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DOI: 10.1055/s-0043-1776268
Interventional Neuroradiology: Why Don't Brazilian Female Physicians Like It?
Neurorradiologia intervencionista: Por que as médicas brasileiras não gostam?
Abstract
Objective Much has been discussed about gender diversity in all professional fields, particularly in medicine. Recent studies showing that there are fewer than ten female professionals in interventional neuroradiology (INR) in a continental country like Brazil, and less than thirty in all of Latin America, have prompted an investigation into the causes of the low numbers of women choosing to follow this medical specialty. This project intended to reveal the reasons through an anonymous form applied to women in the final year of the three medical residencies considered prerequisites for INR in Brazil: neurology, radiology and neurosurgery.
Materials and Methods The questionnaire addressed to each of the three fields contemplated the professionals' preference to follow their respective subspecialties, in addition to common considerations that could be deemed barriers to INR.
Results Surprisingly, the weak link in the chain was demonstrated to be radiology, which is the exclusive prerequisite residency for training in INR in many countries. However, in Brazil, most doctors who graduate in INR come from Neurosurgery and, secondly, from neurology. These two specialties together account for less than half of the female residents compared to radiology alone.
Conclusion All of the following items were already expected: difficulty in reconciling a double shift; employment opportunity; long training time; the lack of female leaders inspiring new generations of doctors; issues involving radiation and motherhood; and still the barriers of misogyny and machismo. But specific studies need to be conducted to find out why very few radiology residents follow INR training in Brazil.
Resumo
Objetivos Muito se tem discutido sobre a diversidade de gênero em todas as áreas profissionais, particularmente na medicina. Estudos recentes que mostram que há menos de dez profissionais do sexo feminino em neurorradiologia intervencionista (NRI) em um país continental como o Brasil, e menos de trinta em toda a América Latina, levaram a uma investigação sobre as causas do baixo contingente de mulheres que opta pelo seguimento dessa especialidade médica. Este projeto pretende revelar os motivos, por meio de um formulário anônimo aplicado às mulheres que cursavam o último ano das três residências médicas consideradas pré-requisito para a NRI no Brasil: neurologia, radiologia e neurocirurgia.
Materiais e Métodos O questionário dirigido a cada um dos 3 ramos contemplou a preferência das profissionais em seguir suas respectivas subespecialidades, além de considerações comuns que poderiam ser tidas como barreiras à NRI.
Resultados Surpreendentemente, demonstrou-se que o elo fraco da corrente é a radiologia, que é o pré-requisito exclusivo de residência para treinamento em NRI em muitos países. No entanto, no Brasil, a maioria dos médicos formados em NRI é proveniente da neurocirurgia e, em segundo lugar, da neurologia. Essas duas especialidades juntas contam com menos da metade das residentes do sexo feminino em comparação com a radiologia sozinha.
Conclusão Todos os seguintes aspectos já eram esperados: dificuldade em conciliar dupla jornada; oportunidade de emprego; longo tempo de treinamento; a falta de lideranças femininas que inspirem as novas gerações de médicas; questões que envolvem radiação e maternidade; e, ainda, as barreiras da misoginia e do machismo. Mas estudos específicos precisam ser feitos para descobrir os motivos pelos quais pouquíssimas residentes de radiologia seguem o treinamento de NRI no Brasil.
Keywords
interventional radiology - gender inequality - neurosurgery - professional practice - neurology - radiologyPalavras-chave
radiologia intervencionista - iniquidade de gênero - neurocirurgia - prática profissional - neurologia - radiologiaAuthors' Contributions
LMG: conceptualized and designed the study, collected, interpreted, and analyzed data, and reviewed the manuscript.
MAM: conceptualized and designed study, collected, interpreted, and analyzed data, and drafted the manuscript.
ESL: collected, interpreted, and analyzed data, and drafted the manuscripts.
