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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v5i1.2403</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v5i1.2403</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Review Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Insight for Gender Discrimination and Inhibition in Medicine: Challenges and the Way Forward</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Razzak</surname>
            <given-names>Asma Abdul</given-names>
          </name>
          <email>drasmabandhani@hotmail.co.uk</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Kamani</surname>
            <given-names>Lubna</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bajaj</surname>
            <given-names>Kiran</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Butt</surname>
            <given-names>Nazish</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Jinnah Medical and Dental College Karachi</institution>
      </aff>
      <aff id="aff2">
        <institution>Liaquat National Hospital Karachi</institution>
      </aff>
      <aff id="aff3">
        <institution>Jinnah Postgraduate Medical Centre Karachi</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Asma Abdul Razzak (drasmabandhani@hotmail.co.uk)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2024-02-28">
        <day>28</day>
        <month>02</month>
        <year>2024</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2024</year>
      </pub-date>
      <volume>5</volume>
      <issue>1</issue>
      <fpage>370</fpage>
      <lpage>374</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-10-13">
          <day>13</day>
          <month>10</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-11-29">
          <day>29</day>
          <month>11</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2024 The Author(s)</copyright-statement>
        <copyright-year>2024</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i1.2403" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i1.2403.pdf" content-type="application/pdf"/>
      <abstract>
        <p>The part of female medical graduates in medical schools has been increasing during the past several years, as has the sum of women practicing medicine and otherspecialties worldwide. Despite theirshared desire to work in interventional professions such as surgery and gastroenterology (GE), women remain significantly underrepresented in these professions. A survey was distributed to female patients who were waiting on appointments for basic care at four sites as part of an American study. International reports state that women make up 13% of GE consultants and roughly 25–30% of GE fellows. Of those surveyed, 43% said they would choose a woman endoscopist, 87% said they would give time lag of 30 days for one, while 14% said they would be willing to pay more for one. A multicenter, cross-sectional study carried out in three Pakistani tertiary care facilities. Of the patients who showed favoritism for a particular gender, 707 (65.6%) were willing to wait an average of 7 daysfor an endoscopist ofthat gender, and 511 (72.3%) were not.In addition to the previouslymentioned obstacles, programs that cater to the female community should take consistent gender choice for an endoscopist into account as an obstacle to screening. Women's compliance with colonoscopy may be increased by the endoscopist's gender preference.</p>
      </abstract>
    </article-meta>
  </front>
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    <ref-list>
      <title>References</title>
      <ref id="ref1">
        <label>1</label>
        <mixed-citation>Hashmi AM, Rehman A, Butt Z, Aftab MA, Shahid A, Khan SA. Gender discrimination among medical students in Pakistan: a cross-sectional survey. Pak J Med Sci. 2013;29(2):449.</mixed-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <mixed-citation>Hay K, McDougal L, Percival V. Disrupting gender norms in health systems: making the case for change. Lancet. 2019;393(10190):2535-49.</mixed-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <mixed-citation>Epstein NE. Discrimination against female surgeons is still alive: where are the full professorships and chairs of departments? Surg Neurol Int. 2017;8(1):93.</mixed-citation>
      </ref>
      <ref id="ref4">
        <label>4</label>
        <mixed-citation>Okoshi K, Nomura K, Fukami K, et al. Gender inequality in career advancement for females in Japanese academic surgery. Tohoku J Exp Med. 2014;234(3):221-7.</mixed-citation>
      </ref>
      <ref id="ref5">
        <label>5</label>
        <mixed-citation>The gender gap. The News International; [2021, Accessed December 25, 2023]. Available from: https://www.thenews.com.pk/print/818612-the-gender-gap.</mixed-citation>
      </ref>
