Health Services Research

SS 44 - HSR 2 - Health Services Research

322 - Gender, Professional Experiences, and Personal Characteristics of Academic Radiation Oncology Chairs

Wednesday, October 24
3:15 PM - 3:25 PM
Location: Room 008

Gender, Professional Experiences, and Personal Characteristics of Academic Radiation Oncology Chairs
W. H. Beeler1, K. Griffith2, R. D. Jones1, C. H. Chapman3, E. Holliday Jr4, N. Lalani5, E. Wilson6, J. A. Bonner7, S. C. Formenti8, S. M. Hahn9, S. Kalnicki10, F. F. Liu11, B. Movsas12, C. R. Thomas Jr13, and R. Jagsi1; 1University of Michigan, Ann Arbor, MI, 2Department of Biostatistics, University of Michigan, Ann Arbor, MI, 3Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, 4MD Anderson Cancer Center, Houston, TX, 5University of Toronto, Toronto, ON, Canada, 6ASTRO, Fairfax, VA, 7University of Alabama at Birmingham, Birmingham, AL, 8Weil Cornell Radiation Oncology, New York, NY, 9The University of Texas MD Anderson Cancer Center, Houston, TX, 10Albert Einstein College of Medicine, Bronx, NY, 11Princess Margaret Cancer Centre Research Institute, University Health Network, Toronto, ON, Canada, 12Henry Ford Health System, Detroit, MI, 13Oregon Health and Science University, Portland, OR

Purpose/Objective(s): Understanding the pathway to leadership and challenges faced by leaders can inform efforts to promote professional diversity and equity at all levels. We sought to describe professional experiences and personal characteristics of academic Radiation Oncology (RO) Chairs and to evaluate the hypothesis that differences exist by gender.

Materials/Methods: After IRB approval, surveys were distributed to 95 Chairs of academic RO departments following the 2016 annual meeting of the Society of Chairs of Academic Radiation Oncology Programs (SCAROP). The surveys included 28 closed-ended questions and the 30-statement validated Leadership Practices Inventory (LPI). The anonymous survey results were analyzed by gender using the x2 test for categorical data, and either the rank-sum or t test for continuous data based upon its distribution (significance p < 0.05).

Results: From the invited 95 Chairs, 72 responded (76% response rate): 61 males (74% response rate), 10 females (77% response rate), and 1 who declined to identify gender. There were no significant gender differences in age, academic rank, number of publications, or prior leadership positions held at the time of the first Chair appointment, but female respondents captured significantly greater total direct funding from extramural grants than their male counterparts (median [IQR]) $1.89M [0.5-5M] vs. $0.25 M [0-1.0M]; p = 0.015). At time of appointment, 50% of female respondents found it “difficult” or “very difficult” to move to a new geographic location (primarily due to age of children and spousal employment) compared to only 21% of males. Among the 58 males (95%) and 9 females (90%) who were married at the time of first Chair appointment, 25 males (43%) and no females (0%) had non-working spouses. On average, female Chairs had fewer children than males (Mean ±SD 2.1 ± 0.7 vs. 2.8 ± 1.1, p = 0.02). Once appointed Chair, males and females both found budgeting and resource allocation to be their greatest professional challenges; males also found legal and office management challenging, whereas females found staffing and external communication challenging. There were no gender differences between the LPI-identified leadership domains, with “Modeling the Way” being most common behavior. The most common professional goals were “shaping the direction or culture of the department” and “shaping the direction of research.”

Conclusion: Although limited by sample size, this study suggests that the few female Chairs are no less qualified than their male counterparts in terms of productivity or leadership skills, but that they face unique challenges in the context of a historically gender-structured, hierarchical society. The observation of higher grant funding among women at time of Chair appointment suggests a possible need for interventions such as unconscious bias training to ensure that selection processes do not hold women to a higher bar.

Author Disclosure: W.H. Beeler: None. R.D. Jones: None. C.H. Chapman: None. N. Lalani: None. J.A. Bonner: Honoraria; Bristol-Myers Squibb Company, Eli Lilly and Company, Merck Serono, Cel-Sci. Consultant; Bristol-Myers Squibb Company, Eli Lilly and Company, Merck Serono, Cel-Sci. Professor and Chairman; The University of Alabama at Birmingham. Immediate Past President; The University of Alabama Health Services Found. S. Formenti: Research Grant; Janssen Pharmaceutials (J&J). Honoraria; Regeneron Pharmaceuticals. Consultant; Regeneron Pharmaceuticals, Eli Lilly. Speaker's Bureau; Regeneron Pharmaceuticals, Varian. Advisory Board; BMS, Smith Kline, Astra Zeneca, EISAI. Travel Expenses; Regeneron Pharmaceuticals. S.M. Hahn: Honoraria; AACR, Academic Institutions, UCSF Radiation Oncology External Advisory Board, UCSF Cancer Center External Advisory Board. Travel Expenses; AACR, Academic Institutions, UCSF Radiation Oncology External Advisory Board, UCSF Cancer Center External Advisory Board. Partnership; Liquid Biotech. Royalty; NIH/Mitos Inc. Patent/License Fees/Copyright; Liquid Biotech. VC Educational Council; ASTRO Board of Directors. S. Kalnicki: Travel Expenses; Varian Oncology Systems. Committee Member; American College of Radiology. F. Liu: Chair; University of Toronto - DRO. Chief; Princess Margaret Cancer Centre - RMP. B. Movsas: Research Grant; Varian Medical Systems, Inc, Philips, Inc, NCI. Travel Expenses; Varian Medical Systems, Inc, Philips, Inc. Patent/License Fees/Copyright; Henry Ford Health System. Chair, Quality of Life Subcommittee; Radiation Therapy Oncology Group/NRG. R. Jagsi: Research Grant; American Cancer Society, NCCN, Breast Cancer Research Foundation, Abbott and Abbvie Pharmaceuticals. Advisory Board; Eviti. Research Committee Chair; Radiation Oncology Institute. Board of Directors; ASCO.

Whitney Beeler, MD

Disclosure:
No relationships to disclose.

Presentation(s):

Send Email for Whitney Beeler


Assets

322 - Gender, Professional Experiences, and Personal Characteristics of Academic Radiation Oncology Chairs



Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for Gender, Professional Experiences, and Personal Characteristics of Academic Radiation Oncology Chairs