Evidence map›Paper›PMID 35072079›Full record

ArticleCritical care explorations2022

Identification and Assessment of Strategies to Address Gender Inequity in the Specialty of Critical Care Medicine: A Scoping Review, Modified Consensus Process, and Stakeholder Meeting.

Jeanna Parsons Leigh, Chloe de Grood, Rebecca Brundin-Mather, Alexandra Dodds, Emily A FitzGerald, Laryssa Kemp, Sara J Mizen, Liam Whalen-Browne, Henry T Stelfox, Kirsten M Fiest

Abstract readScoping Review
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Canadian Critical Care Society position statement on Equity, Diversity, Decolonization, and Inclusion.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
  2. Article
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

10 authors.

Jeanna Parsons LeighSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Chloe de GroodDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, AB, Canada.
Rebecca Brundin-MatherDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, AB, Canada.
Alexandra DoddsDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, AB, Canada.
Emily A FitzGeraldSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Laryssa KempDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, AB, Canada.
Sara J MizenSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Liam Whalen-BrowneDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary & Alberta Health Services, Calgary, AB, Canada.
Henry T StelfoxO'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Kirsten M FiestO'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to identify and prioritize improvement strategies that Critical Care Medicine (CCM) programs could use to inform and advance gender equity among physicians in CCM.

designThis study involved three sequential phases: 1) scoping review that identified strategies to improve gender equity in all medical specialties; 2) modified consensus process with 48 CCM stakeholders to rate and rank identified strategies; and 3) in-person stakeholder meeting to refine strategies and discuss facilitators and barriers to their implementation.

settingCCM. SUBJECTS: CCM stakeholders (physicians, researchers, and decision-makers; mutually inclusive).

interventionsNone. MEASUREMENTS AND MAIN

resultsWe identified 190 unique strategies from 416 articles. Strategies were grouped thematically into 20 categories across four overarching pillars of equity: access, participation, reimbursement, and culture. Participants prioritized 22 improvement strategies for implementation in CCM. The top-rated strategy from each pillar included: 1) nominate gender diverse candidates for faculty positions and prestigious opportunities (equitable access); 2) mandate training in unconscious bias and equitable treatment for committee (e.g., hiring, promotion) members (equitable participation); 3) ensure equitable starting salaries regardless of sex or gender (equitable reimbursement); and, 4) conduct 360° evaluations of leaders (including their direct work circle of supervisors, peers, and subordinates) through a diversity lens (equitable culture). Interprofessional collaboration, leadership, and local champions were identified as key enablers for implementation.

conclusionsWe identified stakeholder-prioritized strategies that can be used to inform and enhance gender equity among physicians in CCM under four overarching equity pillars: access, participation, reimbursement, and culture. Implementation approaches should include education, policy creation, and measurement, and reporting.

Indexed as

consensus processcritical care medicinegender equitymedical specialtiesscoping review

Identifiers

PMID35072079
PMCPMC8769084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.