21st century gender trends of authorship in the British Journal of Oral and Maxillofacial Surgery


      Despite forming the majority in undergraduate medicine and dentistry programmes, females remain under-represented in all surgical specialties, including oral and maxillofacial surgery (OMFS). Efforts are ongoing to promote female uptake in surgery. Research output is a key metric in measuring leadership and academic advancement within a specialty. The aim of this study was to assess female authorship in research published in the British Journal of Oral and Maxillofacial Surgery from 2000-2020 with a retrospective cohort study of original articles and reviews published in the journal from five different volumes of the journal (2000, 2005, 2010, 2015, 2020 as representative time points). The gender of the first and last authors were assessed for gender by first name recognition and verified with a web-search of the author using their stated institutional affiliation when this was not clear. Articles were excluded if the gender of one of the first or last author could not be determined. A total of 501 articles were included with the gender of 1002 authors analysed. 173 (17.3%) authors were female, and 828 (82.7%) were male. The most common author combination was male-male (70.3%) and the least common female-female (4.8%). The proportion of female authors increased over time from 9.3% in 2000 to 23.4% in 2020. Females remain under-represented within surgery, but female presence in academic output is increasing at a similar rate to the numbers of female uptake in the clinical workforce which is a promising sign and indicative of progress towards gender parity.


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        • Moberly T.
        Number of women entering medical school rises after decade of decline.
        BMJ. 2018; 360: k254
      1. Higher Education Statistics Authority. HE students by CAH level 1 and sex. Available from URL: (last accessed 14 June 2022).

      2. NHS Digital. Medical and dental staff by gender, specialty and grade AH2667. 28 February 2010 to 28 February 2019. Available from URL: (last accessed 14 June 2022).

        • Skinner H.
        • Burke J.
        • Young A.
        • et al.
        Gender representation in leadership roles in UK surgical societies.
        Int J Surg. 2019; 67: 32-36
        • Peel J.K.
        • Schlachta C.M.
        • Alkhamesi N.A.
        A systematic review of the factors affecting choice of surgery as a career.
        Canad J Surg. 2018; 61: 58-67
        • Levine R.B.
        • Mechaber H.F.
        • Reddy S.T.
        • et al.
        “A good career choice for women”: female medical students’ mentoring experiences: a multi-institutional qualitative study.
        Acad Med. 2013; 88: 527-534
        • Zhuge Y.
        • Kaufman J.
        • Simeone D.M.
        • et al.
        Is there still a glass ceiling for women in academic surgery?.
        Ann Surg. 2011; 253: 637-643
      3. Royal College of Surgeons of England. Statistics: Women in surgery. Available from URL: (last accessed 14 June 2022).

      4. Royal College of Surgeons of England. The Royal College - Our Professional Home. An independent review on diversity and inclusion for the Royal College of Surgeons of England. An exciting call for radical change. March 2021. Available from URLt: (last accessed 14 June 2022).

      5. BAOMS Statement on Inclusion, Equity & Diversity, January 2020 Available from URL: (last accessed 14 June 2022).

        • Arshad S.R.
        • Gallivan E.R.
        • Skinner H.
        • et al.
        O45 Gender representation in the authorship of surgical journals.
        BJS. 2021; 108
        • Hart K.L.
        • Boitano L.T.
        • Tanious A.
        • et al.
        Trends in female authorship in high impact surgical journals between 2008 and 2018.
        Ann Surg. 2022; 275: e115-e123
        • Filardo G.
        • da Graca B.
        • Sass D.M.
        • et al.
        Trends and comparison of female first authorship in high impact medical journals: observational study (1994–2014).
        BMJ. 2016; 352: i847
        • Miller J.
        • Chuba E.
        • Deiner S.
        • et al.
        Trends in authorship in anesthesiology journals.
        Anesthes Analg. 2019; 129: 306-310
        • Nkenke E.
        • Seemann R.
        • Vairaktaris E.
        • et al.
        Gender trends in authorship in oral and maxillofacial surgery literature: a 30-year analysis.
        J Craniomaxillofac Surg. 2015; 43: 913-997
        • Consky E.K.
        • Bradshaw S.M.
        • Wein A.N.
        • et al.
        The proportion of female authors in oral and maxillofacial surgery literature has not changed in 20 years.
        J Oral Maxillofac Surg. 2020; 78: 877-881
      6. Jones M, Montgomery J, Thomas S. Flexible training has matured. BMJ Careers 2008. Available from URL: (last accessed 14 June 2022).

        • Bellini M.I.
        • Graham Y.
        • Hayes C.
        • et al.
        A woman’s place is in theatre: women’s perceptions and experiences of working in surgery from the Association of Surgeons of Great Britain and Ireland women in surgery working group.
        BMJ Open. 2019; 9: e024349
        • Harries R.L.
        • Gokani V.J.
        • Smitham P.
        • et al.
        Less than full-time training in surgery: a cross-sectional study evaluating the accessibility and experiences of flexible training in the surgical trainee workforce.
        BMJ Open. 2016; 6: e010136
        • Turner P.L.
        • Lumpkins K.
        • Gabre J.
        • et al.
        Pregnancy among women surgeons: trends over time.
        Arch Surg. 2012; 147: 474-479
        • Colletti L.M.
        • Mulholland M.W.
        • Sonnad S.S.
        Perceived obstacles to career success for women in academic surgery.
        Arch Surg. 2000; 135: 972-977
        • Reeves S.
        • Loke W.L.
        • Brennan P.A.
        Gender representation within editorial leadership positions of oral and maxillofacial journals.
        Br J Oral Maxillofac Surg. 2021; 23 (S0266-4356(21)00405-8(Online ahead of print))
        • Yang S.
        • Gomes M.
        • Grodman E.
        • et al.
        Are women adequately represented in leadership roles in oral and maxillofacial surgery? A 10-year retrospective evaluation of society leadership and journal editorial boards.
        J Oral Maxillofac Surg. 2021; 79: e90-e91
        • Piper C.L.
        • Scheel J.R.
        • Lee C.I.
        • et al.
        Gender trends in radiology authorship: a 35-year analysis.
        Am J Roentgen. 2016; 206: 3-7
        • Skinner H.
        • Bhatti F.
        Women in surgery.
        The Bulletin, RCS England. 2019; 101: 12-14