Gender analysis of oncology expert participation on online professional platforms.

Authors

null

Jessica Kunzman

University of Utah, Salt Lake City, UT

Jessica Kunzman, Elizabeth Henry, Nadine Housri, Sophia C. Kamran, Pamela L. Kunz, Lauren E Lee, Noelle K. LoConte, Lindsay Burt

Organizations

University of Utah, Salt Lake City, UT, Loyola University Medical Center, Maywood, IL, Yale School of Medicine, New Haven, CT, Massachusetts General Hospital and Harvard Medical School, Boston, MA, Yale Cancer Center, Yale School of Medicine, New Haven, CT, United States Air Force, Fort Sam Houston, TX, Carbone Cancer Center, Madison, WI, Huntsman Cancer Institute at the University of Utah, Salt Lake City, UT

Research Funding

Other
Rural and Underserved Utah Training Experience at the University of Utah and the Utah State Legislature.

Background: Social media platforms have been highlighted as a tool to help promote gender equity by amplifying women in medicine and providing means for collaboration and networking. However, limitations of social networks include sexual harassment and persistent gender biases. While the number of female trainees entering oncology specialties has mostly equalized, gender disparities persist among faculty in promotion, publishing, and leadership positions. We sought to characterize the engagement of female and male oncologists via a private, moderated knowledge-sharing platform, theMednet.org, which disseminates expert knowledge via question-and-answer format. Methods: Questions were posted by registered oncologists on theMednet.org and reviewed by a team of physician editors who then invited selected experts to respond. Experts were selected by the editorial team based on research prominence, academic rank, leadership, and other expert recommendations. Physician information, such as role (academic, community, or trainee), specialty (radiation oncology (RO), medical oncology (MO)), questions asked, and questions answered were analyzed from June 2014 through June 2022. The gender of each physician was determined from their associated National Provider Identifier (NPI), which is recorded as female or male; users without an associated NPI were excluded from the data set. Statistical significance was determined through unpaired two-tailed T-tests and chi-squared testing. Results: Among RO and MO physicians, 3376 were identified as female and 6011 were identified as male. Female faculty make up 42% of experts, which was proportionate to the percent of female users. Female and male experts were invited to answer questions at similar rates for all specialties; however, male experts answered questions at a statistically significantly higher rate in RO (51% vs 18%) and MO (27.5% vs 14%) (Table). Conclusions: While female and male experts were equally invited to answer questions, male experts were significantly more likely to answer questions. As online platforms are increasingly raising the prominence of academics on a national level, lower engagement by female experts may further compound gender disparities in academia. Further studies should identify actual and perceived barriers to female experts answering questions and interacting on professional platforms.

User data for experts in oncology specialties.

Specialty
# Registered Physicians
# Experts

(% of user base by gender)
Average # Questions Invited to Answer per Expert
Average # Answers Submitted per Expert
Rate of Response

Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Radiation Oncology
1280
3126
217

(17%)
512

(15%)
18.39
18.21
3.33*
9.32*
18%
51%
Medical Oncology
2219
3386
352

(16%)
508

(15%)
20.93
18.8
3.01***
5.17***
14%
27.5%
Total
3499
6512
734

(21%)
1176

(18%)


* p < 0.05, ** p < 0.01, *** p < 0.001.

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Abstract Details

Meeting

2022 ASCO Quality Care Symposium

Session Type

Poster Session

Session Title

Poster Session B

Track

Palliative and Supportive Care,Technology and Innovation in Quality of Care,Quality, Safety, and Implementation Science

Sub Track

Quality Improvement Research and Implementation Science

Citation

J Clin Oncol 40, 2022 (suppl 28; abstr 350)

DOI

10.1200/JCO.2022.40.28_suppl.350

Abstract #

350

Poster Bd #

D23

Abstract Disclosures

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