Beyond the Scope: A Global Perspective on gender disparity among advanced endoscopists

Introduction Females remain underrepresented in advanced endoscopy (AE). Factors such as ergonomics, concerns over radiation exposure and traditional family roles have been identified as barriers in prior studies. No published study to date has surveyed potential reasons for this at an international level. Aim To assess factors which may contribute to poor uptake of AE training among females on a global scale. Methods A cross-sectional survey was designed by the mentees of the inaugural Women in Endoscopy Mentorship Programme, including questions on demographics, endoscopy, family, wellbeing, mentorship and leadership. This was shared via social media and professional networks. Results There were 553 responses to the survey (n=282 Male). 24% of respondents reported that less than 10% of endoscopists at their centre were female. Females were significantly less likely to have a partner; if they had a partner, they were more likely to be in full-time employment than male respondents' partners. (67% vs 43% p <0.001). They were more likely to feel they delayed having a family to in favour of career progression, and that they had sacrificed career progression to have a family. They were also more likely to feel their gender held them back(61.3% vs 19.9% p <0.001). More male respondents felt that they got the same opportunities as colleagues of opposite gender at the same time (75.2% vs 50.9% p <0.001). Conclusion Family responsibilities and perception of gender bias remain significant barriers to a career in advanced endoscopy for women worldwide.