A gender gap exists in the number and proportion of women in academic GI; however, after correcting for career duration, productivity measures that consider quantity and impact are similar for male and female faculty. Women holding senior faculty positions are equally productive as their male counterparts. Early and continued career mentorship will likely lead to continued increases in the rise of women in academic rank.

Background Adenoma detection rate (ADR) has recently been used as a quality measure for screening colonoscopy. We hypothesize that the adenoma detection rate (ADR) will increase with each decade of life after 50 years. Objective The aim of this study is to define age-based goals for adenoma detection rate and advanced neoplasia to improve the quality of colonoscopy. Methods Utilizing the Clinical Outcomes Research Initiative (CORI) database, patients who underwent screening colonoscopy between 2005-2006 were identified. Pathology of polyp findings was reviewed and the ADR and the prevalence of advanced neoplasia were calculated based on age and gender. Results There were 7,756 (44.9%) polypectomies performed on 17,275 patients between 2005-2006. 56.3% (4,363) of these polyps were adenomas or more advanced lesions. The ADR was higher in men than women and increased with age. The ADR in men under age 50 was 24.7 [95% CI 18.2-31.2]; 50-59 years: 27.8 [26.5-29.1]; 60-69 years: 33.6 [31.7-35.4]; 70-79 years: 34.3 [31.5-37.1]; > 80 years: 40.0 [32.9-47.1]. The ADR in women under 50 years old was 12.6 [6.8-18.4]; 50-59 years: 17.0 {15.9-18.1]; 60-69 years: 22.4 {20.8-24.0]; 70-79 years: 26.1 {23.7-28.5]; > 80 years: 26.9 [21.4-32.5]. Limitations The CORI database offers access to demographic information as well as endoscopy and pathology data but there is limited clinical information about patients in the database. Conclusion Adenoma detection rate, and importantly, the rate of advanced neoplasia, increased with each decade of life over 50 and are higher in men than women in each decade of life.