“…These gender imbalances likely reflect myriad obstacles to women's career progress, including chilly and sometimes hostile work climates (Carr et al, 2003; Jenner et al, 2019; Pololi et al, 2013), bias in recruitment and selection practices (Van den Brink, 2011), societal cultures that still expect a strongly gendered division of domestic labor (Jolly et al, 2014), an underrepresentation of women in last-author positions (González-Álvarez and Cervera-Crespo, 2019; Jagsi et al, 2006; Lerchenmueller and Sorenson, 2018), and disparities in research funding (Jagsi et al, 2009; Sege et al, 2015). Given that citation indicators are increasingly being used to inform tenure, hiring and funding decisions in many areas of the medical sciences, possible gender differences in citation impact have the potential to contribute to the perpetuation of these inequalities.…”