istorically, all surgical subspecialties, including ophthalmology, have been male-dominated fields. 1,2 Potential reasons for this occurrence include lack of opportunity, lack of role models, lack of exposure to surgical fields, and considerations of work-life balance. 1,2 During the past decade, there has been an increase in the number of women surgical residents in the United States commensurate with the increase in women graduating from medical schools. 3,4 At the same time, it is evident that women in ophthalmology and all fields of academic medicine may not be advancing to senior ranks compared with their male counterparts, even though women are more likely than men to enter academics. 3,4 In addition, there is still a gender difference in the salaries of physician researchers. 5 Other investigators have validated the use of authors' gender in academic medical literature as a surrogate marker of gender imbalance. 6,7 An important component of academia is publications, as they are the main venue for communicating and encouraging diffusion of scientific innovation. Progress in ophthalmology, or any medical specialty, comes from reporting new investigations and clinical findings. The process of authorship, submission to a journal, peer review, acceptance, and publication are the fundamental steps for the introduction of new knowledge into our practices. 8 IMPORTANCE In recent decades, there has been an increase in the number of women practicing medicine. We believe this shift may be reaching academic publications in ophthalmology and changing gender trends.OBJECTIVE To determine whether there has been an increase in women publishing academic articles and editorials in ophthalmology during the past decade.
DESIGN, SETTING, AND PARTICIPANTSIn this observational retrospective study, 3 ophthalmology journals were sampled from 2000 and 2010 for at least 100 articles per journal, per year, and all editorials published in both years. Data reviewed included the authors' gender, number of authors, number of references, subspecialty, and country of origin.EXPOSURE Publication by women authors.
MAIN OUTCOMES AND MEASURESThe primary outcome measure was an increase in women publishing in ophthalmology. The hypothesis was formulated before data collection.