ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025
Exploring Gender Differences: Training, Practice, and Family Dynamics Among Fellowship-Trained Neurotologists.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
objectiveTo characterize and examine gender differences in training paths, practice patterns, family dynamics, and career trajectories in the field of neurotology. STUDY
designCross-sectional survey.
settingResearch Electronic Data Capture (RedCap) Framework.
methodsA survey was created and distributed electronically to fellowship-trained neurotologists in the United States who were identified via publicly available information. Descriptive, univariate, and multivariate statistics were performed.
resultsOf the 223 neurotologists invited, 80 (35.8%) responded. Most participants were male (77.5%, n = 62), white (77.5%, n = 62), and aged 41 years or older (81.2%, n = 65). Training and practice patterns showed no significant gender differences. However, women were more likely to have a physician spouse (55.6% vs 25.8%, P = .02), have their first child post-fellowship (55.6% vs 24.2%, P = .007), rely on professional childcare (47.1% vs 22.6%, P = .05), and reduce work hours due to childcare needs (22.2% vs 6.45%, P = .05). Men were more likely to rely on their spouse as the primary caretaker (48.4% vs 5.9%, P = .001). Having a physician spouse was associated with post-fellowship childbearing (48.1% vs 28.9%, P = .041) and increased use of professional childcare (44.3% vs 30.1%, P = .05), regardless of gender.
conclusionAlthough training and practice patterns were similar across genders, significant differences in family structure, childbearing, and caretaking roles suggest that women in neurotology may face unique challenges that could influence their career progression.
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