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Abstract Details

Effects of Gender on Neurology Career Outcomes
Education, Research, and Methodology
S39 - Broadening the Scope of Medical Education in Neurology (5:18 PM-5:30 PM)
The leaky pipeline in academic neurology leadership highlights a gender disparity. While gender equality is present amongst neurology residency program directorship at the national level, more departmental leaders identify as men.
To characterize the career trajectory of neurology residency graduates to understand gender differences in academic neurology leadership.

Graduates of the Mayo Clinic Neurology residency programs in Minnesota, Arizona, and Florida, were queried regarding sex and gender identity, time since graduation, and career outcomes including time worked, practice environment, leadership roles, and reasons for career changes.

62 alumni (45.2% women) completed the survey (16.3% completion rate). Most men (97%) worked full time in the first five years after residency and maintained this through 20 years post-graduation (80%), while the proportion of women working full time dropped from 92.9% in the first 5 years to 75% by 10 years and 57.1% by 20 years, revealing a significant difference between genders over career (p = 0.01). Despite these findings, greater than 70% of women respondents worked in academia through more than 20 years post-graduation, versus 45% of men. While 75-85% men graduates reported holding leadership roles throughout their career, less than half (46.4%) of women surveyed held leadership roles in the first five years of their post-graduate career with a rebound to similar rates to men at 10 and 20 years (72.2; 71.4%). 
Our findings suggest that women graduates are more likely to work less than full time earlier than men and are less likely to hold leadership positions during the early stages of their careers. While women graduates surveyed remained in academic neurology to a greater degree than men, the leaky leadership pipeline for women in academic neurology prompts questions regarding early mentoring and the impact of full-time work on leadership opportunities.
Elke Schipani Bailey, MD (Mayo Clinic)
Dr. Schipani Bailey has nothing to disclose.
Elizabeth A. Coon, MD, FAAN (Mayo Clinic) Dr. Coon has nothing to disclose.
Erika Driver-Dunckley, MD, FAAN Dr. Driver-Dunckley has nothing to disclose.
Elizabeth A. Mauricio, MD, FAAN (Mayo Clinic) Dr. Mauricio has nothing to disclose.
Lyell K. Jones, MD, FAAN (Mayo Clinic) Dr. Jones has received personal compensation in the range of $100,000-$499,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Academy of Neurology. Dr. Jones has received publishing royalties from a publication relating to health care. Dr. Jones has a non-compensated relationship as a member of the AAN Board of Directors with AAN that is relevant to AAN interests or activities. Dr. Jones has a non-compensated relationship as a member of the Mayo Clinic ACO Board of Directors with Mayo Clinic that is relevant to AAN interests or activities.
Kelsey M. Smith, MD (Mayo Clinic) The institution of Dr. Smith has received research support from CURE Epilepsy. The institution of Dr. Smith has received research support from UCB Pharmaceuticals.