Objective To assess the relation between male and female medical leadership
.
Design Cross sectional study on predictive factors for female medical leade
rship with data on sex, age, specialty, and occupational status of Norwegia
n physicians.
Setting Oslo, Norway.
Subjects 13 844 non-retired Norwegian physicians.
Main outcome measure Medical leaders, defined as physicians holding a leadi
ng position in hospital medicine, public health, academic medicine, or priv
ate health care.
Results 14.6% (95% confidence interval 14.0% to 15.4%) of the men were lead
ers compared with 5.1% (4.4% to 5.9%) of the women. Adjusted for age men ha
d a higher estimated probability of leadership in all categories of age and
job, the highest being in academic medicine with 0.57 (0.42 to 0.72) for m
en aged ol el 54 years compared with 0.39 (0.21 to 0.63) for women in the s
ame category Among female hospital physicians there was a positive relation
between the proportion of women in their specialty and the probability of
leadership.
Conclusion Women do not reach senior positions as easily as men. Medical sp
ecialties with high proportions of women have more female leaders.