Towards gender equity in emergency medicine: a position statement from the CAEP Women in Emergency Medicine committee

Canadian Medical Association (CA). Addressing gender equity and diversity in in Canada’s medical profession: a review. [Internet] Ottawa: Canadian Medical Association; 2020. https://www.cma.ca/sites/default/files/pdf/Ethics/report-2018-equity-diversity-medicine-e.pdf. Accessed 29 Oct 2020.

McNamara RM, Whitley TW, Sanders AB, et al. The extent and effects of abuse and harassment of emergency medicine residents: the SAEM in-service survey task force. Acad Emerg Med. 1995;2(4):293–301.

Charter of Rights and Freedoms 1982 s15(1).

World Health Organization. Closing the gap in a generation: Health equity through actions on social determinants of health. [internet] Geneva: World Health Organization; 2008. https://apps.who.int/iris/bitstream/handle/10665/69832/WHO_IER_CSDH_08.1_eng.pdf;jsessionid=52F3F110798297698DE15D4B7DD6BB10?sequence=1. Accessed 25 Sept 2020.

Pritlove C, Juando-Prats C, Ala-leppilampi K, et al. The good, the bad, and the ugly of implicit bias. Lancet. 2019;393:502–3.

Payne BK, Vuletich HA. Policy insights from advances in implicit bias research. Policy Insights Behav Brain Sci. 2018;5(1):49–56.

Klauer KM. ACEP Diversity summit promotes cultural sensitivity, acceptance amongst members. ACEP Now [Internet]. 2016 June 13. https://www.acepnow.com/article/acep-diversity-summit-promotes-cultural-sensitivity-acceptance-among-members/. Cited 17 Sept 2020.

Fitzgerald C, Martin A, Berner D, et al. Interventions designed to reduce implicit prejudices and implicit stereotypes in real world contexts: a systematic review. BMC Psychol. 2019;7(29):1–12.

Fnais N, Soobiah C, Hong Chen M, et al. Harassment and discrimination in medical training: a systematic review and meta-analysis. Acad Med. 2014;4(89):817–27.

Frank E, Brogan D, Schiffman M. Prevalence and correlates of harassment amongst US women physicians. Arch Intern Med. 1998;158:352–8.

Marco CA, Geiderman JM, Shears RM, Dearse RM. Emergency medicine in the #MeToo era. Acad Emerg Med. 2019;26(11):1245–54.

American College of Emergency Physicians. Policy statement: non-discrimination and harassment. [Internet]; 2018. https://www.acep.org/patient-care/policy-statements/non-discrimination-and-harassment/. Cited 2 Oct 2020.

Statistics Canada. The rise of the dual-earner family with children [analysis in brief on internet]. Ottawa: Statistics Canada; 2016. https://www150.statcan.gc.ca/n1/pub/11-630-x/11-630-x2016005-eng.htm. Cited 25 Sept 2020.

Jolly S, Griffith KA, DeCastro R, et al. Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Ann Intern Med. 2014;160:344–53.

Croteau A, Marcoux S, Brisson C. Work activity in pregnancy, preventative measures, and the risk of delivering a small-for-gestational-age infant. Am J Public Health. 2006;96(5):846–55.

Begtrup LM, Specht IO, Hammer PEC, Flachs EM, Garde AH, Hansen J, et al. Night work and miscarriage: a Danish nationwide register-based cohort study. Occup Environ Med. 2019;76:302–8.

Pelletier R, Patterson M, Moyser M. The gender wage gap in Canada: 1998–2018. Ottawa: Statistics Canada. [Internet}; 2019. https://www150.statcan.gc.ca/n1/pub/75-004-m/75-004-m2019004-eng.htm. Cited 5 Oct 2020.

Boseveld S. What’s driving the gender pay gap in medicine? CMAJ. 2020;192(1):E19–20.

Dossa F, Simpson AN, Sutradhar R, et al. Sex-based disparities in the hourly earnings of surgeons in the fee-for-service system in Ontario, Canada. JAMA Surg. 2019;154(12):1134–42.

Cohen M, Kiran T. Closing the gender pay gap in Canadian medicine. CMAJ. 2020;192(35):E1011–7. https://doi.org/10.1503/cmaj.200375.PMID:32868274;PMCID:PMC7458685.

Bennett CL, Raja AS, Kapoor N, et al. Gender differences in faculty rank among academic emergency physicians in the United States. Acad Emerg Med. 2019;26:281–5.

Kuhn GJ, Abbuhl SB, Clem KJ. Recommendations from the Society for Academic Emergency Medicine (SAEM) taskforce on women in academic emergency medicine. Acad Emerg Med. 2008;15:762–7.

Burns KA, Straus SE, Liu K, et al. Gender differences in grant and personal award funding rates at the Canadian Institutes of Health Research based on research content area: a retrospective analysis. PLoS Med. 2019;16(10):e1002935.

Madsen TE, Linden JA, Rounds K, et al. Current status of gender and racial/ethnic disparities among academic emergency medicine physicians. Acad Emerg Med. 2017;24:1182–92.

Choo EK, Kass D, Westergaard M, et al. The development of best practice recommendations to support the hiring, recruitment, and advancement of women physicians in emergency medicine. Acad Emerg Med. 2016;23(11):1203–9.

ACEP Academic Affairs Committee. Fostering diversity in emergency medicine through mentorship, sponsorship and coaching: an information paper. ACEP [Internet] 2017; 1–18. https://www.acep.org/globalassets/uploads/uploaded-files/acep/clinical-and-practice-management/policy-statements/information-papers/fostering-diversity-in-emergency-medicine-through-mentorship-sponsorship-and-coaching.pdf. Cited 23 Oct 2020.

Soklaridis S, Zahn C, Kuper A, et al. Men’s fear of mentoring in the #MeToo era—what’s at stake for academic medicine? N Engl J Med. 2018;379:2270–4.

Edmunds LD, Ovseiko PV, Shepperd S, et al. Why do women choose or reject careers in academic medicine? A narrative review of empirical evidence. Lancet. 2016;388:2948–58.

Welch JL, Jimenez HL, et al. The women in emergency medicine mentoring program: an innovative approach to mentoring. J Grad Med Educ. 2012;4(3):362–6.

Kang SK, Kaplan S. Working towards gender diversity and inclusion in medicine: myths and solutions. Lancet. 2019;393:579–86.

Guptill M, Reibling ET, Clem K. Deciding to lead: a qualitative study of women leaders in emergency medicine. Int J Emerg Med. 2018;11(47):1–10.