      <ref id="ref6">
        <label>6</label>
        <mixed-citation>Jang ES, Park SM, Park YS, et al. Work-life conflict and its health effects on Korean gastroenterologists according to age and sex. Dig Dis Sci. 2020;65(1):86-95.</mixed-citation>
      </ref>
      <ref id="ref7">
        <label>7</label>
        <mixed-citation>Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients' preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc. 2005;62(2):219-23.</mixed-citation>
      </ref>
      <ref id="ref8">
        <label>8</label>
        <mixed-citation>Kim N. Sex/gender differences in gastrointestinal endoscopy from the perspective of patients and gastroenterologists. Clin Endosc. 2023 May;56(3):268-82.</mixed-citation>
      </ref>
      <ref id="ref9">
        <label>9</label>
        <mixed-citation>Kamani L, Butt N, Taufiq F, de Paredes AG, Rajan E, Unique perspective of Muslim patients on gender preference for gastrointestinal endoscopists: a multicenter survey. Gastroint Endos. 2021; 94(6):1110-5.</mixed-citation>
      </ref>
      <ref id="ref10">
        <label>10</label>
        <mixed-citation>West CP, Dyrbye LN, Erwin PJ. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388 (10057):2277-81.</mixed-citation>
      </ref>
      <ref id="ref11">
        <label>11</label>
        <mixed-citation>Okagawa Y, Abe S, Yamada M, Oda I, Saito Y. Artificial intelligence in endoscopy. Dig Dis Sci. 2022;67(5):1553–1572.</mixed-citation>
      </ref>
      <ref id="ref12">
        <label>12</label>
        <mixed-citation>Schwartz J, Karnik N, Ahmad AS. 211 female GI leaders:mentorship, promotion and gender disparities in the workplace. Gastrointest Endosc. 2019;89(6):AB62..</mixed-citation>
      </ref>
      <ref id="ref13">
        <label>13</label>
        <mixed-citation>Starkey M, Daboul J, Lang J, Hart B, Ekwenna O. Trends in female representation in gastroenterology fellowships in the United States. Ann Gastroenterol. 2022;35(6):577-83.</mixed-citation>
      </ref>
      <ref id="ref14">
        <label>14</label>
        <mixed-citation>Kamani L, Van Hooft JE. Rising trend of women in gastroenterology: a paradigm shift. J Col Phy Surg Pak. 2021;31(02):121-2.</mixed-citation>
      </ref>
      <ref id="ref15">
        <label>15</label>
        <mixed-citation>Ibrahim H, Stadler DJ, Archuleta S. Twelve tips to promote gender equity in international academic medicine. Med Teach. 2018;40(9):962-8.</mixed-citation>
      </ref>
      <ref id="ref16">
        <label>16</label>
        <mixed-citation>Lyu HG, Davids JS, Scully RE. Association of domestic responsibilities with career satisfaction for physician mohers in procedural vs nonprocedural fields. JAMA Surg. 2019;154(8):689-95.</mixed-citation>
      </ref>
      <ref id="ref17">
        <label>17</label>
        <mixed-citation>Lee JM, Kim ES, Chun HJ, Yoo IK, Lee JM, Kim SH et al. Is there a change in patient preference for a female colonoscopist during the last decade in Korea?. Clinical endoscopy. 2018;51(1):72-9.</mixed-citation>
      </ref>
      <ref id="ref18">
        <label>18</label>
        <mixed-citation>Schmitt CM, Allen JI. View from the top:perspectives on women in gastroenterology from society leaders. Gastroenterol Clin North Am. 2016;45(2):371-88.</mixed-citation>
      </ref>
      <ref id="ref19">
        <label>19</label>
        <mixed-citation>Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients'preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc. 2005;62(2):219-23.</mixed-citation>
      </ref>
      <ref id="ref20">
        <label>20</label>
        <mixed-citation>Shah DK, Karasek V, Gerkin RD, Ramirez FC, Young MA. Sex preferences for colonoscopists and GI physicians among patients and health care professionals. Gastrointest Endosc. 2011;74(1):122-7.</mixed-citation>
      </ref>
      <ref id="ref21">
        <label>21</label>
        <mixed-citation>Centers for disease control and prevention. Use of colorectal cancer screening tests 2018 Behavioral risk factor surveillance system. CDC. 2021. [Accessed 11 June 2023].</mixed-citation>
      </ref>
      <ref id="ref22">
        <label>22</label>
        <mixed-citation>Gomez LE, Bernet P. Diversity improves performance and outcomes. J Natl Med Assoc. 2019;111(4):383-92.</mixed-citation>
      </ref>
      <ref id="ref23">
        <label>23</label>
        <mixed-citation>Bradley EH. Diversity, inclusive leadership, and health outcomes. Int J Health Policy Manag. 2020;9(7):266-8.</mixed-citation>
      </ref>
      <ref id="ref24">
        <label>24</label>
        <mixed-citation>Curry LA, Brault MA, Linnander EL. Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction:a mixed-methods intervention study. BMJ Qual Saf. 2018;27(11):207-17.</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
