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Original article

Vol. 152 No. 3940 (2022)

Emergency medicine in Switzerland: an analysis of physician workforce, gender equality and academics

  • Svenja Ravioli
  • Michael Haidinger
  • Aristomenis K. Exadaktylos
  • Emanuel Pluess
  • Gregor Lindner
DOI
https://doi.org/10.57187/smw.2022.40001
Cite this as:
Swiss Med Wkly. 2022;152:40001
Published
08.10.2022

Summary

BACKGROUND: Globally, emergency medicine is continuously evolving and in numerous countries, societies and colleges help develop the specialty on a professional and academic level. However, there are countries, including Switzerland, where emergency medicine is not a fully recognised specialty and there is a historical gender gap.

AIMS OF THE STUDY: It was the aim of this study to investigate the trends and developments in Swiss emergency medicine in terms of physician workforce, gender equality and academic posts over time.

METHODS: In this observational longitudinal analysis, the number and gender distribution of Swiss Society of Emergency and Rescue Medicine (SSERM) members as well as SSERM-certified physicians were analysed in 2011, 2016 and 2021. Additionally, head and leading physicians of SSERM-certified emergency departments of category 1 and 2 were analysed in 2021 with special regard to gender distribution. Finally, an analysis of Swiss academic emergency medicine including Swiss academic tracks, professors in emergency medicine as well as committees, chairs and speakers of the annual SSERM conference was performed.

RESULTS: From 2011 to 2021, there was an increase in SSERM members of 52% and a growing proportion of women from 26% to 35%. Similarly, there was a rise of 66% in physicians certified in in-hospital and 79% certified in prehospital emergency medicine. The proportion of women increased by 153% and 131%, respectively. In the analysed emergency departments, 69% of all head physicians were men whereas 50% of senior consultants and consultants with extended responsibility were women in 2021. Concerning academics, emergency medicine was a mandatory subject at all Swiss universities offering a master's degree in medical studies in 2021. However, 11 Swiss universities reported only six full professors, of whom only one was a woman, and three associate professors in emergency medicine in 2021. The analysis of the annual SSERM conferences from 2016 to 2019 revealed that men outnumbered women at every conference in terms of committees, chairs and speakers.

CONCLUSIONS: The number of SSERM members and board-certified emergency physicians, women in particular, remarkably increased in 10 years. Equality appears to be within reach for clinical emergency physicians, but women continue to be underrepresented in academic positions, at scientific conferences and among professors. In Switzerland, academic emergency medicine appears to be lagging behind in view of the growing emergency physician and women workforce, which might complicate further progress in and development of Swiss emergency medicine on a scientific and professional level.

References

  1. Totten V, Bellou A. Development of emergency medicine in Europe. Acad Emerg Med. 2013 May;20(5):514–21. https://doi.org/10.1111/acem.12126 DOI: https://doi.org/10.1111/acem.12126
  2. Graham CA. Emergency medicine in Europe: looking forward to 2015. Eur J Emerg Med. 2015 Feb;22(1):1. https://doi.org/10.1097/MEJ.0000000000000238 DOI: https://doi.org/10.1097/MEJ.0000000000000238
  3. Stroobants J, Arafat R, Leach R, Halpern P, Golea A, Heyworth J, et al. Cooperation in emergency medicine in Europe: the bright side of the medal. Eur J Emerg Med. 2018 Feb;25(1):1–2. https://doi.org/10.1097/MEJ.0000000000000521 DOI: https://doi.org/10.1097/MEJ.0000000000000521
  4. Hautz WE, Sauter TC, Lehmann B, Exadaktylos AK. Professionalisation rather than monopolisation is the future of emergency medicine in Europe. Eur J Anaesthesiol. 2018 Mar;35(3):234–5. https://doi.org/10.1097/EJA.0000000000000744 DOI: https://doi.org/10.1097/EJA.0000000000000744
  5. Miró OS, Burillo-Putze G. Research in emergency medicine in Europe. Eur J Emerg Med. 2012 Apr;19(2):63–8. https://doi.org/10.1097/MEJ.0b013e32834749a0 DOI: https://doi.org/10.1097/MEJ.0b013e32834749a0
  6. Lindner G, Rupp A, Exadaktylos AK, Ravioli S. Gender distribution in board memberships of emergency medicine societies. Am J Emerg Med. 2021 Sep;47:176–9. https://doi.org/10.1016/j.ajem.2021.04.042 DOI: https://doi.org/10.1016/j.ajem.2021.04.042
  7. Ravioli S, Rupp A, Exadaktylos AK, Lindner G. Gender distribution in emergency medicine journals: editorial board memberships in top-ranked academic journals. Eur J Emerg Med. 2021 Oct;28(5):380–5. https://doi.org/10.1097/MEJ.0000000000000842 DOI: https://doi.org/10.1097/MEJ.0000000000000842
  8. Ortega M. Feminization of Emergency Medicine in Europe in the 21st century. Eur J Emerg Med. 2020 Jun;27(3):167–8. https://doi.org/10.1097/MEJ.0000000000000709 DOI: https://doi.org/10.1097/MEJ.0000000000000709
  9. Wiler J, Roubds K. McGowan and Baird J. Continuation of Gender Disparities in Pay Among Academic Emergency Medicine Physicians. Acad Emerg Med. 2019 Mar;26(3):286–92. https://doi.org/10.1111/acem.13694 DOI: https://doi.org/10.1111/acem.13694
  10. Parsons M, Krzyzaniak S, Mannix A, Rocca N, Chan TM, Gottlieb M. Peek at the glass ceiling: gender distribution of leadership among emergency medicine residency programs. Emerg Med J. 2021 May;38(5):381–6. https://doi.org/10.1136/emermed-2019-208951 DOI: https://doi.org/10.1136/emermed-2019-208951
  11. https://www.sgnor.ch/weiter-und-fortbildung/, accessed 25.03.2022
  12. https://www.fmh.ch/themen/aerztestatistik/fmh-aerztestatistik.cfm, accessed 28.03.2022
  13. Sanchez B, Hirzel AH, Bingisser R, Ciurea A, Exadaktylos A, Lehmann B, et al. State of Emergency Medicine in Switzerland: a national profile of emergency departments in 2006. Int J Emerg Med. 2013 Jul;6(1):23. https://doi.org/10.1186/1865-1380-6-23 DOI: https://doi.org/10.1186/1865-1380-6-23
  14. Zimmermann H, Bachmann D, Berger P, Diem K, Durrer B, Ummenhofer W. Die klinische Notfallmedizin im Wandel. Schweiz Arzteztg. 2015;96(1-2):6–7. DOI: https://doi.org/10.4414/saez.2015.03246
  15. Wiler JL, Wendel SK, Rounds K, McGowan B, Baird J. Salary disparities based on gender in academic emergency medicine leadership. Acad Emerg Med. 2022 Mar;29(3):286–93. https://doi.org/10.1111/acem.14404 DOI: https://doi.org/10.1111/acem.14404
  16. Oh L, Linden JA, Zeidan A, Salhi B, Lema PC, Pierce AE, et al. Overcoming barriers to promotion for women and underrepresented in medicine faculty in academic emergency medicine. J Am Coll Emerg Physicians Open. 2021 Dec;2(6):e12552. https://doi.org/10.1002/emp2.12552 DOI: https://doi.org/10.1002/emp2.12552

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