Evidence map›Paper›PMID 37653202›Full record

ArticleJournal of general internal medicine2023

Exploring the Impact of COVID-19 on Women Hospitalists: A Mixed-Gender Qualitative Analysis.

Johanna I Busch, Angela Keniston, Gopi J Astik, Andrew Auerbach, Kirsten N Kangelaris, Shradha A Kulkarni, Luci K Leykum, Anne S Linker, Kirsten Nieto, Read G Pierce and 2 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2023. 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
4.1field-weighted citation impact, top 6% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
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

12 authors at 7 institutions in 1 country.

Johanna I BuschDivision of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA. Johanna.Busch@austin.utexas.edu.
Angela KenistonUniversity of Colorado School of Medicine, Aurora, CO, USA.
Gopi J AstikNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Andrew AuerbachUniversity of California, San Francisco School of Medicine, San Francisco, CA, USA.
Kirsten N KangelarisUniversity of California, San Francisco School of Medicine, San Francisco, CA, USA.
Shradha A KulkarniUniversity of California, San Francisco School of Medicine, San Francisco, CA, USA.
Luci K LeykumDivision of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA.
Anne S LinkerIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Kirsten NietoDivision of Hospital Medicine, Dell Medical School, The University of Texas at Austin, 1500 Red River Street, Austin, TX, 78701, USA.
Read G PierceDenver Health, Denver, CO, USA.
Matthew SakumotoUniversity of California, San Francisco School of Medicine, San Francisco, CA, USA.
Marisha BurdenUniversity of Colorado School of Medicine, Aurora, CO, USA.
University of California, San Francisco · USThe University of Texas at Austin · USUniversity of Colorado Denver · USDenver Health Medical Center · USIcahn School of Medicine at Mount Sinai · USNorthwestern University · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen physicians have faced persistent challenges, including gender bias, salary inequities, a disproportionate share of caregiving and domestic responsibilities, and limited representation in leadership. Data indicate the COVID-19 pandemic further highlighted and exacerbated these inequities.

objectiveTo understand the pandemic's impact on women physicians and to brainstorm solutions to better support women physicians.

designMixed-gender semi-structured focus groups.

participantsHospitalists in the Hospital Medicine Reengineering Network (HOMERuN). APPROACH: Six semi-structured virtual focus groups were held with 22 individuals from 13 institutions comprised primarily of academic hospitalist physicians. Rapid qualitative methods including templated summaries and matrix analysis were applied to identify major themes and subthemes. KEY

resultsFour key themes emerged: (1) the pandemic exacerbated perceived gender inequities, (2) women's academic productivity and career development were negatively impacted, (3) women held disproportionate roles as caregivers and household managers, and (4) institutional pandemic responses were often misaligned with workforce needs, especially those of women hospitalists. Multiple interventions were proposed including: creating targeted workforce solutions and benefits to address the disproportionate caregiving burden placed on women, addressing hospitalist scheduling and leave practices, ensuring promotion pathways value clinical and COVID-19 contributions, creating transparency around salary and non-clinical time allocation, and ensuring women are better represented in leadership roles.

conclusionsHospitalists perceived and experienced that women physicians faced negative impacts from the pandemic in multiple domains including leadership opportunities and scholarship, while also shouldering larger caregiving duties than men. There are many opportunities to improve workplace conditions for women; however, current institutional efforts were perceived as misaligned to actual needs. Thus, policy and programmatic changes, such as those proposed by this cohort of hospitalists, are needed to advance equity in the workplace.

Indexed as

COVID-19HospitalistsHospital MedicineFemaleHumansMalePandemicsSexismdiversitygender inequityhospital medicineinclusionwomen

Identifiers

PMID37653202
PMCPMC10651559
OpenAlexW4386346963

What OpenQuestion holds

Textmetadata
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.