학술논문
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
Document Type
article
Author
Jeanna Parsons Leigh, PhD; Chloe de Grood, MSc; Rebecca Brundin-Mather, MASc; Alexandra Dodds, MPH; Emily A. FitzGerald, MSc; Laryssa Kemp, MSc; Sara J. Mizen, MA; Liam Whalen-Browne, MBT; Henry T. Stelfox, MD, PhD; Kirsten M. Fiest, PhD; on behalf of the Canadian Critical Care Gender Equity Forum Panel; Jeanna Parsons Leigh; Sofia Ahmed; Rebecca Aslakson; Kali Barrett; Jill Ola Barter; Rosaleen Baruah; Marie-Claude Battista; Karen J. Bosma; Karen E. A. Burns; Laurent Jean Brochard; Han-Oh Chung; Deborah Cook; Andréanne Côté; Joanna C. Dionne; John Drover; Ghislaine Douflé; James Downar; Shelley Duggan; Robert Fowler; Allan Garland; Elaine Gilfoyle; Gillian Hawker; Margaret Herridge; Kimia Honarmand; Tim Karachi; Joann Kawchuk; Rachel G. Khadaroo; Abigail Lara; Sangeeta Mehta; Tina Mele; Kusum Menon; Srinivas Murthy; David Neilipovitz; Kendiss Olafson; Tony O’Leary; Bojan Paunovic; Clare Ramsey; Alison Fox-Robichaud; Francesca Rubulotta; Khara Sauro; Damon Scales; Sharon Straus; Jennifer Tsang; Hannah Wunsch; Samara Zavalkoff; Janice Zimmerman; Kirsten Fiest; and; Henry Thomas Stelfox
Source
Critical Care Explorations, Vol 4, Iss 1, p e0612 (2022)
Subject
Language
English
ISSN
2639-8028
00000000
00000000
Abstract
OBJECTIVES:. 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. DESIGN:. This 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. SETTING:. CCM. SUBJECTS:. CCM stakeholders (physicians, researchers, and decision-makers; mutually inclusive). INTERVENTIONS:. None. MEASUREMENTS AND MAIN RESULTS:. We 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. CONCLUSIONS:. We 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.