Background
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intensive care trainees and specialists,
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leadership positions in the specialty since 2000 using presidency of international and national societies as an example,
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representation on the councils or boards of various CCM societies,
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faculty speaker representation at annual scientific meetings in the last 3 years using four leading symposia in different geographic regions as examples—annual scientific meetings of the Society of Critical Care Medicine (SCCM, USA), the European Society of Intensive Care Medicine (ESICM, Europe), the International Symposium of Intensive Care and Emergency Medicine (ISICEM, Belgium) and the College of Intensive Care Medicine (CICM, Australia and New Zealand); and
Methods
WFSICCM survey
The CICM of Australia and New Zealand
Results
WFSICCM survey
Gender distribution
Age distribution and years since graduation
Proportion of female trainees
Australia and New Zealand CCM trainee and specialist data: a longitudinal analysis
Summary of data from published reports and personal correspondence
Region/country | Time period | Proportion of female trainees/specialists in the workforce |
---|---|---|
North America | ||
2015–2016 | 26.2% specialists 35% University of Toronto Paediatric and Adult CCM faculty | |
2011–2015 | 40% physicians who wrote American Board of Internal Medicine CCM certification examination | |
South America | ||
Argentina [33] | 2010 | 43% physicians who completed CCM training |
Brazil [34] | 2012 | 30.2% of specialists in ICM were women |
Europe | ||
2012–2016 | 35% critical care trainees | |
Ireland [35] a | 2015 | 31.7% of specialists were women |
2001–2017 | 42% enrolled in Scandinavian European Diploma in CCM programme | |
Spain [36] | 2014 | Femininity indexb in critical care medicine 0.08 |
2015 | 33% physicians practising anaesthetics/CCM; 41% in age < 40 years group | |
Asia | ||
China | 2017 | 46% Chinese Society of CCM members |
Indiac | 2015–2017 | 32% trainees taking CCM—Part 2 examination 20% college of CCM members |
Israel [37] a | 2011 | 22% of specialists were women |
Africa | ||
Mozambique, Guinea and Cape Verde [38]d | 2015 | 60% anaesthesiology and 29% internal medicine |
Oceania | ||
New Zealand [39] | 2012 | 30% of trainees and 18% of specialists were women. |
Leadership positions within the specialty
Society | Number (%) of female presidents 2000–2017 |
---|---|
ESICMa | 0/9 (0%) |
7/17 (41%) | |
1/9 (11%) | |
WFSICCM | 1/5 (20%) |
CICM of Australia and New Zealandb (http://www.cicm.org.au/About/Honours-Awards#PastPresidentsandDeans) | 0/5 (0%) |
Society | Proportion of women in the council or board in 2017 (%) |
---|---|
North America | |
50 | |
Canadian Critical Care Society (http://www.canadiancriticalcare.org/Governance) | 36 |
South America | |
40 | |
Europe | |
ESICM [40] | 8 |
Asia | |
Chinese Society of Critical Care Medicine (Standing Committee of the 4th Committee of the Chinese Medical Association Critical Illness Branch) [41] | 18 |
Sri Lankan Society of Critical Care and Emergency Medicine (http://www.ssccem.com/executive-committee) | 21 |
Africa | |
Critical Care Society of South Africa (http://www.criticalcare.org.za/About/Council) | 29 |
Oceania | |
14 | |
World Federation | |
7 |
Proportion of female faculty at leading ICM symposia (2015–2017)
Meeting | 2015 (%) | 2016 (%) | 2017 (%) |
---|---|---|---|
ESICM | 15 | 15 | 16.9 |
SCCMa | 29 | 30 | 27 |
ISICEM | 7.5 | 11.4 | 7.8 |
CICM of Australia and New Zealand | 7.7 | 17.2 | 34 |
Gap in data | Significance |
---|---|
Precise estimates of female representation in CCM trainee and specialist workforce worldwide Age distribution of the male and female workforce Time taken to complete CCM training Proportion of women having to undertake part-time or deferred training Drop-out rates from CCM training Proportion of women undertaking fractional appointments in intensive care as a specialist | Facilitate planning for workforce and gender diversity Major differences in age distribution, may point to factors such as family/home commitments which are predominantly borne by women Prolonged training times for women may be an indicator of women having to undertake part-time training owing to other commitments Will enable training bodies to introduce flexible training options May be an indicator of competing family and domestic responsibilities and lack of roster-friendliness, provide alternative rostering options |