee survey. The New Zealand Medical Journal (Online)133(1512), 102-103.

  7. Jia, J. S., Lazzaro, A., Lidder, A. K., Elgin, C., Alcantara-Castillo, J., Gedde, S. J., ... & Al-Aswad, L. A. (2021). Gender compensation gap for ophthalmologists in the first year of clinical practice. Ophthalmology128(7), 971-980.

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