Publikationsverlauf
Eingereicht: 22. August 2022
Angenommen: 24. Januar 2023
Artikel online veröffentlicht:
27. Oktober 2023
© 2023. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Parra-Farinas C. How to Fight the Fear Under the X-Ray Beam: Interventional Neuroradiology Fellow Mom to Be. Stroke 2020; 51 (07) e121-e123
- 2 Foo M, Maingard J, Wang M. et al. Women in interventional radiology: insights into Australia's gender gap. Clin Radiol 2020; 75 (07) 560.e1-560.e7
- 3 Fichera G, Busch IM, Rimondini M, Motta R, Giraudo C. Is Empowerment of Female Radiologists Still Needed? Findings of a Systematic Review. Int J Environ Res Public Health 2021; 18 (04) 1542
- 4 Wah TM, Belli AM. The Interventional Radiology (IR) Gender Gap: A Prospective Online Survey by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). Cardiovasc Intervent Radiol 2018; 41 (08) 1241-1253
- 5 Butter IH. Women's participation in health-care delivery: recent changes and prospects. Health Values 1989; 13 (02) 40-44
- 6 Beaman CB, Kaneko N, Meyers PM, Tateshima S. A Review of Robotic Interventional Neuroradiology. AJNR Am J Neuroradiol 2021; 42 (05) 808-814
- 7 Bailey EL. Women in medicine: increasing in number but not regard. Br J Gen Pract 2020; 70 (695) 296
- 8 Ahmadi M, Khurshid K, Sanelli PC. et al. Influences for Gender Disparity in Academic Neuroradiology. AJNR Am J Neuroradiol 2018; 39 (01) 18-23
- 9 Campbell JC, Yoon SC, Grimm LJ. Authorship and Impact of Gender-Specific Research in Major Radiology Journals. J Am Coll Radiol 2019; 16 (02) 240-243
- 10 Duc NM, Huy HQ, Keserci B, Thong PM. Gender Disparity in Vietnamese Radiological Societies: a Preliminary Observational Study. Acta Inform Med 2020; 28 (01) 71-74
- 11 Wang M, Laguna B, Koethe Y, Lehrman E, Kumar V, Kohi MP. Bridging the Gender Gap in the Society of IR: A Benchmark Study. J Vasc Interv Radiol 2019; 30 (04) 584-588.e2
- 12 Perez YV, Kesselman A, Abbey-Mensah G, Walsh J. A Glance at Gender-Specific Preferences Influencing Interventional Radiology Selection. J Vasc Interv Radiol 2016; 27 (01) 142-143.e1
- 13 Pyatigorskaya N, Di Marco L. Women authorship in radiology research in France: An analysis of the last three decades. Diagn Interv Imaging 2017; 98 (11) 769-773
- 14 Ramakrishnan A, Sambuco D, Jagsi R. Women's participation in the medical profession: insights from experiences in Japan, Scandinavia, Russia, and Eastern Europe. J Womens Health (Larchmt) 2014; 23 (11) 927-934
- 15 Paik JE. The feminization of medicine. JAMA 2000; 283 (05) 666
- 16 Lewis RS, Bhargavan M, Sunshine JH. Women Radiologists in the United States: results from the American College of Radiology's 2003 Survey. Radiology 2007; 242 (03) 802-810
- 17 Prerequisites for the subspecialization in Interventional Neuroradiology. Brazilian Society of Diagnostic and Therapeutic Neuroradiology. http://sbnr.org.br/ [accessed 23 December 2021].
- 18 Maranha Gatto LA, Galdino Chaves JP. Women in neurosurgery and interventional neuroradiology in Brazil and other countries: can lightning strike the same place twice?. Neuroradiol J 2021; •••: 19 714009211026895
- 19 Vydareny KH, Waldrop SM, Jackson VP. et al. Career advancement of men and women in academic radiology: is the playing field level?. Acad Radiol 2000; 7 (07) 493-501
- 20 Vu CT, Elder DH. Pregnancy and the working interventional radiologist. Semin Intervent Radiol 2013; 30 (04) 403-407
- 21 Englander MJ, Ghatan C. Radiation and the Pregnant IR: Myth versus Fact. Cardiovasc Intervent Radiol 2021; 44 (06) 877-882
- 22 Marx MV, Niklason L, Mauger EA. Occupational radiation exposure to interventional radiologists: a prospective study. J Vasc Interv Radiol 1992; 3 (04) 597-606