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Women’s representation at an academic dermatology conference: trending upwards, but not equal yet
Although women make up a significant portion of the workforce in dermatology, they remain underrepresented in academia. This study investigates the number of male and female symposium speakers at the American Academy of Dermatology annual meetings over a three-year period and compares research productivity and academic rank between the men and women invited to speak. The results demonstrate a steady increase in the representation of female symposium speakers at the conference from 2016 to 2018, although a higher proportion of invited male speakers hold professorships and leadership positions. This upward trend in women's representation may translate to more opportunities for female engagement in academic dermatology. Although women make up over 60% of residents in dermatology, they are not proportionally represented in this conference sample. This imbalance in representation demonstrates that further interventions to increase the representation of female professors and chairs may be necessary
Patient Satisfaction and Likelihood to Recommend Between Academic Teaching and Community Emergency Departments
Background and Objectives: Patient surveys are a common means of collecting information on patient satisfaction and likelihood to recommend, both of which are important barometers of a patient’s emergency department (ED) experience. We sought to assess the impact of treatment in an academic teaching vs. community ED on a patient’s likelihood to recommend.
Methods: We performed a retrospective analysis of all completed patient surveys (Press Ganey) of discharged patients across 5 EDs within an integrated health system from January 2019 through June 2020. Two EDs were at academic teaching hospitals with EM residencies and 3 were community EDs. Patient responses were dichotomized to “favorable” or “not favorable”, wherein “favorable” denoted a likelihood to recommend of 4 or 5 on a 5-point Likert scale. Operational time metrics were assessed in 10-minute intervals. The analysis included univariate comparisons and generalized linear modeling to adjust for the site, demographic, and operational metrics. We report adjusted odds ratios (aOR) with 95% confidence intervals (95% CI).
Results: There were 7,694 surveys completed. The majority of respondents were female (64.4%), \u3e50 years (68.2%), and presented to a teaching hospital (54.0%). In univariate analysis, male sex, white race, older age, treatment in a community ED, shorter time to a room, and shorter overall ED length of stay were associated with a higher likelihood of a favorable survey response. In adjusted analysis, the odds of a favorable response were higher in males (aOR 1.25, 95% CI 1.12 - 1.39), white patients (aOR 1.16, 95% CI 1.02 -1.32), and older adults (aOR 1.02, 95% CI 1.01-1.02 with each year of increasing age). Time metrics such as longer overall length of stay (aOR 0.95, 95% CI 0.93-0.97) and longer time to be placed in a room (aOR 0.95, 95% CI 0.93 -0.97) were associated with lower odds of a favorable response. Patients managed at an academic teaching site had significantly lower odds of a favorable response compared to community EDs (aOR 0.54, 95% CI 0.48 – 0.61) in adjusted analysis. Factors not associated with a favorable response included ethnicity, emergency severity index, mode of arrival, arrival time, and arrival day of the week.
Conclusion: When adjusted for operational and demographic metrics, academic teaching sites had lower associated rates of a favorable response from patient satisfaction surveys