Evidence map›Paper›PMID 27609850›Full record

ArticleBMJ open2016

Gender equity programmes in academic medicine: a realist evaluation approach to Athena SWAN processes.

Louise Caffrey, David Wyatt, Nina Fudge, Helena Mattingley, Catherine Williamson, Christopher McKevitt

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
21.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Being a woman researcher in dangerous laboratories: biosafety level 3 and tuberculosis.Philosophy, ethics, and humanities in medicine : PEHM · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Louise CaffreyFaculty of Life Sciences & Medicine, Division of Health & Social Care Research, King's College London, London, UK NIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK.
David WyattFaculty of Life Sciences & Medicine, Division of Health & Social Care Research, King's College London, London, UK NIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK.ORCID 0000-0002-7188-0549
Nina FudgeFaculty of Life Sciences & Medicine, Division of Health & Social Care Research, King's College London, London, UK NIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK.ORCID 0000-0002-7161-4355
Helena MattingleyArts & Sciences Faculties, King's College London, London, UK.
Catherine WilliamsonNIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK Women's Health Academic Centre, King's College London, Guy's Hospital, London, UK.
Christopher McKevittFaculty of Life Sciences & Medicine, Division of Health & Social Care Research, King's College London, London, UK.
King's College London · GBGuy's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGender inequity has persisted in academic medicine. Yet equity is vital for countries to achieve their full potential in terms of translational research and patient benefit. This study sought to understand how the gender equity programme, Athena SWAN, can be enabled and constrained by interactions between the programme and the context it is implemented into, and whether these interactions might produce unintended consequences.

designMultimethod qualitative case studies using a realist evaluation approach.

setting5 departments from a university medical school hosting a Translational Research Organisation.

participants25 hours of observations of gender equality committee meetings, 16 in-depth interviews with Heads of Departments, Committee Leads and key personnel involved in the initiative. 4 focus groups with 15 postdoctoral researchers, lecturers and senior lecturers.

resultsThe implementation of Athena SWAN principles was reported to have created social space to address gender inequity and to have highlighted problematic practices to staff. However, a number of factors reduced the programme's potential to impact gender inequity. Gender inequity was reproduced in the programme's enactment as female staff was undertaking a disproportionate amount of Athena SWAN work, with potential negative impacts on individual women's career progression. Early career researchers experienced problems accessing Athena SWAN initiatives. Furthermore, the impact of the programme was perceived to be undermined by wider institutional practices, national policies and societal norms, which are beyond the programme's remit.

conclusionsGender equity programmes have the potential to address inequity. However, paradoxically, they can also unintentionally reproduce and reinforce gender inequity through their enactment. Potential programme impacts may be undermined by barriers to staff availing of career development and training initiatives, and by wider institutional practices, national policies and societal norms.

Indexed as

Career MobilitySchools, MedicalFaculty, MedicalFemaleHumansMaleProgram EvaluationSex DistributionSexismUnited KingdomWomenWorkforceAcademic medicineAthena SWANgender equitygender inequalityRealist Evaluation

Identifiers

PMID27609850
PMCPMC5020760
OpenAlexW2399519090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.